Recording requested by: ]

]
Brittani Leigh Peedin©,
A Living Woman (Grantee) ]

BRITTANI LEIGH PEEDIN (GRANTOR) ]

c/o 712 S Howard Ave ]

Apt 245
Tampa, Florida [33606] ]

(Space above this line for recorder's

use only.)

IN LIEU OF FORM W-8BEN

This In Lieu of Form W-8BEN (“Agreement”) is made and entered into on December
______, 2023.

I, Brittani Leigh Peedin©, being a Woman created in the image of God, my Creator, and
living on the soil, within the organic, geographical boundaries of Florida the republic,
hereby declare and proclaim, in honor and at arm’s length, the following:

1. I have seen no evidence that I am a U.S. Citizen or other U.S. Person,

including a resident alien, individual, and I deny the same.
2. I have seen no evidence I am a person having or claiming income that is
effectively connected with the conduct of trade or business in the
UNITED STATES, and I deny the same.
3. I have seen no evidence that I am a person action as an intermediary, and I
deny the same.
4. I have seen no evidence that lawful money of the United States of America
currently exists in circulation, and thus, I am forced to accept and use
Federal Reserve Notes in my commercial activities.
5. I have seen no evidence that a compelled obligation can be imposed upon
me for the forced use of Federal Reserve Notes, and I deny the same.
6. I have seen no evidence that I am liable for the national debt of the
corporate UNITED STATES, and I deny the same.
Page 1 of 2

Form: 12101988-BLP-LOB
In Lieu of W-8BEN for Brittani Leigh Peedin© ______________
 7. I have seen no evidence that I am a ward of this state, and I deny the same.

Statement of Notional Principal Contracts: I hereby revoke, rescind, refute and cancel my
signature and any implied granting of any power of attorney or any right, title or interest,
from all contracts, including, but not limited to, unilateral contracts, made by me, or
made for me by accommodation, or made by presumption by person or persons acting for
me as my guardian without providing me full disclosure of said contracts.

References incorporated as part hereof: 26 C.F.R. 301.6109-1

Date executed: _______________________________. All rights and remedies reserved.

My Thumbprint As my word is my bond:

Duly tendered in honor,
By: Brittani Leigh Peedin©, a Living Woman
Without the UNITED STATES

by: _______________________________ Seal

Page 2 of 2

Form: 12101988-BLP-LOB
In Lieu of W-8BEN for Brittani Leigh Peedin© ______________