AFFIDAVIT OF IDENTITY, WITH PHOTOGRAPH

Given Name: Family Name: Domiciled in (City Name, and State) Mailing address: No Expiry I, (your name here) family, a living human being, endowed with a soul, hereby certify that the image shown on this page, is my image. I can be described as (add your own physical description, ei: as follows) being about 5'9 tall, with brown hair, and hazel eyes, of fair completion, and weighing approximately 200 lbs. As far as birth date, and location are concerned, I have no first hand knowledge of any of that, therefore I can not say anything more than what I have heard, which is hearsay, which is that I was born of a woman, on or about the year of ____, in the ______season, on the land of North America, and that there was no commercial transaction involved. This Affidavit of Identity with photograph, supersedes, and replaces all to date. Under the laws of the united states of America, this AFFIDAVIT OF IDENTITY WITH PHOTOGRAPH, is made under penalty of perjury, WITHOUT the UNITED STATES, 28 USC 1746(1).

Insert Photo here

I, me, (your name here), a living human being, endowed with a soul.

ACKNOWLEDGMENT
As a notary public, and an officer of the court, I hereby certify that the image above is a true and correct image of the living human being, endowed with a soul, commonly called (your name here), whose mailing address appears above. Having witnessed the signing, and sealing of the foregoing AFFIDAVIT OF IDENTITY, WITH PHOTOGRAPH, by (your name here), I place my hand, and seal hereon as an authentic act of as a Notary Public.

_____________________________________ (place notary's name here), Notary Public

__________________ Date

Page 1of 1. AFFIDAVIT OF IDENTIFICATION, WITH PHOTOGRAPH. This matter/ text copyright by the Title holder. All right to this matter/ text, and what it my represent is by terms, and conditions of the Title Holder. Title Holder, (your Name here), with the Copy-Claim.