John Henry Doe
c/o 123 Main Street
Anytown, [12345]
Texas

Federal Deposit Insurance Corporation
550 17th Street N.W.
Washington, D.C. 20429
	
Date: November 13, 2003
Dear Disclosure Officer:

This is a Freedom of Information Act (FOIA) request under 5 U.S.C. § 552 and appropriate regulations. 
This is my firm promise to pay fees and costs for locating, duplicating and reviewing the documents for information requested below. I am making this request in the classification of “other requester.” if costs are expected to exceed $50.00 please send estimated costs. 
If some of this request is exempt from release, please send those portions reasonably segregable and provide me with indexing, itemization, and detailed justification concerning the information you are not releasing. The information will provide knowledge and understanding of the rules and regulations of the agency, and will assist the requester relative to the policies of the agency. I understand the penalties provided in 5 U.S.C. § 552 for requesting or obtaining access to documents or records under false pretenses. I am the person making this request and my signature appears below. 
If the documentation is available in electronic form, that will be acceptable.

Please expedite this Freedom of Information Act request.

At this point in time: Regarding CREDITOR NAME HERE:

1	Please send to the requestor any trust indenture application, registration, or eligibility form(s) from CREDITOR NAME HERE or its top holder, maintained within your records or custody.
2	Please send to the requestor a copy of all call reports, with any and all attachments, CREDITOR NAME HERE submitted to the FDIC for the dates __________ to _____________..

If no documentation or information or both exist in ANY files or records you have, regarding this Freedom of Information Act request herein, please send a record stating NO SUCH CERTIFIED DOCUMENTATION OR INFORMATION EXISTS within any files or records.

If your office does not maintain any of the Information or Requests please forward a copy of this Freedom of Information Act requests to the appropriate department that does and notify the requestor of the appropriate department and that it has been forwarded accordingly.

Thank you for your time and attention to this matter.

__________________________			John Henry Doe