To: [TYPE IN THE NAME OF THE CLERK OF THE COURT AND NAME OF

THE COURT]

From: [TYPE IN YOUR NAME AND ADDRESS AND REMOVE BRACKETS]

THE UNDERSIGNED IS A LIVING MAN WITH BLOOD FLOWING

THROUGH HIS BODY AND IS ONE OF THE PEOPLE OF THE

SEVERAL STATES AND IT’S AN ADJUDICATED FACT1 THE PEOPLE

OF THE SEVERAL STATES ARE UNCONDITIONALLY SOVEREIGN

WITHIN THEIR RESPECTIVE STATE

THE UNDERSIGNED IS A FREE MAN WITH BLOOD FLOWING

THROUGH HIS BODY AND THIS FREE MAN DOES NOT ACCEPT THIS

OFFER TO CONTRACT AND AS A FREE MAN I DO NOT CONSENT TO

THESE PROCEEDINGS AND I AM REFUSING TO VOLUNTARILY

PARTICIPATE IN A LEGAL PROCESS2 DEFINED UNDER 42 USC

SECTION 659(i)(5) UNTIL THE CLERK OF THE COURT RESPONDS

WITHIN 5 BUSINESS DAYS OF RECEIVING THIS SWORN AFFIDAVIT

1
"It will be admitted on all hands that with the exception of the powers granted to the states and the federal
government, through the Constitutions, the people of the several states are unconditionally sovereign within their
respective states." Ohio Life Ins. & Trust Co. v. Debolt, 57 US 416 - Supreme Court 1854.
2
42 USC § 659(i)(5)The term “legal process” means any writ, order, summons, or other similar process in the
nature of garnishment— (A)which is issued by— (i)a court or an administrative agency of competent jurisdiction in
any State, territory, or possession of the United States;
 AND PROVIDE IN WRITING THE EVIDENCE PROVING THE

UNDERSIGNED CAUSED ANOTHER LIVING MAN OR WOMAN AN

INJURY IN FACT AND WITHOUT EVIDENCE SHOWING THE

UNDERSIGNED CAUSED AN INJURY IN FACT TO ANOTHER MAN OR

WOMAN, THEN THE COURT AND STATE LACKS PERSONAL

JURISDICTION OVER THE UNDERSIGNED

THE UNDERSIGNED IS GIVING THE CLERK OF THE COURT NOTICE

THAT SILENCE OR REFUSAL TO PROVIDE EVIDENCE IS EQUATED

WITH THE CLAIMANT LACKING MERIT AND THE COURT LACKING

PERSONAL JURISDICTION OVER THE UNDERSIGNED

STATEMENT OF FACTS

1. The undersigned is a living man with blood flowing through his body and

one of the people of the several states are unconditionally sovereign within

their respective states.

 2. The undersigned is a living man with blood flowing through his body and

therefore I do not accept this offer to contract and I do not consent to

participate in a legal process.3

3. Take notice that Forced Labor4 is a crime under 18 USC Section 1589(c)(1)

and forced payment of an alleged debt by Withholding of Income5 is

unlawful under 42 USC SECTION 1994 PEONAGE6 ABOLISHED and

thereby it is a crime of slavery to force the undersigned, a free Man to work

and pay an alleged debt by withholding of income.

4. The undersigned is a living man with blood flowing through his body

refuses to contract with the State of [TYPE IN YOUR STATE AND

3
42 USC § 659(i)(5)The term “legal process” means any writ, order, summons, or other similar process in the
nature of garnishment— (A)which is issued by— (i)a court or an administrative agency of competent jurisdiction in
any State, territory, or possession of the United States;
4
Forced labor 18 U.S. Code § 1589. under subsection (a)Whoever knowingly provides or obtains the labor or
services of a person by any one of, or by any combination of, the following means—
(1)by means of force, threats of force, physical restraint, or threats of physical restraint to that person or another
person;
(2)by means of serious harm or threats of serious harm to that person or another person;
(3)by means of the abuse or threatened abuse of law or legal process; or
(4)by means of any scheme, plan, or pattern intended to cause the person to believe that, if that person did not
perform such labor or services, that person or another person would suffer serious harm or physical restraint,
shall be punished as provided under subsection (d).
(c)(1) The term “abuse or threatened abuse of law or legal process” means the use or threatened use of a law or
legal process, whether administrative, civil, or criminal, in any manner or for any purpose for which the law was not
designed, in order to exert pressure on another person to cause that person to take some action or refrain from
taking some action.
5
42 USC § 666(b)(8) Income
(8) For purposes of subsection (a) and this subsection, the term “income” means any periodic form of payment due
to an individual, regardless of source, including wages, salaries, commissions, bonuses, worker’s compensation,
disability, payments pursuant to a pension or retirement program, and interest.

6
What is PEONAGE?
The state or condition of a peon as above defined; a condition of en- forced servitude, by which the servitor is
restrained of his liberty and compelled to labor in liquidation of some debt or obligation, real or pretended, against
his will. Peonage Cases (D. C.) 123 Fed. 071; In re Lewis (C. C.) 114 Fed. 903 ; U. S. v. McClel- lan (D. C.) 127 Fed.
971; Rev. St. U. S.
 REMOVE BRACKETS] IV-D agency7 administers the state plan under 42

USC Section 654(3).

5. The undersigned is living within the territorial boundaries of this state and

thereby he is refusing to express consent to enter into a contractual

relationship to seek protection or services from a State IV-D agency within

this state.

6. The undersigned is a living man with blood flowing through his body and I

did NOT commit any common law crime, harm any Man or Woman, or

commit property damage on the day/night/time in question and thereby this

administrative court lacks personal and subject matter jurisdiction.

7. The state IV-D agency administering the State plan for child and spousal

support under 42 USC Section 654(3) lacks federal jurisdiction and cannot

force the alleged Defendant/Father to participate in a legal process8 for IV-D

Services under title IV-D of the Social Security Act 42 USC Sec 651-669(b).

7
IV-D Agency “means the single and separate organizational unit in the State that has the responsibility for
administering or supervising the administration of the State plan under title IV-D of the Act.” 45 CFR § 301.1 IV-D
https://www.law.cornell.edu/cfr/text/45/302.34
8
Legal process 42 USC § 659(i)(5) The term “legal process” means any writ, order, summons, or other similar
process in the nature of garnishment— (A) which is issued by— (i) a Court or an administrative agency of
competent jurisdiction in any State, territory, or possession of the United States; (ii) a Court or an administrative
agency of competent jurisdiction in any foreign country with which the United States has entered into an
agreement which requires the United States to honor the process; or (iii) an authorized official pursuant to an
order of such a Court or an administrative agency of competent jurisdiction or pursuant to State or local law; and
(B) which is directed to, and the purpose of which is to compel, a governmental entity which holds moneys which
are otherwise payable to an individual to make a payment from the moneys to another party in order to satisfy a
legal obligation of the individual to provide child support or make alimony payments.
 8. The undersigned is one of the people of the several states and thereby

without evidence showing the undersigned caused an injury in fact to

another living Man or Woman, then the State is without personal jurisdiction

over the undersigned and cannot force him to participate in a legal process

for IV-D services.

9. The undersigned is requiring this administrative state court to take

administrative and judicial notice of an adjudicated fact by the Supreme

Court Ohio Life Ins. & Trust Co. v. Debolt, 57 US 416 - Supreme Court

1854 that the people of the several states are unconditionally sovereign

within their respective states and because there is no evidence showing the

undersigned agreeing to protection services from the state government and

thereby the undersigned is under the protection of the state constitution and

common law and is not consenting to be bound by state statutes and codes.

10.The undersigned as one people of the several states is innocent until proven

guilty and the burden of proof of standing is placed upon the claimant.

11.The undersigned will not voluntarily participate in a legal process or judicial

process until the clerk of the court can provide evidence of a warrant sworn

by the claimant/plaintiff under threat of perjury. This warrant must provide

evidence proving the claimant/plaintiff did suffer an injury in fact9caused by

9
Lujan v. Defenders of Wildlife, 504 US 555 - Supreme Court 1992
“Over the years, our cases have established that the irreducible constitutional minimum of standing contains three
elements. First, the plaintiff must have suffered an "injury in fact"—an invasion of a legally protected interest which
 the undersigned or the court has no personal jurisdiction over the

undersigned and he cannot be forced to appear voluntarily.

12.The undersigned is a free man with blood flowing through his body and not

an indentured servant to any state agency or office of the state.

THE CLERK OF THE COURT IS REQUIRED TO SEE EVIDENCE OF A

CLAIM BEFORE WRITING PETITION FOR A CLAIM

1. The clerk of the court to accept application for Title IV-D services was

required to accept proof the undersigned willfully failed to meet a statutory

legal duty for the petitioner/applicant to meet burden of proof of standing.

2. The clerk of the court cannot order or force a living man, one of the people

of the several states to involuntarily show for child support enforcement

proceedings to establish paternity or establish a child support order for child

support.

3. The undersigned is a living man, one of the people of the several states

invoking immunities and privileges10 and thereby it is unjust and

is (a) concrete and particularized, see id., at 756; Warth v. Seldin, 422 U. S. 490, 508 (1975); Sierra Club v. Morton,
405 U. S. 727, 740-741, n. 16 (1972);[1] and (b) "actual or imminent, not `conjectural' or `hypothetical,' " Whitmore,
supra, at 155 (quoting Los Angeles v. Lyons, 461 U. S. 95, 102 (1983)). Second, there must be a causal connection
between the injury and the conduct complained of—the injury has to be "fairly. . . trace[able] to the challenged
action of the defendant, and not . . . th[e] result [of] the independent action of some third party not before the
court." Simon v. Eastern Ky. Welfare Rights Organization, 426 U. S. 26, 41-42 (1976). Third, it must be "likely," as
opposed to merely "speculative," that the injury will be "redressed by a favorable decision."” Id., at 38, 43.
10
Privileges and Immunities Clause
The Privileges and Immunities Clause of Article IV, Section 2 of the Constitution states that "the citizens of each
state shall be entitled to all privileges and immunities of citizens in the several states." This clause protects
fundamental rights of individual citizens and restrains state efforts to discriminate against out-of-state citizens.
 inappropriate for the State to rely upon rebuttable presumptions after being

notified on record the undersigned cannot be presumed to be a person,11

private person12 subjected to legal process13 under 42 USC section 659(i)(5),

when in fact he is a living man and one of the people of the several states

standing on the land.

4. Without evidence of consent by support obligation14 the undersigned cannot

be held in default nor forced to appear for child support enforcement15

proceedings to establish paternity or establish a child support order.

5. As a living man and one of the people of the several states the undersigned is

unconditionally sovereign within this state and bound by common law,

which requires an injured man or woman.

However, the Privileges and Immunities Clause extends not to all commercial activity, but only to fundamental
rights. https://www.law.cornell.edu/wex/privileges_and_immunities_clause
11
person
42 USC § 1301(a)(3) The term “person” means an individual, a trust or estate, a partnership, or a corporation.
12
Private person
42 USC § 659(i)(4) Private person
The term “private person” means a person who does not have sovereign or other special immunity or privilege
which causes the person not to be subject to legal process.
13
42 USC § 659(i)(5)The term “legal process” means any writ, order, summons, or other similar process in the
nature of garnishment— (A)which is issued by— (i)a court or an administrative agency of competent jurisdiction in
any State, territory, or possession of the United States;
14
“OBLIGATION” under 42 USC SECTION 666(a)(1)(B) is defined as Obligation 42 USC § 1320a-7a(s) For purposes
of subsection (o), the term “obligation” means an established duty, whether or not fixed, arising from an express or
implied contractual, grantor-grantee, or licensor-licensee relationship, for a fee-based or similar relationship, from
statute or regulation, or from the retention of any overpayment.
15
Ex. Ord. No. 12953, Feb. 27, 1995, 60 F.R. 11013 Sec. 203. "Child support enforcement" means any
administrative or judicial action by a court or administrative entity of a State necessary to establish paternity or
establish a child support order, including a medical support order, and any actions necessary to enforce child
support or medical support order. Child support actions may be brought under the civil or criminal laws of a State
and are not limited to actions brought on behalf of the State or individual by State agencies providing services
under title IV-D of the Social Security Act, 42 U.S.C. 651 et seq.
 6. Under common law, it is an adjudicated fact Lujan v. Defenders of Wildlife,

504 US 555 - Supreme Court 1992 that without evidence of an injury in fact,

the petitioner has failed to meet the minimum of standing and thereby this

petition must be dismissed sua sponte for lack of standing.

THIS AFFIDAVIT IS EVIDENCE THE UNDERSIGNED WILL NOT

APPEAR VOLUNTARILY AND EVIDENCE THAT HE IS CONTESTING
PERSONAL JURISDICTION AND HE WILL NOT CONSENT TO
PARTICIPATE IN LEGAL PROCESS AND THEREBY WITHOUT
EVIDENCE OF CONSENT BY THE UNDERSIGNED OR AN INJURED
PARTY THIS IV-D AGENCY LACKS STANDING AND CANNOT CLAIM
THE UNDERSIGNED IS IN DEFAULT

1. The undersigned is presumed innocent and as one of the people he is

declaring that his unalienable rights are secured by State and Federal

Constitutions and thereby under the 5th amendment he cannot be compelled

to bring evidence against himself or be compelled to bring evidence to prove

his innocence.
 2. The undersigned contests personal jurisdiction16 and under no circumstances

will the undersigned appear voluntarily until the Clerk of Court can provide

evidence to the Undersigned showing that he did act willful by an voluntary

and intentional violation of a known legal duty.17

3. The undersigned contests personal jurisdiction18 and under no circumstances

will the undersigned appear voluntarily until the Clerk of Court can provide

evidence to the Undersigned showing that he intentionally caused the

16
Personal Jurisdiction
Personal jurisdiction refers to the power that a court has to make a decision regarding the party being sued in a
case. Before a court can exercise power over a party, the U.S. Constitution requires that the party has certain
minimum contacts with the forum in which the court sits. International Shoe v Washington, 326 US 310 (1945). So,
if the plaintiff sues a defendant, that defendant can object to the suit by arguing that the court does not have
personal jurisdiction over the defendant.
Waiving Personal Jurisdiction
Personal jurisdiction can generally be waived (contrast this with Subject Matter Jurisdiction, which cannot be
waived), so if the party being sued appears in a court without objecting to the court's lack of personal jurisdiction
over it, then the court will assume that the defendant is waiving any challenge to personal jurisdiction. See Federal
Rule of Civil Procedure 12(b)(2).
Obtaining Personal Jurisdiction
Typically for a court to have personal jurisdiction over a defendant, the plaintiff needs to serve the defendant in
the state in which the court sits, and the defendant needs to voluntarily appear in court.
Federal Rules of Civil Procedure Rule 4(k) describes whether a state's courts would have the authority to adjudicate
a claim as it relates to personal jurisdiction. https://www.law.cornell.edu/wex/personal_jurisdiction
17
“In the course of its instructions, the trial court advised the jury that to prove "willfulness" the Government must
prove the voluntary and intentional violation of a known legal duty, a burden that could not be proved by showing
mistake, ignorance, or negligence.” Cheek v. United States, 498 US 192 - Supreme Court 1991
18
Personal Jurisdiction
Personal jurisdiction refers to the power that a court has to make a decision regarding the party being sued in a
case. Before a court can exercise power over a party, the U.S. Constitution requires that the party has certain
minimum contacts with the forum in which the court sits. International Shoe v Washington, 326 US 310 (1945). So,
if the plaintiff sues a defendant, that defendant can object to the suit by arguing that the court does not have
personal jurisdiction over the defendant.
Waiving Personal Jurisdiction
Personal jurisdiction can generally be waived (contrast this with Subject Matter Jurisdiction, which cannot be
waived), so if the party being sued appears in a court without objecting to the court's lack of personal jurisdiction
over it, then the court will assume that the defendant is waiving any challenge to personal jurisdiction. See Federal
Rule of Civil Procedure 12(b)(2).
Obtaining Personal Jurisdiction
Typically for a court to have personal jurisdiction over a defendant, the plaintiff needs to serve the defendant in
the state in which the court sits, and the defendant needs to voluntarily appear in court.
Federal Rules of Civil Procedure Rule 4(k) describes whether a state's courts would have the authority to adjudicate
a claim as it relates to personal jurisdiction. https://www.law.cornell.edu/wex/personal_jurisdiction
 plaintiff to suffer an injury as required by the Supreme Court in matter Lujan

v. Defenders of Wildlife, 504 US 555 - Supreme Court 1992.

4. Take judicial notice of evidence of an adjudicated fact Lujan v. Defenders of

Wildlife, 504 US 555 - Supreme Court 199219 for the petitioner to have

standing,20 the petitioner has the burden of proof to bring to the clerk’s office

evidence of an injury in fact. Without this evidence of an injury in fact, the

clerk of the court had no probable cause to issue a written instrument

requiring the appearance of the undersigned.

5. No evidence of an injury in fact is requiring the court to dismiss matter sua

sponte21 under federal rule 12(b)(6) or a state law equivalent.

19
Lujan v. Defenders of Wildlife, 504 US 555 - Supreme Court 1992
“Over the years, our cases have established that the irreducible constitutional minimum of standing contains three
elements. First, the plaintiff must have suffered an "injury in fact"—an invasion of a legally protected interest which
is (a) concrete and particularized, see id., at 756; Warth v. Seldin, 422 U. S. 490, 508 (1975); Sierra Club v. Morton,
405 U. S. 727, 740-741, n. 16 (1972);[1] and (b) "actual or imminent, not `conjectural' or `hypothetical,' " Whitmore,
supra, at 155 (quoting Los Angeles v. Lyons, 461 U. S. 95, 102 (1983)). Second, there must be a causal connection
between the injury and the conduct complained of—the injury has to be "fairly. . . trace[able] to the challenged
action of the defendant, and not . . . th[e] result [of] the independent action of some third party not before the
court." Simon v. Eastern Ky. Welfare Rights Organization, 426 U. S. 26, 41-42 (1976). Third, it must be "likely," as
opposed to merely "speculative," that the injury will be "redressed by a favorable decision."” Id., at 38, 43.
20
In Lujan v. Defenders of Wildlife (90-1424), 504 U.S. 555 (1992), the Supreme Court created a three-part test to
determine whether a party has standing to sue:
1. The plaintiff must have suffered an "injury in fact," meaning that the injury is of a legally protected
interest which is (a) concrete and particularized and (b) actual or imminent
2. There must be a causal connection between the injury and the conduct brought before the court
3. It must be likely, rather than speculative, that a favorable decision by the court will redress the injury
21
Sua sponte
Latin for "of one's own accord; voluntarily." Used to indicate that a court has taken notice of an issue on its own
motion without prompting or suggestion from either party.
As a general rule, where grounds for dismissal exist, an action is subject to dismissal on a court's own motion. A
trial court has the power to dismiss an action sua sponte for want of prosecution, or failure to comply with the
rules of civil procedure or a court's orders. A court may sua sponte enter a motion to dismiss for want of
jurisdiction even though both parties have agreed to appear in the court.
See, e.g., Carlisle v. United States, 517 US 416 (1996) and Trest v. Cain, 522 US 87 (1997).
https://www.law.cornell.edu/wex/sua_sponte
 6. This communication to the clerk of the court is a record proving the

undersigned is not consenting, but is contesting personal jurisdiction for

Child support enforcement and paternity establishment as required under

State Uniform Interstate Family Support Act Bases for Jurisdiction for

Nonresidents Section 201(a)(2) “the individual submits to the jurisdiction of

this State by consent in a record, by entering a general appearance, or by

filing a responsive document having the effect of waiving any contest to

personal jurisdiction;”

RESPOND WITH EVIDENCE OF CONSENT BY THE UNDERSIGNED

AND EVIDENCE OF AN INJURED PARTY BY CERTIFIED MAIL

WITHIN 5 BUSINESS DAYS OF RECEIPT OR THE UNDERSIGNED

CLAIMED RESPONENT CANNOT BE HELD IN DEFAULT OR

CONTEMPT AND A COPY OF THIS COMMUNICATION WILL BE

INTRODUCED INTO A COURT OF COMPETENT JURISDICTION FOR

DISMISSAL AND A COPY SENT TO THE STATE ATTORNEY AS

PROOF THE CLERK OF THE COURT WAS REQUIRED TO PROVIDE

DISCOVERY PROVING PERSONAL JURISDICTION BUT REFUSED TO

RESPOND AND THEREBY FAILED TO OBTAIN PERSONAL

JURISDICTION AND ANY THEFT OF PROPERTY BELONGING TO

THE UNDERSIGNED BY AN ORDER OF SUPPORT OR WAGE OR

INCOME WITHHOLDING ORDER IS ILLEGAL

__________________________________________
TYPE IN YOUR NAME AND SIGN ON LINE
BEFORE A NOTARY REPUBLIC
UNDER PENALTY OF PERJURY
ALL RIGHTS RESERVED
WITHOUT PREJUDICE