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PUBLIC NOTICE AFFIDAVIT OF IDENITY DECLIRATION OF STATUS

In the matter of: c/o John Henry Doe; Executor,


Grantor and Beneficiary

) )
) ) SS

COUNTY OF MARION

1234 freeman avenue Indianapolis, Indiana

) ) )

STATE OF INDIANA

AFFIDAVIT OF IDENTITY and DECLARATION OF STATUS


KNOW ALL BY THESE PRESENTS:
THAT I, John Henry Doe;; (hereinafter "Secured Party"), am the Executor, Grantor and Beneficiary of the Legal Person JOHN H DOE and do hereby declare the following statements to be true, correct, and complete, to the best of the knowledge and belief of Secured Party. That Secured Party: 1. is heir and assign to the above physical and mailing address, 2. was born 06/20/1961 3. is the Executor,Grantor and Beneficiary for the UNITED STATES TREASURY offset account number # ssn 4. John Henry Doe; is the Executor,Grantor and Beneficiary for SOCIAL SECURITY number ______-______-xxxx and is in fact, the natural and living man and Executor, Grantor and Beneficiary of this Affidavit of Identity and Declaration. WHEREFORE, Secured Party, without malice, do hereby declare, that any and all alleged contracts, legal documents, or instruments existing or presumed to exist with or in relation to the artificial person represented as " JOHN H DOE " (i.e. spelled in ALL CAPITAL LETTERS) and with or without wet-ink signature, refer to an entirely different fictional legal entity, designed without full disclosure by various agencies as separate legal fictions, have jurisdiction subject to Secured Party as a natural and living man. Secured Party further declares that any and all negotiable instruments, documents or conventions issued by the corporation of the STATE OF INDIANA Secured Party may use, including but not limited to, "Birth Certificate," "Passport," "Federal Reserve Notes," "Social Security Account Number," "Bank Account," "Utility Service," "Postal Address," "Postal ('Zip') Code," "Street Address," etc. are used under threat of duress and / or coercion with alternative remedy disabling and harmfully mitigating normal, regular and daily commerce. Secured Party declares all rights to life, liberty, and the right to acquire and own property, estate, holdings, and wealth, on behalf of Secured Party, Secured Party family and other natural and living men and women

Page 1 of 2 Initials: ___________All rights reserved waiving none

PUBLIC NOTICE AFFIDAVIT OF IDENITY DECLIRATION OF STATUS

This Declaration constitutes notice and Secured Party Affidavit of Identity. Until and unless this Affidavit is rebutted by counter-affidavit, point-for-point or should any single point of this Affidavit be successfully rebutted, all remaining points not similarly rebutted it stands as truth in commercial law. So affirmed and humbly declared, before the goodness of the Creator. Without prejudice and all rights reserved.

Signed: ______________________________________________, Beneficiary Secured Party, of the Legal person, legal Entity and or Trust known by or rendered as JOHN H DOE.

State of INDIANA
MARION County

) ) ss. ) JURAT

On the ___ day of ________, 2012__, John Henry Doe; personally appeared before me and proved to me on the basis of satisfactory evidence to be the person whose name is subscribed hereto and acknowledged to me that he/she executed the same under oath or asseveration, and accepts the facts thereof. Subscribed and affirmed before me this day. Witness my hand and seal this _____ day of ____, 2012.

Notary Signature

SEAL

Page 2 of 2 Initials: ___________All rights reserved waiving none

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