8/3/2019 1 4 Certificate of Non Response
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CERTIFICATION OF NON-RESPONSE / NON-PERFORMANCE
STATE OF CALIFORNIA )) ss
COUNTY OF ORANGE )
PRESENTMENT Be it known, that, the person signing below, a duly
empowered Notary Public, at the request
of_____________________________ In care of
__________________________________________________:Claimant
Address
1. did duly present on ________________ the attached
________________________________________________ dated
_______________
to
_____________________________________________________________________________________________________________Respondent(s)
signed by ___________________________ requesting
_________________________________________________________________,
the time limit having elapsed for rebuttal or acceptance
thereof, which was refused by non-response/non-performance; and
2. did duly present on ________________ the attached
________________________________________________ dated
_______________
to
_____________________________________________________________________________________________________________Respondent(s)
signed by ___________________________ requesting
_________________________________________________________________,
the time limit having elapsed for rebuttal or acceptance
thereof, which was refused by non-response/non-performance.
DEFAULT Whereupon, the Notary Public signing below, for the
reason dishonor by non-response/non-performance, does publicly
andsolemnly certify the dishonor as against all parties it may
concern for liability equivalent to all costs, damages and interest
incurred, or hereafter
incurred, by reason of non-response/non-performance thereof and
stipulations therein.
NOTICE The undersigned Notary Public, certifies that on
___________________Notice(s) of Default were sent to the parties
notedbelow by depositing in a depository of the United States
Postal Service within the State indicated herein a sealed envelope
containing saidNotices(s) directed to the respective person(s) or
entity(ies) at the last known corresponding address noted
below:
NAME ADDRESS
_________________________________
________________________________________________
_________________________________
________________________________________________
_________________________________
________________________________________________
TESTIMONY In testimony of the above, I have signed my name and
attached my off icial seal
___________________________________________Notary Public
My commission expires: __________________
Date __________________
John Henry Doe
Verified Adjust ed Statement of Acco unt
JESSE JAMES, CFO
c/o ABC BANK, N.A.
333 BANKERS STREET
SAN FRANCISCO, CA 94163
John Henry Doe
PAYOFF TRANSMITTAL FORM (BILL OF EXCHANGE); andPAYOFF COUPONJune
10, 2009 Jun e 10, 2009
123 Main Street, Fountain Valley, CA 92708
JESSE JAMES, CFO, c/o ABC BANK, N.A., 333 BANKERS STREET, SAN
FRANCISCO, CA 94163
July 20, 2009
July 20, 2009
Augus t 24, 2010
JUNE 10, 2009
PAYOFF TRANSMITTAL FORM (BILL OF EXCHANGE) DATED JUNE 10,
2009.PAYOFF COUPON.
The above-noted parties were presented notice under notary seal
that certification of non-response or default within thirty (30)
days ofpostmark would comprise their acceptance of the facts set
forth within these instruments, the time having elapsed for
response thereof.
Date of Presentment:
Notice Presented Under Seal:
Notarys Certification:
CERTIFICATION OF DUE PRESENTMENT OF NOTICE UNDER NOTARY SEAL
JULY 10, 2009
NOTICE OF FAULT IN DISHONOR.
The above-noted parties were presented notice under notary seal
that certification of non-response or default within ten (10) days
ofpostmark would comprise their acceptance of the facts set forth
within this instrument, the time having elapsed for response
thereof.
Date of Presentment:
Notice Presented Under Seal:
Notarys Certification:
Verified Adjus ted Statement of Acc ountJohn Henry Doe
July 10, 2009 July 10, 2009
JESSE JAMES, CFO, c/o ABC BANK, N.A., 333 BANKERS STREET, SAN
FRANCISCO, CA 94163
NOTICE OF FAULT IN DISHONOR
