DECLARATION OF GOOD FAITH

Be it known to all courts, governments, corporations and/or any other concerned parties, that I, John-Henry:
[Doe], (hereinafter “Declarant”), authorized representative for JOHN H. DOE, do hereby certify under my own
unlimited commercial liability, that I am of lawful age and having first hand knowledge of the facts herein with
no proof or record to the contrary, do declare, affirm and attest in my own writing that the following plain
statement of material facts is true, correct and materially complete, not intended to mislead:

1. Declarant hereby states that the filing/submission of the accompanying GSA-FAR Forms

a. Optional form 90 (Release of Lien on Real Property),

b. Optional form 91 (Release of Personal Property),
c. Standard form 28 (Affidavit of Individual Surety),
d. Standard form 24 (Bid Bond),
e. Standard form 25 (Performance Bond),
f. Standard form 25A (Payment Bond)
g. State of Anystate Bond #777-77-777777

are respectfully submitted in good faith pursuant to Declarant’s knowledge of his/her status under the United
States Bankruptcy of 1933 and of the United States Government’s obligation to Declarant pursuant to Chapter
48, 48 Stat §112, and other related laws, statutes and regulations.

2. Declarant’s intentions are honorable. Thus, said forms are to be deemed void where prohibited by law if
submission is misplaced due to misapprehension of the laws, statutes and/or regulations governing their use.

3. When recipient of said forms chooses to deem the same to be misplaced in their application, the recipient
must support such denial with the substantiated authority and capacity of said refusal.

4. PLEASE TAKE NOTICE: When submission of the GSA-FAR forms are not prohibited by law and the
recipient retains the forms beyond 72 hours after receipt of same, under Commercial Law, recipient agrees
with Declarant that it will be deemed that the recipient accepted 1 the forms and consented or impliedly
consented 2 to the applicable terms regulating the GSA-FAR and their application in the instant matter.

All Rights Reserved Without Prejudice

By: _____________________________________
John-Henry: [Doe], Authorized Representative

State of Anystate ) Acknowle dgment

) ss:
County of Burleigh ) For verification purposes only

SUBSCRIBED AND SWORN / AFFIRMED TO before me by John-Henry: [Doe], known or proven to me to be

the real man signing this document this ______day of April 2009.

WITNESS my hand and official seal.

______________________________________ ________________ (Seal)

NOTARY PUBLIC DATE

1
“To receive with approval or satisfaction; to receive with intent to retain” (Black’s Law Dictionary, 4th Ed, pg. 26).
2
“That manifested by signs, actions, or facts, or by inaction or silence, which raise a presumption that the consent has been
given” (Black’s Law Dictionary, 4th Ed, pp. 377-78).