From Account #: _________________________
Name:
__________________________________
Amount:
|____________SD$__________________________________Social Dollars
Expiration Date: ______________/____________/200
Month Day Year
To Account #: _________________________
Beneficiary
Name: __________________________________
By the present document, I agree to take
responsibility for the Social Dollar debt
declared
in this collateral agreement IF the principal debtor (beneficiary)
fulfill his/her obligation 30 days after the due date.
Remarks:____________________________________________________________
___________________________________________________
___________________________________________________
Date: ______________/____________/200
Month Day Year
Signature:______________________________
Send it by fax, mail or just give the original to the
beneficiary partner, keeping a copy, if possible.
(If you
send it by e-mail, your Social Bank officer will ask you to record a voice
signature.)