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Pursuant to 1st and 9th Amendment; California Constitution Article I, Secs. 3,
24: Petition for Redress of Grievance
This “Good Faith Presentment” is presented by ______________________________________to: Recipient,
______________________________, located at: _______________________________________________________for
purposes of obtaining full disclosure of identification under and determining under what authority, venue
of office, and capacity the Recipient appears to conduct public business in approaching the presentor.

This Administrative Notice, duly served on you, and deemed actual, constructive and sufficient notice,
requires that you provide to the presentor, within ten (10) business days from the time of presentment,
copies of the below listed documents, said copies to be certified under penalty of perjury and exemplified
in accordance with 1 Stat 122 and 2 Stat 298 and FRCP Rule 902, under Article [the] VI of the Constitution
of the United States for the united States of America, Anno Domini 1789, with Articles of Amendment
Anno Domini 1791

1. Oath of Office (Art. XX Sec. 3, Cal Const; GC §3103) 5. Official Surety Bond ( GC §1450 et
seq. )
2. Letter of Appointment from if applicable 6. Registration Statement (Title 22
U.S.C. § 611 & 612)
3. Delegation of Authority Affidavit 7. Loyalty and Security Clearance (Title 22
U.S.C. 272b)
4. Employee Affidavit if applicable 8. State Economic Statement of Interest
-Form 700

Your failure, refusal, and/or neglect to fully and timely comply will set, for the record, as ultimate fact(s)
that you have failed to qualify for the office and therefore are acting without lawful authority, office,
and/or capacity as an officer, official, or agent for any original jurisdiction non-corporate governmental
“State of California” pursuant to the California Constitution, Anno Domini 1849 to conduct public business
to approach presentor.

It is presumed and/or assumed that it is your sworn/affirmed duty and fiduciary obligation to provide the
above information, in a timely and truthful manner. Please be aware of what the federal courts have held
in U.S. v. Tweel, 550 F.2d 297, 299 (1977). “Silence can only be equated with fraud where there
is a legal or moral duty to speak or where an inquiry left unanswered would be intentionally
misleading. ...”

This Administrative Notice and Demand is not intended to hinder, delay, obstruct, intimidate, or in any
way threaten anyone, but is simply a means of invoking recipient’s duty to act pursuant to the above
quoted statutes, which apply to the recipient in recipient’s official capacity, for lawful disclosure of vitally
needed information. This demand is made consistent with the United States Supreme Court Decision of
Federal Crop Insurance Corporation v. Merrill, 332 U.S. 380 at 384 (1947) and the inherent
mandatory duty of honest services by a public servant of the People.

Should recipient not timely and fully comply, it will be deemed, by tacit procuration, your implied
admission that you have failed to qualify for your office or employment pursuant to the principle of law
embodied in the decision of Norton v. Lewis, 34 Cal. App. 621; 168 P. 388; 1917 Cal. App. LEXIS 227

Attached to this notice and demand is compiled evidence with affidavits in support that establishes that
your office has been vacated by operation of law due to failure to timely post proper bond as mandated
by both state and federal law. Please be advised that if you fail to timely respond to this formal notice
and demand, a petition for recall may be considered and/or a writ of quo warranto, whichever is most
efficacious. Please be advised that dilatory attempts at time delay will not be considered nor tolerated, as
this is a serious matter and We the People are only interested in the truth.

I, ______________________________________, as One of the People, in correct public capacity as beneficiary to

the Original Jurisdiction, being of majority in age, competent to testify, self realized entity, free wo/man
upon the land, my yes be yes, my no be no, do state that the truths and facts herein are of first hand
personal knowledge, true, correct, complete, certain, not misleading, so help me God.
Teste meipso

Further, Affiant saith not.

DATED: the _____ day of the fifth month, in the year of our Lord, Two thousand and nine,
near_______________________________, California.

, in correct capacity as beneficiary of the Original Jurisdiction


Subscribed and Affirmed to before me a notary public on this Day, the ______ day of June in the year of
2009, by _________________________, who proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.