NOTICE OF INTERNATIONAL CLAIM ADMINISTRATIVE REMEDY OF

John Doe, CREDITOR SECURED PARTY

File # 0xxxxxx
Registered Mail #_________________________________

John Henry Smith, Creditor Secured Party

xxxxx county
The State of xxxxx
United States of America 1776 AD
Petition for Agreement and Harmony in the Nature of a
NOTICE OF INTERNATIONAL COMMMERCIAL CLAIM ADMINISTRATIVE
REMEDY
File #xxxxxxx
Date: January 27, 2001
Declarant:

John Henry Smith, Creditor Secured Party,

c/o Notary Name
xxx East Road
city [zip] state

Respondent:

William Jones
123 Main
Anywhere, Utah
NOTICE OF FAULT OPPORTUNITY TO CURE
COMMERCIAL OATH AND VERIFICATION

xxxxxx county

)
)
The State of xxxxxx )

Commercial Oath Verified Declaration

Declarant, John Henry Smith, under his Commercial Oath with unlimited liability
proceeding in good faith being of sound mind states that the facts contained herein are
true, correct, complete and not misleading to the best of Declarants private first hand
knowledge and belief under penalty of International Commercial Law. John Doe will
also sign by accommodation on behalf of JOHN HENRY sMITH.
__________________________
John Henry Smith

3
NOTICE OF INTERNATIONAL COMMERCIAL CLAIM ADMINISTRATIVE REMEDY

NOTICE OF INTERNATIONAL CLAIM ADMINISTRATIVE REMEDY OF

John Doe, CREDITOR SECURED PARTY
File # 0xxxxxx
Registered Mail #_________________________________

The State of xxxx

}
}
}

xxxx county

Affirmed

Affirmed before me, __________________ a Notary Public, this

________________________, 2004.

day of

_________________________
Notary
STATEMENT OF FACTS
1. On ______________, 2004, AD Respondent, William Jones received the mailed
Notice of International Commercial Claim Administrative Remedy, file #xxxxx.
(See attached copy of United States Postal Service Domestic Receipt #
_____________________.
2. Declarant granted the Respondent ten days to respond, or in the alternative, admit
all claims and answers to inquires verified therein.
3. Declarant has received no response from the Respondent.
4. The witness Notary/acceptor acknowledges testifies a non response to Notice of
International Commercial Claim Administrative Remedy dated _________, 2004.
5. William Jones, Respondent, is at fault.
6. As an operation of law, the Respondent has admitted to the statements, claims and
answers to inquiries verified therein.
7. The Resondent has a duty to make the appropriate changes agreed to and enforce
the changes in the referenced documents in the Notice of International
Commercial Claim Administrative Remedy #xxxxxxx.
ADMITTED ANSWERS TO INQUIRIES
The Administrative Record for Declarants International Commercial Claim
Administrative Remedy, File #xxxxxxx, as identified in Statement 1 above, shows that all
of the Inquiries in said file have been agreed to (Admitted/Acknowledged) by tacit
procuration by Respondents failure/refusal or choice not to respond.
Further Declarant sayeth not.
OPPORTUNITY TO CURE
In the event the Respondents failure to respond is an oversight, mistake or otherwise
unintentional, Declarant grants the Respondent three (3) days, exclusive of the day of
receipt, to serve a response to the statements, claims and inquiries in Declarants petition
of International Commercial Claim Administrative Remedy #xxxxx, that the Respondent
received via Registered mail on __________ 2004 AD as evidence by Declarants
assertion of facts in Statement 1 of this document.

3
NOTICE OF INTERNATIONAL COMMERCIAL CLAIM ADMINISTRATIVE REMEDY

NOTICE OF INTERNATIONAL CLAIM ADMINISTRATIVE REMEDY OF

John Doe, CREDITOR SECURED PARTY
File # 0xxxxxx
Registered Mail #_________________________________

Failure to cure will constitute, as an operation of law, the FINAL admission by the
Respondent through tacit procuration to the statements, claims and answers to inquiries
provided. Said statements, claims and answers to inquiries shall be deemed STARE
DECISIS.
Based upon the Respondents default to Declarants International Commercial Claim
Administrative Remedy, the Respondent may not argue, controvert, or otherwise protest
the administrative findings entered thereby in any subsequent administrative or judicial
proceedings.
The Respondent response must be served upon Declarant exactly as provided:
John Henry Smith, Creditor Secured Party,
c/o Notary Name
xxx East Road
city [zip] state
Declarant looks forward to the Respondents timely response.
Further Declarant sayeth naught.
Given under my hand and seal this the _____ day of the ____ month of 2004 anno
Domini.
Prepared and submitted by:

_____________________________
John Henry Smith
Declarant

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NOTICE OF INTERNATIONAL COMMERCIAL CLAIM ADMINISTRATIVE REMEDY