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2 Bill of Exchange Template

This document is a private bill of exchange issued under a safe harbor provision of US tax law. It draws funds from a US Treasury account belonging to the issuer to pay an entity. The bill references IRS regulations regarding private issues and exempts the funds from levy while authorizing the transfer as an authorized representative of a trust interest holder.

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stormy griffith
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2K views1 page

2 Bill of Exchange Template

This document is a private bill of exchange issued under a safe harbor provision of US tax law. It draws funds from a US Treasury account belonging to the issuer to pay an entity. The bill references IRS regulations regarding private issues and exempts the funds from levy while authorizing the transfer as an authorized representative of a trust interest holder.

Uploaded by

stormy griffith
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Private Issue Bill of Exchange IAW IRM 3.8.45.4.10.

1 (01-01-2010)
Issued under Safe Harbor IAW Title 26 Subtitle A Chapter 1 Subchapter J Part 1 Subpart E Section 674(b)(5)(b)
Place of Drawing: __Your town/state______________ Date: _________________ No. Your BOE Series Number
Pay to the Order of: _______________ENTITY NAME and ADDRESS________________________________________________
Account No. __________ Account Holder Name ____________________________________________
Payable in One (1) Installment; First of Exchange at Sight Fed Wire: XXXX-XXXX-X (aka bank routing number)
Amount: ____________________________________________________ USD $____________________________ and no 100s
Value Received and Charge to Account of: Your Upper Lower Name________________________________________________
Prepaid U.S. Treasury Account No. Your Social Security Number without dashes
To: Department of the Treasury Office of Executive Secretary Drawer and Location
_____________________________________
1500 Pennsylvania Avenue, NW Exempt from Levy/Good as Aval/Without Recourse
Room 3414
Washington, DC 20220 By: ___________________________________
VOID WHERE PROHIBITED BY LAW Authorized Representative/Trust Interest holder

DELETE THIS BOX BEFORE PRINTING


The above rectangle is called a text box. Click the border and it will be outlined. On
the bottom line, notice a small circle. Position your cursor so the up/down arrow
appears. Now drag the text box down to expand, if absolutely necessary.
Definitions of a Bill of Exchange, would have it sized like a check.

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