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[Taxes / Ad Valorem]

NON-NEGOTIABLE-EXEMPT FROM LEVY

Certified Mail _________________________________ Date ______________

Hindenberg County Treasurer


666 Any Street, 44th Floor
Jumbo, Texas, 78777

Regarding: Tax Notice of Ad Valorem Taxes (or any tax assessment) & Non Ad Valorem
Assessments

Dear Mr. Tax Collector:

I am in receipt of your annual offering in the above regarding of Ad Valorem Taxes and, Non
Ad Valorem Assessments for the current year. I did not find your check enclosed; therefore, I
am accepting your offer and returning your money order for the sum certain $12,333.33 for
adjustment and full settlement of this account.

Please find attached my Power of Attorney in Fact and Please adjust My account and
release the proceeds, accounts, fixtures, and the order of the court to Me immediately. In the
alternative, please remit the above amount to Me and I will adjust the account Myself.
Until then I remain,
This instrument was prepared by Jack Rabbit
Patriot.

JACK R PATRIOT, GRANTOR


SECURED PARTY SIGNATURE

___________________________
___
Jack Rabbit Patriot, Agent
Power of attorney in Fact, With the Autograph

Enclosures:Documents Accepted for Value


Power of Attorney, in FactCopy:
Governor of Your State
County Criminal District Attorney

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