---------, ---------, 19-.

To C. D.:

I hereby guarantee the payment by X. Y. of --------- [insert obligation or obligations for which guaranty is given] ---------, not exceeding an indebtedness of --------- dollars ($-------) at any one time, for which sum this shall be a continuing guaranty.

Provided, however, if said X. Y. shall fail to pay any debt for--------- [insert obligation or obligations for which guaranty is given] when due, and such default of payment shall continue for --------- days thereafter, then notice of such default shall be given to me by mail addressed to me at --------- ,---------, and I shall not be liable for any --------- [insert obligation or obligations for which guaranty is given]--------. Except as above specified all notices and demands are hereby waived. A. B.