NON-NEGOTIABLE NON-TRANSFERABLE THIS IS A PRIVATE MATTER TITLE OF ORIGIN
This is a permanent legal document and remains the property of the Authorized Representative and may
not be reproduced without prior written permission of Authorized Representative.
notice to the agent is notice to the principal; notice to the principal is notice to the agents
herein claimed, declared, expressed, and stated as true, correct, complete and not misleading
Non-negotiable In Care of:
[Address]
State of California ) [City] [Zip]
) ss. [State]
County of [County] )
Date: [Date]
For Respondent:
[RESPONDENT]
[TITLE]
[AGENCY]
[RESPONDENT ADDRESS]
[RESPONDENT CITY], [RESPONDENT ST] [RESPONDENT ZIP]
Via: Registered Mail No. [RM#]
Re: [PRESENTMENT ID] dated [DATE PRESENTMENT], copy attached/enclosed.
VERIFIED NOTICE OF CONDITIONAL ACCEPTANCE and
SPECIFIC NEGATIVE AVERMENT
I. Introductory Certification
A. From the soil of California, [Name], the undersigned affiant, hereinafter "Affiant," as a living, sentient
being, having spiritual autonomy, functioning with unlimited liability, and as holder of the sovereign
political power in accordance with the Constitution of the State of California, 1849, Article I, Section 2,
does hereby solemnly swear, declare, and state that:
Affiant can competently state the matters set forth herewith.
Affiant has personal knowledge of the facts stated herein.
3. All the facts stated herein are true, correct, complete, and certain, admissible as evidence, and not
misleading in accordance with Affiant’s sincerely held spiritual convictions and creed.
II. Plain Statement of Facts
A. Foundational considerations:
1. Affiant is in receipt of the above-referenced [PRESENTMENT ID], hereinafter “Presentment,” a copy of
which is attached herewith and incorporated herein by reference as Attachment A, allegedly issued by
[RESPONDENT], hereinafter “Respondent.”
2. The record reflects Respondent’s receipt on [DATE RECEIVED] of Affiant’s acceptance for value of
Presentment, dated [DATE AFV]. Copy of Affiant’s acceptance for value and United States Post Office
Return Receipt evidencing Respondent’s receipt thereof is attached herewith and incorporated herein
by reference as Attachments B-1 and B-2, respectively.
3. Affiant executes this VERIFIED NOTICE OF CONDITIONAL ACCEPTANCE and SPECIFIC NEGATIVE
AVERMENT hereinafter “VNCASNA,” solely as authorized representative of [NAME], hereinafter
“Fictitious Business Name.” Affiant is not now, nor may Affiant be construed as being, an
accommodation party, nor a surety, for Fictitious Business Name, nor for any derivative, nor for any
orthographic variation, of Fictitious Business Name, nor for any other juristic person, and is indemnified
and held harmless by Fictitious Business Name in Specific Power Of Attorney and Indemnification And
Hold Harmless Agreement No. SPA-IHHA-[initials] dated the [Day] Day of the [Month] Month in the year
of Our Lord Nineteen Hundred [Year], hereinafter “SPA-IHHA,” from and against any and all claims,
debts, legal actions, citations, orders, warrants, judgments, awards, demands, liabilities, losses,
depositions, summonses, lawsuits, costs, fines, liens, levies, penalties, damages—including direct,
liquidated, consequential, incidental, and otherwise—interests, and expenses whatsoever, both
absolute and contingent, as are due and as might become due, now existing and as might hereafter
arise, and as might be suffered by, incurred by, and imposed on [NAME] for any reason, purpose, and
cause whatsoever. Copy of SPA-IHHA is attached herewith and incorporated herein by reference as
Attachment C.
4. Affiant owns the name “[Name],” which is the autograph Tradename-Trademark© [Year Majority] of
[Name], and is used as a symbolic representation of [Name] in Affiant’s capacity of being a living,
sentient, unlimited-liability being; all rights reserved.
5. As an existential, sentient, biological, spiritually autonomous [gender], Affiant concurs with the spirit
and alleged guarantees of the Unanimous Declaration (“Declaration of Independence”), 1776:
“We hold these truths to be self-evident, that all men are created equal, that they are endowed by their
Creator with certain unalienable rights, that among these are life, liberty and the pursuit of happiness.
That to secure these rights, governments are instituted among men, deriving their just powers from the
consent of the governed, that whenever any form of government becomes destructive of these ends, it
is the right of the people to alter or to abolish it, and to institute new government, laying its foundation
on such principles and organizing its powers in such form, as to them shall seem most likely to effect
their safety and happiness.”
6. In accordance with the above considerations, Affiant gives no consent for being construed as:
a. Not acting with rights granted by Life, i.e., endowed by the “Creator,” supra, and upheld by all valid
and just law;
b. Claiming any rights, privileges, and immunities under limited liability, and [per 42 USC § 1994];
c. Functioning in limited liability;
d. Requiring any bond; and,
e. Consenting that Affiant, as an unlimited-liability being, may be deemed bound by any limited-liability
proceeding.
7. All documents interchanged between Respondent and Affiant re this instant matter may be set into
evidence at any hearing, such as a court proceeding, binding arbitration, and the like, as might arise
from the subject matter set forth herein.
B. VNCASNA is actual and constructive notice that Affiant conditionally honors and accepts
Presentment, and all purported legal implications thereof, contingent upon Respondent providing the
notary public designated hereunder, hereinafter “Notary,” under affidavit sworn true, correct, and
complete, within twenty-one (21) days from midnight of the day following Respondent’s receipt of
VNCASNA, hereinafter “Stipulated Time,” with all of the items enumerated below, hereinafter “Required
Items,” by which Respondent establishes on the record documentary material evidence substantiating
Respondent’s proof of claim:
1. That Respondent takes both personal and official responsibility and liability for Presentment and for
the accuracy, relevance, legitimacy, and verifiability of each and every statement in Presentment.
2. That Affiant’s acceptance for value of Presentment does not:
a. Constitute remedy re Presentment under House Joint Resolution 192 of June 5, 1933, hereinafter
“HJR-192”;
b. Discharge the obligation implied by Presentment in accordance with HJR-192, PL 73-10, UCC §§ 1-104,
3-419, and Public Policy; and,
c. Eliminate all controversy re Presentment and all matters connected therewith and derived therefrom.
3. Of the appearance, legal existence, legal identity, legal domicile, commercial domicile, jurisdiction,
solvency, standing for suing and being sued, standing for suing and being sued in representative
capacity, and nexus with Affiant of every party allegedly involved in any court case, hereinafter “Alleged
Case,” as might derive from Presentment, such as all of the following alleged parties, hereinafter
“Undefined Parties”:
STATE OF CALIFORNIA
[AGENCY]
[RESPONDENT]
SUPERIOR COURT OF CALIFORNIA
COUNTY OF [COUNTY]
UNITED STATES
United States
UNITED STATES OF AMERICA
United States of America
America
US
U.S.
USA
U.S.A.
CALIFORNIA STATE BAR ASSOCIATION
THE STATE BAR OF CALIFORNIA
CA
INTERNATIONAL MONETARY FUND
IMF
FEDERAL RESERVE BANK
All corporations, corporate entities, DBA’s, and other artificial persons claimed as possessing any right,
title, claim, interest, and authority over [Name], a sentient, living [gender]
4. That any Unidentified Party, as well as any other party allegedly involved in Alleged Case, hereinafter
“Involved Party,” is defined on the record, i.e., that any particular party is legally defined as a:
a. Living, breathing, sentient being;
b. Corporation;
c. Partnership;
d. Limited partnership;
e. General partnership;
f. Sole proprietorship;
g. Trust;
h. Estate;
i. Business;
j. Association;
k. Incorporated association;
l. Unincorporated association;
m. Other.
5. That absent any Involved Party being accurately and legally identified and appearing in court,
ambiguity does not prevail for want of knowing, inter alia, if an Involved Party:
a. Exists;
b. Is proved on the record as existing;
c. Is legally defined on the record;
d. Is solvent:
e. Has “capacity to sue or be sued or…sue or be sued in representative capacity”;
f. Is appearing in court re Alleged Case;
g. Can appear in court re Alleged Case;
h. Is involved with whom and the nature of any such alleged involvement; and,
i. Is bound by any bona fide, enforceable contract with any other Interested Party re Alleged Case.
6. That, absent Interested Parties being accurately and legally identified and appearing in court, any
proceeding and all matters connected therewith and pertaining thereto must not, upon Affiant’s
requirement, as asserted herewith, be ruled void for vagueness as per 46 AmJur 2d, Judgments:
“100 Parties. A judgment should identify the parties for and against whom it is rendered, with such
certainty that it may be readily enforced, and a judgment which does not do so may be regarded as void
for uncertainty....”
7. That Respondent as well as Respondent’s office, and any agent and principal thereof, is exempt from
the requirement of California Penal Code § 953, which states:
“When a defendant is charged by a fictitious or erroneous name, and in any stage of the proceedings his
true name is discovered, it must be inserted in the subsequent proceedings, referring to the fact of his
being charged by the name mentioned in the accusatory pleading.”
8. That all political power is not inherent in the people as declared in the original constitution of every
State of the united States of America, such as the Constitution of the State of California, 1849, which
states, inter alia, in Article I:
“Sec. 1. All men are by nature free and independent, and have certain inalienable rights, among which
are those of enjoying and defending life and liberty: acquiring, possessing, and protecting property: and
pursuing and obtaining safety and happiness.”
“Sec. 2. All political power is inherent in the people. Government is instituted for the protection, security
and benefit of the people; and they have the right to alter or reform the same, whenever the public
good may require it.”
9. That Affiant may not rely on the authority and good faith of all constitutional guarantees, such as the
guarantees in the Constitution of the State of California, 1849, Article I, Sections 1 and 2, as cited in the
paragraph immediately above.
10. That any “public official,” i.e., any agent, officer, official, representative, and employee of every
agency of the State and federal government, who avoids upholding all constitutional guarantees must
not be ruled as acting in an ultra vires manner in private capacity, devoid of official immunity.
11. That as the sovereign holder of political power and source of governmentally delegated authority,
Affiant is not the sovereign creditor and holder in due course of Fictitious Business Name, all Undefined
Parties (if any exists), as well as the governments of the State of California and the united States of
America and every agency and court thereof, and may not thereby rule all proceedings re Alleged Case
null and void by noticing all Interested Parties of Affiant’s election for disallowing any proceeding against
Affiant re Alleged Case in accordance with the well-settled maxim of law, “A sovereign cannot be sued in
his own court without his consent.”
12. That any holder of the sovereign political power, such as Affiant, granted any branch of any
government delegated authority for establishing a new branch of government, called “administrative
law,” that possesses features of legislative, judicial, and executive within the same agency, in
violation, inter alia, of the separation of powers doctrine established in the federal constitution and
every original constitution of every State of the united States of America.
13. That any holder of the sovereign political power, such as Affiant, possesses authority for delegating
power for the establishment, by any branch of any government, of a new branch of government,
entitled “administrative law,” possessing features of legislative, judicial, and executive within the same
agency, in violation of the separation of powers doctrine, supra.
14. That every statute allegedly authorizing Presentment and Alleged Case derives from the specific
delegation of the sovereign political power, e.g., Affiant.
15. That administrative law, and every statute of administrative law allegedly applicable in this instant
case, is not unconstitutional by not being specifically delegated by the holder of sovereign political
power and by containing elements of the legislative, judicial, and executive branches of government
when no holder of sovereign political power possesses authority for delegating authority for the
creation by any branch of government of such administrative law, as per the maxim of law: “He who has
not, gives not.”
16. That any court as might hear and entertain Alleged Case is not devoid of subject matter
jurisdiction ab initio by being devoid, inter alia, of:
a. Constitutionally valid statutes substantiated as being delegated from the holder of sovereign political
power;
b. The appearance in court of Interested Parties; and,
c. The establishment on the record of proof that every alleged Interested Party legally exists, is legally
identified—with identified legal domicile, commercial domicile, and jurisdiction—is solvent, possesses
standing for suing and being sued, possesses standing for suing and being sued in representative
capacity, and has a bona fide, substantiated contractual nexus with Affiant.
17. That Affiant’s unlimited commercial liability is not a genuine material fact that must be resolved
before any proceeding of any kind that purportedly involves Affiant may transpire, and that Affiant’s
unlimited-liability standing does not bar all capacity for construing that Affiant is bound by any summary
judicial processes re Alleged Case.
18. Of valid basis in law why an affidavit sworn true, correct, and complete, such as VNCASNA, does not
stand as the truth in commerce and judgment of the law if not fully rebutted in the required time frame,
point-for-point, by counteraffidavit sworn true, correct, and complete.
19. Of Affiant’s free consent for being held responsible for any duties, obligations, debts, and the like of
any ens legis, such as Fictitious Business Name and Undefined Parties.
20. That Affiant is contractually liable as a surety for any duties, obligations, debts, and the like of
any ens legis, such as Fictitious Business Name and Undefined Parties.
21. That Affiant is not exempt from lien and levy.
22. That Affiant, upon discovering that any alleged debt/obligation re Presentment is illusory but is
made “real” only upon dishonor by Affiant, may not require verification of any purported debt re
Alleged Case as a condition precedent for any adjudication in any court of Alleged Case.
23. That Affiant may not correct all prior mistakes resulting in alleged dishonor by execution and service
on Respondent of VNCASNA.
That Affiant’s duly filed UCC Financing Statement, filed in the office of the Secretary of State of [State 1],
UCC-1 No. [UCC #], a copy of which is attached herewith and incorporated herein by reference as
Attachment D, does not establish [Name] as the creditor, secured party, and holder in due course of the
copyrighted, fictitious business name, [NAME].
That the named party on Presentment, i.e., “[NAME],” which Affiant regards as the symbolic
representation of a juristic person, ens legis, is understood and intended by Respondent as being the
same as “[Name],” the symbolic representation of a sentient, living man.
That Respondent can state a claim upon which relief can be granted re Presentment.
27. Of verified material evidence established on the record of Affiant’s wrongdoing, the full legal identity
of the party whom Affiant injured by said wrongdoing, and the extent of the damages caused by
Affiant’s wrongdoing.
28. That evidence based upon hearsay may not be deemed inadmissible and of no force and effect re
Presentment and Alleged Case.
29. Of all bonding details of every statute invoked against Affiant re Presentment and Alleged Case.
30. That Presentment constitutes a contract that is binding on Affiant and Fictitious Business Name by
incorporating all the essentials required for the existence of a bona fide contract enforceable at law,
such as free consent of all parties, full disclosure of all terms and conditions, lawful object, valuable
consideration, genuine agreement, mutual meeting of the minds, good faith, and absence of fraud,
duress, malice, undue influence, and mistake.
31. Of valid basis for any action against Affiant by any person in the absence of proving that
Presentment is a bona fide contract enforceable at law.
32. That Affiant is bound by:
1) Any allegation that Affiant is other than an actual, biological, and spiritual being with undiminished
standing in law and sovereign character;
2) Any action by anyone on the basis of fictions;
3) Any action by anyone on the basis of frauds;
4) The terms and conditions of any unrevealed agreement;
5) The terms and conditions of any unrevealed express contract;
6) The terms and conditions of any unrevealed implied contract;
7) The terms and conditions of any unrevealed constructive contract;
8) The terms and conditions of any alleged contract that is not executed by affidavit sworn true, correct,
and complete and that does not satisfy all the requisites of contract law for valid contract;
9) Any unrevealed presumption of law;
10) Any unrevealed presumption of fact;
11) Any silent judicial notice; and,
12) Any presumption that Affiant’s standing as an unlimited-liability being is not a genuine material fact
that must be resolved before any dispute re Presentment may be heard and entertained in any court.
33. Of Respondent’s authority for acting against Affiant on the basis of any alleged war powers, state of
emergency, law of necessity, and the like.
34. Of establishment on the record of a certified copy of any court cases that specifically name
Respondent and give Respondent relief from filing the verbatim oath of office as mandated by the
Constitution of the State of California, 1879, Article XX, Section 3.
35. Of any basis upon which Respondent should not be removed, as an actor and impostor, from
Respondent’s alleged position in office in the event Respondent is not lawfully in office by having filed
the constitutionally mandated Oath of Office/Allegiance, as established in the Constitution of the State
of California, 1879, Article XX, Section 3.
36. That Respondent may not be regarded as committing treason for acting on behalf of an alien, foreign
power against the united States of America and the people thereof if the record does not reflect any
filing by Respondent of the constitutionally mandated Oath of Office/Allegiance, as established in the
Constitution of the State of California, 1879, Article XX, Section 3.
37. That the flag in any courtroom where Alleged Case might be heard and entertained on the basis of
any actions of Respondent is the de jure American Free Flag of Peace, as defined and mandated, inter
alia, at 4 USC 1, 2; 36 USC 176(g); Army Regulation No. 840-10 chapter 2-1(b); (Executive Order 10834).
38. That any court in which Alleged Case might be heard and entertained on the basis of any actions of
Respondent may not be charged as a racketeering enterprise if said court regularly:
a. Utilizes the services of a “judge,” “commissioner,” and the like, who is in fact an actor and impostor
posing as a judicial officer by never filing the constitutionally mandated Oath of Office/Allegiance
required by the Constitution of the State of California, 1879, Article XX, Section 3; and,
b. Collects revenue by enforcing statutes never constitutionally delegated by the people, the holder of
the sovereign political power in accordance with the Constitution of the State of California, 1949, Article
I, Section 2.
39. That any “gold-fringed flag” displayed in any courtroom where Alleged Case might be heard and
entertained on the basis of any actions of Respondent is not a “colorable alteration” and “colorable
imitation,” the latter term being defined in Black’s Law Dictionary, Fifth Edition, page 240, as: “In the law
of trademarks, this phrase denotes such a close or ingenious imitation as to be calculated to deceive
ordinary persons.”
40. That Respondent’s jurisdiction re Alleged Case is within and under the American Free Flag of Peace
as per positive law, Title 4 USC 1, 2.
41. That any gold-fringed flag displayed in any courtroom within which Alleged Case is heard does not
constitute a warning that anyone entering said courtroom enters a foreign enclave under the
jurisdiction of said flag, said enclave having no constitution, no laws, no rules of court, nor having any
recognition from any nation on Earth, and being foreign from the original and general jurisdiction of the
united States of America.
42. That Affiant must surrender Affiant’s life, liberty, rights, law, peaceful intent, and property under the
lawless jurisdiction of a mutilated (see 4 USC 1, 2) flag of the united States of America and be victimized
by the constructive treason involved in surrendering the Constitution of the united States of America
into the hands of foreign, alien, and hostile powers.
43. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, stating whether Respondent is functioning re Alleged Case under the purported
authority of any alleged war powers (e.g., as codified at 12 USC 95, 50 USC Appendix, etc.).
44. That Respondent is not engaged in constructive treason by serving the interests of foreign, alien, and
hostile powers based upon the irreconcilable conflict of interest between the intent, well-being, and
standing of the American people, the holder of sovereign political power delegating all governmental
power through the Constitution of the united States of America, and the bankrupt corporation known as
the “United States” quitclaimed, inter alia, by the Bretton-Woods Agreement, 1944, into the ownership
of the International Monetary Fund (the “Fund”), International Bank for Reconstruction and
Development (the “Bank”), et al, (see 12 USC 286).
45. That the California Codes, e.g., California Civil Code, California Code of Civil Procedure, California
Penal Code, California Vehicle Code, and the like, are not copyrighted by foreign corporations, such as
the Thompson Group, LLC, LTD, Montreal, Quebec, Canada (West Publishing Company; Barclays West
Group; Bancroft Whitney; Clark Bordman, Callaghan; Legal Solutions; Rutter Group; Warren, Gorham &
Lamont, Lawyer’s Coop), and Reed Elsevier (Lexis; Deering’s Codes).
46. That the California courts, the State Bar of California, and the State of California, all of which utilize
and enforce private, de facto, commercial, foreign-copyrighted “law” against California residents, are
not operating on behalf of private, commercial, and alien interests doing business in California under
cover and color of California law.
47. That the Codes of the State of California, constituting the “law” practiced in California courts, are
duly enabled and enacted into law ab initio, under express delegation from the holder of sovereign
political power in California, and are therefore other than mere private, corporate, commercial law of
foreign interests.
48. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, defining with particularity the nature and cause of any war powers purportedly
granting Respondent any rights, powers, duties, privileges, and the like, over Fictitious Business Name.
49. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, defining with particularity the nature and cause of any war powers purportedly
granting Respondent any rights, powers, duties, privileges, and the like, over Affiant.
50. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, defining with particularity the identity of each and every alleged belligerent re any
alleged war, conflict, political dispute, and the like, on the basis of which Respondent operates under
any presumed war powers re Alleged Case.
51. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, defining with particularity the basis and origin of the underlying dispute between
belligerents involved in any alleged war powers under which Respondent functions re Alleged Case.
52. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, defining with particularity the basis upon which Fictitious Business Name may be
regarded as a belligerent involved in any alleged war powers under which Respondent functions re
Alleged Case.
53. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, stating whether Affiant is regarded as an enemy of Respondent re any alleged war
powers under which Respondent functions re Presentment, and, if so, the basis in law and fact by which
Respondent regards Affiant as an enemy.
54. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, defining with particularity the basis upon which Affiant may be compelled into
commercial interaction with Respondent if Respondent and Affiant are regarded as enemies.
55. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete under
penalties of perjury, setting forth:
a. The underlying contract in dispute re Alleged Case, entered into by all interested parties under
affidavit sworn true, correct, and complete;
b. Identification with particularity of the terms and conditions of the above-referenced disputed
contract concerning which Affiant is allegedly in default;
c. All commercial paperwork, i.e., all bookkeeping and accounting, substantiating every allegation that
Affiant is in default on the above-referenced disputed contract, executed under affidavit sworn true,
correct, and complete by all parties alleging that Affiant is in default, and staking defined commercial
liability on the validity, veracity, accuracy, relevance, and verifiability of each and every assertion and
entry in said commercial paperwork;
d. Identification with particularity of all creditors concerning whom Affiant allegedly owes what
corresponding sum certain amount of money based on Affiant’s alleged default on the above-referenced
disputed contract;
e. Defined identity of all parties for whom Affiant must allegedly render specific performance based on
Affiant’s alleged default on the above-referenced disputed contract;
f. The remedy and relief sought from Affiant on the basis of Affiant’s alleged default on the abovereferenced disputed contract, defined with particularity;
g. The currency, defined with particularity, that must be tendered for discharge of any alleged debt
implied by Presentment;
h. Duly executed Debt Collector Disclosure Statement, blank copy provided herewith; and,
i. Proof of each alleging party’s authorization under Fair Debt Collection Practices Act, 15 USC 1692 et
seq., hereinafter “FDCPA,” for collecting any alleged debt from Affiant on the basis of Affiant’s alleged
default on the above-referenced disputed contract.
NOTE: FDCPA states, in relevant part:
“If the consumer notifies the debt collector in writing within the thirty-day period described in
subsection (a) of this section that the debt, or any portion thereof, is disputed, or that the consumer
requests the name and address of the original creditor, the debt collector shall cease collection of the
debt, or any disputed portion thereof, until the debt collector obtains verification of the debt or a copy
of a judgment, or the name and address of the original creditor, and a copy of such verification or
judgment, or name and address of the original creditor, is mailed to the consumer by the debt
collector.” §1692g(b) [Emphasis added.]
“Communicating or threatening to communicate to any person credit information which is known or
which should be known to be false, including the failure to communicate that a disputed debt is
disputed, is a violation of § 1692e.” § 1692e(8)
Black’s Law Dictionary, Sixth Edition, defines “verification” as follows:
”Confirmation of correctness, truth, or authenticity, by affidavit, oath, or deposition. Affidavit of truth of
matter stated and object of verification is to assure good faith in averments or statements of party.”
56. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete
providing a certified copy of all of the Public Records Documents listed below that may be stored in
Respondent’s official system of records and which Respondent must by law provide Affiant:
a. Respondent’s Statement of Economic Interest;
b. Respondent’s Bonding Company with specific policy number;
c. Name and address of the Bonding Company of Respondent’s employer;
d. If the County of [County] is Self-Insured, the official list of County of [County]’s assets that financially
back County of [County]’s Self-Insurance Program;
e. Employee Identification number of County of [County];
f. Badge number of County of [County];
g. Respondent’s Delegation of Authority order and all such similar papers from the County of [County];
h. Certified, true copy of every required fidelity, surety, and security bond of Respondent;
i. Certified, true copy of Respondent’s Oath of Allegiance, which must be filed upon application for
office;
j. All public complaints and disciplinary action records against Respondent for the past five years;
k. Administrative regulations specifying Respondent’s job description;
l. Administrative regulations specifying disciplinary procedures against Respondent;
m. Administrative Regulation specifying complaint procedures against Respondent; and,
n. The required statement disclosing investments, interests in real property, and any income received by
Respondent during the immediately preceding twelve (12) months of County of [County] employment.
57. Of Respondent’s providing Affiant with a copy of the adopted and promulgated Conflict of Interest
Code that has the force of law.
58. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete,
defining all criminal elements re Presentment and Alleged Case, such as:
a. The appearance, existence, legal identity, address, legal domicile, commercial domicile, jurisdiction,
solvency, and contractual nexus with Affiant of Involved Parties;
b. Every allegation against, and any remedy and relief sought from, Affiant re Alleged Case, defined with
particularity, supported and substantiated by affidavit sworn true, correct, and complete;
c. Proof of lawful in personam jurisdiction of Respondent’s court over Affiant re Alleged Case;
d. Proof of lawful subject matter jurisdiction of Respondent’s court re Alleged Case;
e. Charging affidavits re every allegation and party alleging wrongdoing against Affiant re Alleged Case,
sworn true, correct, and complete;
f. Verified warrants of probable cause against Affiant executed upon affidavits sworn true, correct, and
complete; and,
g. Complete and valid commercial paperwork, executed by affidavit sworn true, correct, and complete
(“particularly describing the place to be searched, and the persons or things to be seized”, as
purportedly mandated by the Fourth Article of Amendment, “Fourth Amendment,” of the Constitution
of the united States of America, 1787, Bill of Rights, 1781, and the Constitution of the State of California,
1849, Article I, Section 19.
59. Of establishment on the record of Respondent’s affidavit, sworn true, correct, and complete defining
the jurisdiction of any court in which Alleged Case is intended as being heard.
60. That, absent Respondent’s providing Affiant with accurate knowledge concerning the elements listed
as items a. through g. immediately below in this paragraph, Affiant may legally be compelled into
participating in any proceeding whatsoever re Alleged Case:
a. The jurisdiction of any alleged court hearing Alleged Case;
b. All bonding details of Alleged Case that are essential for filing a claim against said bond, including the
amount of the bond, all contact details, bond number, etc.;
c. Whether Alleged Case is a proceeding in time of peace;
d. Whether Alleged Case is a proceeding in time of war;
e. Whether Affiant is regarded as an enemy;
f. Whether commerce may be permitted between belligerents; and,
g. Whether each Interested Party is acting in good faith and with well-meaning intent.
61. That, despite the foundational principle that the law cannot compel impossibilities, Affiant may
legally be compelled into participating in any proceeding possessing a hidden agenda which might
impair Affiant’s exercise of Affiant’s “unalienable rights,” regarding, inter alia, “life, liberty and pursuit of
happiness” with which Affiant is endowed by Affiant’s Creator.
62. That legal obligation exists for Affiant’s appearance in court re Presentment without Respondent
providing Affiant with verified proof of establishment on the record of Respondent’s statement of a
claim upon which relief can be granted re enforcing any action against Affiant re Presentment.
63. That final dishonor of Respondent is not established on the record as commercial res judicata and
administrative judgment at the moment of service upon Respondent by Notary, a bonded third party
and officer of the court, of a notarial Certificate of Protest.
64. That said establishment on the record of Respondent’s final dishonor does not constitute
commercial res judicata and administrative judgment rendering Respondent devoid of all standing and
capacity for stating a claim upon which relief can be granted re Presentment and Alleged Case.
65. That upon service of VNCASNA upon Respondent, any lawful requirement exists for compelling
Affiant’s physical presence in any court re any proceeding involving Alleged Case in the absence of
Respondent’s providing Notary with Respondent’s proof of claim of each and every Required Item.
66. That Respondent guarantees that Affiant understands completely the meaning of every word, term,
phrase, gesture, and protocol utilized by Respondent re Presentment and by any judge hearing and
entertaining any matter connected with Presentment, which understanding by Affiant is necessary for
experiencing the full disclosure and true meeting of the minds required for the formation of a valid
contract enforceable at law.
67. That upon establishment on the record of Respondent’s dishonor of VNCASNA via service by Notary
on Respondent of Certificate of Protest, any warrant, summons, notice, complaint, and the like issued
against Affiant by any person re Presentment, Alleged Case, Affiant’s non-appearance in any court, and
the like, is not null and void, ultra vires, and actionable.
68. That, upon the establishment on the record of Respondent’s dishonor, Respondent does not
stipulate that Respondent authorizes Affiant’s signing a self-executing UCC financing statement as
secured party, with Respondent as debtor, wherein Respondent agrees that Respondent owes Affiant
costs, fees, and triple actual and compensatory damages for any and all adverse effects experienced by
Affiant on the basis of Respondent’s participation in the prosecution of Alleged Case in the absence of
authority, i.e., as an actor and impostor and without verified proof of lawful subject matter jurisdiction;
69. That, upon the establishment on the record of Respondent’s dishonor, Respondent does not
stipulate that Respondent authorizes Affiant’s collection, by non-judicial, strict foreclosure against
Respondent’s assets, of the sum certain amount of the above-referenced costs, fees, and triple actual
and compensatory damages for any and all adverse effects experienced by Affiant on the basis of
Respondent’s participation in the prosecution of Alleged Case in the absence of authority, i.e., as an
actor and impostor and without proof of lawful subject matter jurisdiction;
70. That any bona fide basis exists for Respondent’s department of risk management not paying
Affiant’s claim in the sum certain amount of the above-referenced costs, fees, and triple actual and
compensatory damages for any and all adverse effects experienced by Affiant on the basis of any
violations by Respondent of any of the terms and conditions of VNCASNA.
III. Options and Consequences
A. Options. Affiant regards Respondent as possessing two (2) acceptable courses of action re VNCASNA:
1. Respondent may cause the receipt by Notary, within Stipulated Time, of the order of the court re
Alleged Case and official notice that all alleged debt implied by Presentment is discharged;
Or, in the alternative,
2. Respondent may cause the receipt by Notary, within Stipulated Time, of each and every Required
Item, i.e., affidavit sworn true, correct, and complete providing proof of claim of each and every item
referenced above as a condition precedent for acting in any manner against any interests of Affiant.
B. Consequences. Non-receipt by Notary, within Stipulated Time, of one of the two (2) sets of
documents referenced in the paragraph immediately above constitutes official notice by Respondent of
a) Respondent’s dishonor of VNCASNA and b) stipulation by Respondent that Respondent is devoid of
proof of claim of any Required Item, and thereby agrees and consents with every conclusion deriving
from Respondent’s absence of any proof of claim, such as:
1. Respondent self-invalidates Presentment without Affiant’s dishonor thereof;
2. Each Required Item, which Affiant specifically and negatively avers, is established on the record as
nonexistent absent Respondent’s verified proof of the existence thereof, whereby Respondent may not
act against any interests of Affiant on the basis of any presumption that any particular Required Item
exists in the absence of Respondent’s verified proof of the existence thereof.
3. Presentment and Alleged Case are null and void ab initio and may not be construed as binding Affiant,
nor Fictitious Business Name, in any manner;
4. Respondent waives any and all claims against Affiant and Fictitious Business Name re Alleged Case,
VNCASNA, and all matters connected therewith;
5. No party whatsoever possesses any authorization for acting against any interests of Affiant nor
Fictitious Business Name re Alleged Case, such as seizing, transferring, confiscating, collecting upon, etc.,
Fictitious Business Name’s assets;
6. No party whatsoever possesses any authorization for damaging, arresting, incarcerating, nor
participating in any other intervention in the life of Affiant;
7. No requirement of any kind inheres upon Fictitious Business Name, nor upon Affiant, for attending
any proceeding of whatever kind re Presentment nor any matter connected therewith, such as any court
hearing and the like, and neither may Fictitious Business Name nor Affiant be held liable for nonattendance at any such proceeding;
8. Upon the establishment on the record of Respondent’s dishonor, Respondent stipulates that
Respondent authorizes Affiant’s signing a self-executing UCC financing statement as secured party, with
Respondent as debtor, wherein Respondent agrees that a) Respondent owes Affiant costs, fees, and
triple actual and compensatory damages for transgressions of Respondent against Affiant re
Respondent’s participation in prosecution of Alleged Case in the absence of authority, i.e., as an actor
and impostor and without subject matter jurisdiction, and b) Respondent waives any and all defenses
against the collection of said costs, fees, and triple actual and compensatory damages by non-judicial,
strict foreclosure;
9. Respondent’s office of risk management must pay Affiant’s claim for all amounts due and owing,
based on Respondent’s dishonor of VNCASNA, upon Affiant’s presenting said claim, substantiated by
documentary evidence of Respondent’s dishonor, and presenting above-referenced UCC financing
statement of Respondent’s indebtedness owed Affiant for all costs, fees, and triple actual and
compensatory damages; and Respondent’s department of risk management waives any and all defenses
against the payment of Affiant’s claim for said costs, fees, and triple actual and compensatory damages;
10. Any incarceration of Affiant resulting from Alleged Case as well as from any other case proceeding
therefrom, in the absence of proof of Respondent’s full compliance with each and every requirement set
forth herein, constitutes express grant by Respondent of authorization for Affiant’s collection against
Respondent personally, and from Respondent’s office of risk management, particular damages of
$65,217.91 per hour, i.e. $1,565,217.30 per day, plus punitive damages in an amount decided
exclusively by Affiant, as per precedent (Trezevant vs. City of Tampa, 741 F2d 336, 1984), which amount
inures for the benefit of Affiant’s heirs and assigns in the event of any incapacity of Affiant;
11. No filing by Affiant against Respondent, e.g., the above-referenced UCC financing statement, may be
considered, nor claimed, nor charged, as being “bogus,” “frivolous,” “without merit,” and the like; on
the contrary, all such filings by Affiant against Respondent must be regarded as binding upon
Respondent and Respondent’s office of risk management and of full commercial force and effect;
12. All entries of name of Fictitious Business Name and Affiant must be removed from all systems of
records re Alleged Case; and,
13. Final dishonor of Respondent is established on the record as commercial res judicata and
administrative judgment upon service upon Respondent of a Certificate of Protest by Notary,
constituting a permanent bar and estoppel re any action by any person against any interests of Affiant
on the basis of Presentment.
IV. Verification
A. The undersigned affiant, [Name], i.e. “Affiant,” does herewith swear, declare, and affirm that Affiant
issues VNCASNA with sincere intent, that Affiant can competently state the matters set forth herein,
that the contents are true, correct, complete, and certain, admissible as evidence, and not misleading in
accordance with Affiant’s sincerely held spiritual convictions and creed.
THIS NOTICE IS BINDING UPON EVERY PRINCIPAL AND AGENT OF RESPONDENT RE THE SUBJECT MATTER
SET FORTH HEREIN Enclosures/Attachments:
Attachment A: Presentment
Attachment B-1: Affiant’s Notice of Acceptance for Value of Presentment
Attachment B-2: Return Receipt, PS Form 3811, re Registered Mail Article No. [RM# RESPONDENT’S
RECEIPT], substantiating Respondent’s receipt of Affiant’s Notice of Acceptance for Value of
Presentment
Attachment C: Limited Power of Attorney and Indemnification and Hold Harmless Agreement
Attachment D: UCC-1 No. [UCC-1 #]
DEBT COLLECTOR DISCLOSURE STATEMENT
Affiant: [Name]
Fictitious Business Name: [NAME], ens legis
Affiant, a biological, sentient being, signs for and on behalf of Fictitious Business Name as authorized
representative only and neither as surety, nor as an accommodation party, for Fictitious Business Name
nor for any other juristic person:
Autograph of Affiant, living principal:
____________________________________________
[Name], Authorized Representative for [NAME]
State of [State] )
) ss ACKNOWLEDGEMENT
County of [County] )
Subscribed and sworn to before this agent, [Name Notary], a notary public in and for the County of
[County], State of [State], on this __________ day of ________________, 200? by [Name], who proved
to this agent on the basis of satisfactory evidence that [Name] executes the within document, and
swears, states, and declares that [Name] autographs said within document in capacity of being the living
principal, attorney in fact, and authorized representative for the registered trade-names/trademarks,
[JOHN ADAM DOE]TM, [NAME as on Presentment]TM, [DOE, JOHN ADAM]TM, and any and all
orthographic variations thereof.
Witness my hand and official seal. ____________________________________________
Signature of Notary
My commission expires ________________________________________
Respond within twenty (20) days to:
[Notary], Notary Public
[Notary Address]
[Notary City, ST Zip]