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NAME, Estate.

Executor Office.
Nation Your State.
General-Post Office.
Main Street - 100.
Anytown.
United States Minor, Outlying Islands.
Near. [00000-9998]

night - of twenty-two October two-zero one-zero


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Office of Court Administrator


Attention: [name of occupant of office]
[Corporate Location -Name of Government Agency]
10 Public Square
Anytown, State
U.S.A. [XXXXX]

To: The Office of Court Administrator.

From: Executor Office - NAME, Estate.

Regarding: Unauthorized administration of NAME, Estate;


[Court Name, Case No., - leave these brackets]

Enclosed you will find “abandoned” paperwork which appears to erroneously “allege” that [place
the Name, Title, State, Bar Card Number of the author(s) who signed the paperwork being
returned, such as – usually Attorney At Law HERE and remove these brackets], who by
[his/her/their –remove brackets] unwarranted acts, fraudulently claim authority from this Executor
Office to administrate for NAME, Estate. That false claim is hereby Adjourned.

You will forthwith return and transmit the specific written delegation of authority to “represent”
that authorization to administrate [act as trustee] the NAME Estate has been warranted, together
with a certified copy of your oath for the Office of Court Administrator, accompanied by a certified
copy of your Bar Bond, [name of person occupying office mailed to above –remove these brackets],
Court Administrator, and a detailed list of all bonds, sureties, indemnification, insurance and Court
Registry Investment System (CRIS) CUSIP numbers, and full accounting relating in any way to
your or any related actor’s personal or professional involvement, as referenced above, through the
unwarranted presentation of the arrogated paperwork intrusion upon the NAME Estate.

govern yourself accordingly.


Certified Document:
By: executor ___________________________
copy to: Office of Governor Executor Office.
STATE OF [CORPORATE BIRTH STATE] NAME, Estate.
[Governor’s Name], Governor Nation Your State.
General-Post Office.
copy to: Office of Attorney General Main Street - 100.
STATE OF [CORPORATE BIRTH STATE] Anytown.
[Attorney General’s Name], Attorney General United States Minor, Outlying Islands.
Near. [00000-9998]

STATE OF XXXXXXXXXX )
) JURAT
COUNTY OF XXXXXXX )
Subscribed and sworn to before me, a Notary Public, this ___ day of _________ 2010, upon satisfactory evidence to the
identity of the affiant subscribed and sworn above.

______________________________________ (Seal)
NOTARY PUBLIC
My Commission expires:

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