777 Hallelujah Avenue
Grace, State 77777-4040
00 Month 2007

NTA National Representative
N.T.A.I.B.C.
8856 E. Fairfield Street
Mesa AZ 85207-5124

Dear brother in Christ,

As a church in active affiliation with the New Testament Association of Independent Baptist Churches that meets the stated requirements as given in the N.T.A.I.B.C. Church Directory, we wish to inform you that we request to be included under the blanket tax exempt coverage afforded to the N.T.A.I.B.C.

Our church’s EIN # is ______________________. We understand this information is needed for your files when we are under the group exempt coverage.

Sincerely in the Savior,

/ signature of pastor or secretary /