With regard to the following recitals:

WHEREAS, __________________________________ may have a valid claim, for funds in the amount of $___________ from the U.S. Government; and

WHEREAS ______________________________ waives all rights of privacy and expressly authorizes ________________________________ to obtain payment information that has been approved and certified by the U.S. Government relative to this claim for $___________; and

WHEREAS, ____________________________________ has not knowingly applied for the $___________ claim, at any other time or through any other individual or company; and

WHEREAS, _______________________________ is in the business of locating the valid claimant and issuing the necessary information regarding the collection of this claim. to the valid claimant; and

WHEREAS, ____________________________________ is desirous of having

________________________________ disclose the reason for this unclaimed money and provide the necessary information to start the collection process of this unclaimed money in

___________________________________ behalf for a fee.