AWARD DETERMINATION PERIODIC PAYMENT AGREEMENT

In accordance with Title IV of the Air Transportation Safety and System Stabilization Act, the Special Master of the September 11th Victim Compensation Fund (the "Fund") has determined the award for claim no. 1234 for the death of JOHN DOE pursuant to the authority vested in him. This award shall be made subject to the terms and conditions stated below.

Terms and Conditions

1.	The award for this claim is:

a.	A single payment in the amount of ONE MILLION DOLLARS AND NO CENTS ($1,000,000.00) paid to the account of JANE DOE; and

b.	"Eight hundred periodic payments, each in the amount

of ONE THOUSAND DOLLARS AND NO CENTS ($1,000.00), paid to the account of PATRICK DOE ("payee"). The first payment shall be made on July 1, 2003. The remaining payments shall be made on a monthly basis thereafter.

If a payee dies before the payment of the last periodic payment to which that payee is entitled, all remaining payments shall be made payable in accordance with a written designation of successor payee(s) signed by that payee, provided that any such designation shall be in a form acceptable to the payor and shall be sent to the payor prior to the payee's death. If at the time of the payee's death there is no valid designation in effect, or if none of the designated successor payees survive the payee, then all remaining payments shall instead be made payable as follows: if the payee was a minor, then to the payee's parents in equal shares (or all to the survivor of them); or, if neither parent of a minor payee survives the payee, or if the payee was an adult, then to the Estate of the payee.

c.	The sum of ONE THOUSAND DOLLARS AND NO CENTS ($1,000.00) per month to SUSAN DOE, commencing on July 1, 2003, for life.

2.	The United States of America ("United States") hereby assigns the obligation to make the periodic payments described in paragraphs 1(b) and 1(c) above ("Paras. 1(b) and 1(c)") to the ABC Assignment Company ("ABC"). ABC hereby assumes this obligation pursuant to the terms and conditions set forth in this Award Determination. ABC's obligation to make the periodic payments described in Paras. 1(b) and 1(c) is equal to the obligation of the United States prior to the assignment.

3.	In exchange for assuming the obligation to make the periodic payments described in Paras. 1(b) and 1(c), ABC shall receive a payment from the United States Treasury in the amount of FOUR HUNDRED THOUSAND DOLLARS AND NO CENTS ($400,000.00).

4.	The periodic payments in Paras. 1(b) and 1(c) cannot be accelerated, deferred, increased or decreased by PATRICK DOE or SUSAN DOE or any payee or beneficiary; nor shall PATRICK DOE or SUSAN DOE or any payee or beneficiary have the right or power to transfer, by sale, gift, or otherwise, mortgage, encumber, or anticipate the periodic payments, or any

part thereof, by assignment or otherwise. However, nothing in the prior sentence shall be deemed to prevent transfers in distribution of the interest in the periodic payments by reason of the death of the payee. The obligation of ABC to make the periodic payments described in Paras. 1(b) and 1(c) shall be discharged upon the mailing of valid checks in the amounts of such payments to the designated addresses of the payees named above. Each payee shall be responsible for maintaining a current mailing address with ABC.

5.	ABC may fund its obligation to make the periodic payments described in Paras. 1(b) and 1(c) through the purchase of annuity contracts that comply in all respects with the requirements of 26 U.S.C. §130(d) for a "qualified funding asset," provided that any such annuity contract is issued by a life insurance company that:

a.	is licensed to do business as an insurance company under the laws of any State;

b.	has a minimum of $100,000,000 capital and surplus, exclusive of any mandatory security valuation reserve; and

c.	has one of the following "Financial Strength Rating" scores from two of the following rating organizations - A.M. Best Company (A+, A+g, A+p, A+r, A+s, A++, A++g, A++p, A++r, or A++s), Moody's Investor Service ( Aa3 , Aa2 , Aa1 , or Aaa ), Standard and Poor's (AA-, AA, AA+, or AAA), or Fitch (AA-, AA, AA+, or AAA).

6.	All rights of control in any annuity contract purchased pursuant to paragraph 5 above ("Para. 5") shall be and remain vested in ABC exclusively. The rights of PATRICK DOE, SUSAN DOE, or any payee or beneficiary, against ABC shall be no greater than the rights of a general creditor.

7.	ABC may have the issuer of any annuity contract purchased pursuant to Para. 5 send any payments under that annuity contract directly to the payees designated pursuant to Paras. 1(b) and 1(c). Such direction of payments shall be solely for ABC's convenience and shall not provide PATRICK DOE or SUSAN DOE or any other payee or beneficiary, with any rights of ownership or control over any such annuity contract or against the issuer of such a contract.

8.	JANE DOE, PATRICK DOE, and SUSAN DOE understand and agree that, as a consequence of ABC's assumption of the liability to make the periodic payments in Paras. 1(b) and 1(c):

a.	the obligation to make the periodic payments described in Paras. 1(b) and 1(c) shall belong solely and exclusively to ABC;

b.	the United States does not guarantee or insure any of the periodic payments described in Paras. 1(b) and 1(c); and

c.	the United States does not guarantee or insure any payments under any annuity contract purchased to fund the periodic payments described Paras. 1(b) and 1(c).

9.	JANE DOE, PATRICK DOE, and SUSAN DOE further understand and agree that, as a consequence of ABC's assumption of the liability to make the periodic payments in Paras. 1(b) and 1(c), neither they, nor their successors-in-interest, shall have any rights against the United States in the event of a default by either (1) ABC on any of its obligations under this Award Determination Periodic Payment Agreement, or (2) the issuer of any annuity contract purchased pursuant to Para. 5 on any of its obligations under such an annuity contract. JANE DOE, PATRICK DOE, and SUSAN DOE also understand and agree that upon the execution of this Award Determination Periodic Payment Agreement by all parties, the sole obligation of the United States under this Award Determination Periodic Payment Agreement shall be to make the payments described in Para. 1(a) and paragraph 3 above ("Para. 3").

10.	JANE DOE, PATRICK DOE, and SUSAN DOE hereby consent to and accept ABC's assumption of all liability for the periodic payments described in Paras. 1(b) and 1(c). JANE DOE, PATRICK DOE, and SUSAN DOE hereby agree that, once the payments described in Para. 1(a) and Para. 3 have been made, the United States shall be released from all obligations associated with this claim for the death of JOHN DOE, including but not limited to the obligation to make the periodic payments described in Paras. 1(b) and 1(c). Should ABC, or it successor-in- interest, refuse to accept the payment described in Para. 3, this Award Determination Periodic Payment Agreement shall be void.

11.	The terms and conditions in this Award Determination Periodic Payment Agreement must be accepted in their entirety and without reservation by JANE DOE, PATRICK DOE, SUSAN DOE and ABC (the "Parties"). An executed copy of this Award Determination Periodic Payment Agreement bearing the signatures of each of the Parties must be received by the Office of the Special Master no later than (insert date two weeks hence). If an executed copy of this Award Determination Periodic Payment Agreement is not received by the above deadline, this Award Determination Periodic Payment Agreement shall be void.

The undersigned Parties hereby accept and agree to abide by the above stated terms and conditions of this Award Determination Periodic Payment Agreement. The Parties acknowledge that this document contains the entire agreement between themselves and the United States. The Parties agree that they each have had a full and fair opportunity to consult with an attorney regarding the advisability of accepting the terms and conditions of this Award Determination Periodic Payment Agreement. The Parties agree that their acceptance of the terms and conditions of this Award Determination Periodic Payment Agreement has been made without reliance upon any statements by the United States, its attorneys, agents, employees or agencies. The parties specifically understand and agree that (1) the United States makes no representations regarding the tax consequences of accepting the terms and conditions of this Award Determination Periodic Payment Agreement and (2) that the United States makes no representation regarding whether this Award Determination Periodic Payment Agreement conforms to the requirements of Revenue Ruling 2003-115.

The Parties hereby waive any claim they may now have, or may hereafter acquire, against the United States, its agencies, and its present or former agents or employees, for any tax liability the Parties may incur as a result of, in any way relating to, their acceptance of the terms and conditions of this Award Determination Periodic Payment Agreement.

JANE DOE

PATRICK DOE

SUSAN DOE

Authorized Representative of

ABC ASSIGNMENT COMPANY

(All of the above signatures must be notarized)

For the United States of America

KENNETH R. FEINBERG

Special Master