NOTICE OF FORFEITURE

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					                               NOTICE OF FORFEITURE


Date:
To:




        Please take notice that the undersigned elects to declare the agreement forfeited and void
that was executed by you and the undersigned on                            ,         (year),   for the
reason that you have failed to abide by the terms of the agreement in the following manner:




                                                     ___________________________________




                                            AHHHABAZ

				
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posted:6/19/2012
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