The note is a declaration of wealth indicating wealth and will, stamped by The China & The United States of America Foundation United.|Republic period.||Length: 8 1/2 in (21.6 cm) Width: 6 1/2 in (16.5 cm)|民國 財產申報書|此申報書為軍統潛伏證一頁，印“吾於民國三十三年中秋受党國之重托保管地下外資庫，解凍資產確系千真萬確之事宜，至今世事滄桑，真真假假，幾多辛苦，幾多悲涼，同時吾年事已高，吾願將價值陸億圓之庫存交政府有關部門處理，恕吾老邁之靦不能親臨。”用作潛伏人員的資產申報之功用。