From Account #: ______________________________________________________

Name: ________________________________________________________________

Amount: |____________SD$__________________________________Social Dollars

Expiration Date: ______________/____________/201______
                          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) does not 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.)