Brenda Grantland

Attorney at Law

265 Miller Avenue

Mill Valley, CA 94941

(415) 380-9108

fax (415) 381-6105

Special Agent in Charge

Federal Bureau of Investigation

450 Golden Gate Avenue

13^th Floor

San Francisco, CA 94102

VERIFIED CLAIM

$123,456 U.S. Currency from Bank Account

Account Number: XXXXXXXXXXXXX

Account Name: John Doe

Financial Inst: ABC Bank, XXX Market Street, San Francisco, CA

Asset I.D. Number: 0)-FBI-000000

Seizure Number: 123456789

Claimant, John Doe, hereby claims the above-described property. Claimant is the sole owner of the named bank account.

This claim is not frivolous.

Please address all correspondence to my attorney, at the address noted above.

Verification:

I, John Doe, declare under penalty of perjury that the foregoing is true and correct.

Dated:_______________________                                       ______________________

                                                                                                John Doe, claimant

                                                                                                _______________________

                                                                                                Brenda Grantland, Esq.

                                                                                                Attorney for claimant