STATUTORY DECLARATION OF TRUE NAME AND NOTICE AND DECLARATION OF LAW

AND JURISDICTION
(CAP initials-(Date without dashes e.g. (JHD-06132014-SDTN

I (True and Proper Name Here ©, Sovereign Secured Party and Creditor and Natural and Free Man
of the Land, DO SOLEMNLY AND SINCERELY DECLARE the following AFFIDAVIT OF TRUTH:

1. I am (True and Proper Name Here © sentient natural born, adult living (man or woman), with the given
name: (True and Proper Name Here. I hold the family name of(Last Name true and proper).

2. (True and Proper Name Here © is my lawful name by birthright.

3. I am who I say I am, not who, or what any ‘person’, statutory legislative policy enforcer, corporate
administrator, or government documents say I am.

4. I am created only by GOD and am subject only to my Creator.

5. I am a Sovereign, Political Power Holder, Secured Party, Creditor and Natural and Free Man of the
Land, unbound by all statutory and legislative restraints.

6. I am a transient traveler in this world, which I am not of.

7. I absolutely bear no relation to the fictitious and trust entities of:(FIRST MIDDLE LAST –CAPS); (LAST
MIDDLE FIRST-CAPS) ;(LAST MID-initial FIRST);(LAST CAP-first , mid initial).; (CAP-first, mid initial
LAST); etc. these are but the "name" of an artificial "person" or ens legis.

8. I am the Secured Party/Creditor, Holder in due course, and Authorized Representative for the Juristic Person
entities of (FIRST MIDDLE LAST –CAPS); (LAST MIDDLE FIRST-CAPS) ;(LAST MID-initial FIRST);
(LAST CAP-first , mid initial).; (CAP-first, mid initial LAST);; etc.

9. I am not an accommodation party nor a surety for the debts of (FIRST MIDDLE LAST –CAPS); (LAST
MIDDLE FIRST-CAPS) ;(LAST MID-initial FIRST);(LAST CAP-first , mid initial).; (CAP-first, mid initial
LAST);; etc. does not represent & neither is to be confused with any of the said entities listed above.

10. (True and Proper Name Here © is the correct, and lawful name for myself, the natural flesh and blood
being and is a unique, DISTINCT AND SEPARATE name from any unlawful government-created
fictional commercial version of my name that resembles my name. This distinction has been lawfully
established and recognized in the public register under oath per a UCC-1 Financing Statement and all
supporting documents. (True and Proper Name Here © holds and controls a $( )lien and secured
commercial interest against the fictitious GOVERNMENT CORPORATION, (ALL CAPS NAME),
created from my birth certificate unlawfully and without my permission or my mother’s permission. This
security interest is the FIRST RIGHT OF CLAIM and I am THE HOLDER IN DUE COURSE over all
assets and property of this fictitious corporate body. I am also indemnified of all liability from this entity.

11. I shall at all times hereafter in all records deeds documents and other writings and in all actions
proceedings as well as in all dealings and transactions on all occasions whatsoever use and subscribe the
said name of (True and Proper Name Here © so relinquished as aforesaid to the intent that I am to be
called known or distinguished by my name of (True and Proper Name Here © only.

12. I AUTHORISE AND REQUIRE ALL PERSONS AT ALL TIMES TO DESIGNATE DESCRIBE
AND ADDRESS ME BY MY CORRECT NAME.

13. I rescind all signatures executed in my natural and representative capacities on any document(s) or
instrument(s) made in my natural name or fictitious legal entity(s); that have failed to fully disclose risks,
perils, and responsibilities within them.

14. I (True and Proper Name Here © am my own authority, AND NO MAN OR FICTION HAS
JURISDICTION OVER ME.

15. I revoke, all powers of attorney and all adhesion contracts of Legislation, Statutes & Acts with
government created entities that I have been unwittingly or unwillingly been drawn in to.

16. (True and Proper Name Here © is copy written. See Copyright Notice: (First/Mid/Last CAPITAL
initial-(Date without dashes)-CN .Take notice of the fee of $( ) per incident of copyright violation and
infringement.

17. I am recognized and known by my Christian Appellation, (True and Proper Name Here ©. If I choose
to respond, it is only to such Christian Appellation. I AM NOT A CORPORATION, NOR A "PERSON",
therefore, no legislative court shall ever obtain "personal jurisdiction" over me. Responding to my name
will not allow statutory jurisdiction, and no subject matter jurisdiction shall apply to me.

18. I cannot use copyrighted codes, statutes, rules, or regulations against any legislative, or executive,
body, therefore, NO LEGISLATIVE, NOR EXECUTIVE, BODY CAN USE SAID COPYRIGHTED
CODES, STATUTES, RULES, OR REGULATIONS AGAINST ME; AND, SAID "COURT" FAILS TO
OBTAIN "IN REM JURISDICTION" OVER ME.

19. I have no "residence" within any geographical jurisdiction, I do not "re-side" within any political
jurisdiction, and I am not a magistrate of any federal foreign fictional government, so I have no entourage
for any "residency". I keep house within the geographical (State) Republic, or in whatever Republic I so
choose, therefore, there is no "state within a state" of federal jurisdiction, nor is there a political overlay of
federal area or postal Zone Improvement Plan, therefore, there is no "federal jurisdiction" over me, nor is
there obtainable any "venue jurisdiction" over me.

20. I am not a ‘public office holder’ or a ‘franchise’.

21. I have a right to travel freely without permission or licenses from any government agency.

22. I recognize the use of Federal Reserve Notes as contraband and gambling tokens, issued, maintained,
and controlled within the Private realm of a Private corporation, therefore, I do not own, handle, nor
utilize any of them outside the Rule of Necessity, which is a Rule of Common Law, originating well
before the establishment of the British Colonies on American soil. Therefore, using only barter, silver, and
where absolutely necessary under said ancient rule, Federal Reserve Notes (which are not of substance),
no legislative court or executive agency shall obtain any "substantive jurisdiction" over me.
23. I recognize that THE UNITED STATES has been bankrupt since 1933 and THERE IS NO LAWFUL
MONEY of exchange available to "pay" any debt, or to "pay" any fines, fees, licenses, penalties, child
support, alimonies, court costs, etc., I cannot be a contemnor, as I am in contempt of nothing. No Private
Man, nor corporate body or agency thereof, can demand that I do what cannot be done. As IT IS
IMPOSSIBLE TO "PAY" FOR ANYTHING, no fictional corporate governmental body can demand that I
do the impossible; therefore, no legislative court or executive agency shall obtain any "legislative or
executive jurisdiction" over me.

24. I am not aware of the existence of any JUDICIAL BRANCH of any level of true Republican
government nor is any available to me; therefore, no "judicial jurisdiction" is obtainable over me.

25. I am aware that any alleged statutory jurisdiction or courts are unlawful and cannot exist under the
constitution’s jurisdictional mandates. I am also aware that this hidden jurisdiction has no known defense
rules and is coerced against unwitting people by trickery and deception perpetrated by evil and corrupt
judges who are banking representatives using twisted legal jargon to capture jurisdiction to imprison flesh
and blood bodies so prisoner’s Bid Bonds can be sold for illegal profit and gain to corporations, world
banks, and nations via the US District Court.

26. I am not a U.S. citizen, a United States citizen, a 14th Amendment citizen, nor in any other manner do
I "cite-I-Zen". I am, therefore, NOT an enemy of the "state" under any fictional corporate charter
regulations and no "corporate jurisdiction" is obtainable over me to condemn me to a category of enemy
of any "state".

27. My Constitution is the Holy Writ and I claim only one "color", that being the color of white in the
form of a "flag of truce", making known to all that I have no controversy with any. I have no "license" to
operate contrary to true law. I have no "permit" to temporarily suspend true law, therefore, no "Admiralty
or Maritime or Martial Law jurisdiction" is obtainable over me.

28. I observe only the True Laws brought forward by the Ancient and Holy Writ, engulfing all established
within principles of the Ten Commandments and the later Commandments to love the Lord My God with
all my mind, soul, and body; and to, love my neighbor as myself; this is my political establishment,
therefore, no fictional political jurisdiction is obtainable over me.

29. I exist only in, and respond only to, my Christian Appellation, (True and Proper Name Here)©. I do
not recognize, nor give cognizance to, any fictional corporate entity, nor do I recognize any of their agents.
No fictional, quasi-governmental agent/agency can obtain parity with me; therefore, no jurisdiction of
agency is obtainable over me.

30. I am in my True Character, a Private Man upon the soil, maintaining only as a private man can, the
Right of Soil. I am not a reflection, image, fiction, or other "person". I own and maintain my own "person"
for purpose of contracting in the realm of commerce in a lawful and upright manner. My word is my bond
when dealing with men. I offer my "signature" when contracting with fictional entities in commerce. Said
"signature" (sig=no nature=alive) means no nature, thus, not alive - it is a [bond] age offered into
debt/death. For this reason such "scribble" is called "cursive writing", cursed communication with the
dead, the fiction. A dead Government, agency, principal, court or corporation cannot possibly interact with
a living, breathing, flesh and blood and spiritual being, which I declare that I AM! This is not possible in
any way as one is dead and one is alive.

31. By being responsible for my own "person" under True Law, I exercise my "personal rights" referred to
by Thomas Jefferson, and maintain my lawful standing, impeccable under law, I do not yield "Character
jurisdiction" over me, or my "persons" and I claim Common Law Jurisdiction, I DO NOT CONSENT, and
waive the benefits.

32. I retain my right at all times to live a naturally lawful and peaceful life.

33. AND I make this solemn Declaration conscientiously believing the same to be true and by virtue of the
provisions of the Statutory Declarations Act 1835.

Respectfully Presented,

By _______(Red Ink signature)________________________________ Authorized Non-Assumpsit

(True and Proper Name Here)©, sui juris

Signed in the presence of:

Notary Name __________________________

Dated: ___ Day of _________________ 2014

Signed Signature________________________

Seal: