AFFIDAVIT OF RESCISSION OF SIGNATURE

IN PROPRIA PERSONA

WOMAN:

MAN:

AFFIDAVIT OF RESCISSION OF SIGNATURE

NAME
ADDRESS
CITY STATE United States of America

AFFIDAVIT OF RESCISSION OF SIGNATURE.

MARRIAGE LICENSE WITH NAME NULL FROM
THIS DAY FORWARD.
DATE

Date: Signature:

_________________________________________________________

AFFIDAVIT OF RESCISSION OF SIGNATURE

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NAME
ADDRESS
CITY STATE United States of America

AFFIDAVIT OF RESCISSION OF SIGNATURE

I, NAME, a woman, am over the age of consent, I hereby rescind

my signature in the Marriage License with NAME. I withdraw my
signature, thereby rendering it a legal nullity, from this day
forward.

DATE

THIS CASE IS HEREBY RES JUDICATA.

NO FURTHER ACTION TO BE ACCEPTED BY THIS WOMAN/

MAN FROM THIS NAME COUNTY COURT WHICH IS NOT AN
ARTICLE III COURT AS SET OUT IN THE CONSTITUTION.

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Reserving ALL my Natural God-Given Unalienable
Rights, Waiving None, Ever.

Pursuant to 28 USC § 1746(1)

“...any matter is required or permitted to be supported,

evidenced, established, or proved by the sworn declaration,
verification, certificate, statement, oath, or affidavit, in writing of
the person making the same, such matter may, with like force
and effect, be supported, evidenced, established, or proved by
the unsworn declaration, certificate, verification, or statement, in
writing of such person which is subscribed by him, as true under
penalty of perjury, and dated, in substantially the following
form:”

I declare under penalty of perjury under the laws of the United

States of America that the foregoing is true and correct.
Executed on this the DAY day, of the MONTH NUMBER month,
in the year of our Lord and Savior, YEAR.

SIGNATURE
DATE NAME ALL RIGHTS RESERVED

__________________________________________________________

NAME

DATE

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