SECTION
FIVE
TABLE OF CONTENTS
SECTION 5: FORMS & INFORMATION
1.
PRESIDENTIAL EXECUTIVE ORDERS
2.
STRAWMAN/REAL MAN TERMINOLOGY
3.
AFFIDAVIT OF RECORDING - Witnesses (for online COUNTY
RECORDING with only one Property List in Section 1)
4.
AFFIDAVIT OF RECORDING - Notary version for above
recording
5.
STAMP EXAMPLES (2 pages)
6.
AGENCY MAILING LIST
A. Instruction Sheet
B. Large Labels -- FOR AGENCY MAILINGS (2 PAGES)
C. Small Labels -- ADDRESS LABELS FOR GREEN RETURN RECEIPT CARDS (2)
PRESIDENTIAL EXECUTIVE ORDERS AND LAWS
JOHN WARNER NATIONAL DEFENSE AUTHORIZATION ACT
1.
2.
3.
4.
PASSED OCTOBER 17, 2006
VOIDED THE POSSE COMITATUS ACT
ALLOWS FOR MILITARIZED POLICE ROUNDUPS
ALLOWS FOR THE DETENTION OF PROTESTORS, ILLEGAL ALIENS AND
UNDESIRABLES IN FEMA PRISONS
MILITARY COMMISSIONS ACT OF 2006
1.
2.
3.
4.
5.
REMOVES THE RIGHT OF HABEOUS CORPUS
GIVES DICTATOR POWERS TO THE PRESIDENT
ENEMY COMBATANT STATUS CAN BE DECLARED BY AN UNFOUNDED
ACCUSATION
REDEFINES TORTURE AND ALLOWS TORTURE UPON AMERICAN CITIZENS WHEN
ACCUSED OF BEING AN ENEMY COMBATANT
TORTURE MAY BE USED TO THE POINT OF MAJOR ORGAN FAILURE OR DEATH
WITH COMPLETE IMMUNITY FROM PROSECUTION
VIOLENT RADICALIZATION AND HOMEGROWN TERRORISM ACT OF 2007 - HR1955
1.
2.
3.
4.
INTRODUCED BY REPRESENTATIVE JANE HARMON DEMOCRAT FROM
CALIFORNIA
AMENDS PATRIOT ACT TO INCLUDE CIVILIAN POPULATION OF U.S.
MAKES THOUGHTS AGAINST THE POLITICALLY CORRECT IDEAS OF THE DAY A
CRIME
MAKES THOUGHT CRIMES A TERRORIST ACT
REAL ID ACT
1.
U.S. CITIZENS WILL BE REQUIRED TO HAVE A NATIONAL ID CARD TO:
a. TRAVEL
b. ENTER A FEDERAL BUILDING
c. APPLY FOR ANY PUBLIC BENEFIT OR PROGRAM
FOREIGN INTELLIGENCE SURVEILLANCE ACT
1.
2.
3.
4.
5.
ALLOWS SECRET WARRANTS FROM A SECRET COURT TO INVADE YOUR PRIVACY
FISA TEAMED UP WITH AT&T AND VERIZON COMMUNICATIONS COMPANIES TO
SPY ON U.S. CITIZENS
PHONE CALLS AND EMAILS OF AMERICANS ARE BEING TRACKED ACCORDING TO
DOCUMENTS BROUGHT FORWARD BY MARK KLIEN OF AT&T
PRIVACY WAS REDEFINED BY BUSH ADMINISTRATION. DEFINITION NO LONGER
MEANS ANONIMITY
BUSH ADMINISTRATION WAS SPYING ON U.S. CITIZENS 7 MONTHS BEFORE
SEPTEMBER 11, 2001
NATIONAL SECURITY ADMINISTRATION
1.
2.
3.
4.
5.
WAS CREATED BY PRESIDENT TRUMAN IN 1952
ANALYZES MILLIONS OF PHONE CONVERSATIONS EACH DAY
COMPILES DATA BASES OF MILLIONS OF U.S. CITIZENS PHONE CONVERSATIONS
ESTIMATED 38,000 EMPLOYEES AND 43.5 BILLION DOLLARS PER YEAR BUDGET
WORKS WITH CENTRAL INTELLIGENCE AGENCY, NATIONAL RECONAISSANCE
OFFICE, FEDERAL BUREAU OF INVESTIGATION AND FISA TO INVADE THE
PRIVACY OF U.S. CITIZENS
PRESIDENTIAL EXECUTIVE ORDERS
 10990 - POWER TO CONTROL HIGHWAYS, MODES OF TRANSPORTATION AND
SEAPORTS
 10995 - POWER TO SEIZE CONTROL OF COMMUNICATIONS, MEDIA INTERNET,
RADIO AND TELEVISION
 10997 - POWER TO CONTROL ELECTRICITY, FUEL AND MINERALS
 10998 - POWER TO SEIZE ALL MEANS OF TRANSPORTATION, INCLUDING
PERSONAL, CARS, TRUCKS, BOATS AND PLANES, ETC.
 10999 - POWER TO SEIZE ALL FOOD SUPPLIES AND FARMS
 11000 - ALLOWS GOVERNMENT TO MOBILIZE CIVILIANS INTO WORK BRIGADES
UNDER GOVERNMENT SUPERVISION
 11001 - POWER OVER ALL HEALTH, EDUCATION AND WELFARE FUNCTIONS
 11002 - GIVES POSTMASTER POWER TO REGISTER ALL CITIZENS
 11003 - POWER TO CONTROL OF ALL PRIVATE AND COMMERCIAL AIRPORTS AND
AIRCRAFT
 11004 - ALLOWS THE HOUSING AND FINANCE AUTHORITY TO RELOCATE
COMMUNITIES, BUILD NEW HOUSING AND DESIGNATE AREAS TO BE ABANDONED
 11005 - POWER OVER RAILROADS, INLAND WATERWAYS AND STORAGE
FACILITIES
 11921 - GIVES FEMA CONTROL OF BANKS
REFERENCES:
1.
2.
3.
4.
5.
6.
7.
8.
9.
INDYMEDIA.ORG
COMMONDREAMS.ORG
NEWSWITHVIEWS.COM
TRUTHOUT.ORG
TAKEBACKWASHINGTON.COM
OUTTHERETV.COM
MERIA.NET - STREAMING RADIO
1100KNFX.COM
911.ORG
“The time is near at hand which must determine whether Americans are to be free men or
slaves.” - George Washington
STRAWMAN/REALMAN TERMINOLOGY
STRAWMAN
Real Man
ALL CAP NAME
Upper Lower Name
SSN With Dashes
SSN No Dashes
ORGANIZATION
Individual
DEBTOR
Secured Party Creditor
BAILEE
Bailor
TRUST
Trustee
GRANTOR
Grantee
CONDUIT
TRANSMITTING UTILITY
JOHN LEE DOE
STRAWMANADDRESS
CITY, STATE ZIP CODE
John Lee Doe
c/o RealManAddress
City, State; near[RMZipCode]
Non-Domestic without the US
Section 5 – WITNESS VERSION – If you do your county recording of the SECTION 1 Freedom Docs
online with nationalrepublicregistry.com (NRR), or in a county other than your residence
county, you’ll then need to record this Affidavit document in your residence County. (If you move,
record one in your new county.) Call and ask which county office has the Miscellaneous File for
Public Record, the cost to record, & the margin size & how many inches of blank space you need at
the top in order to record a one-page Affidavit. You may need to adjust margins or retype to
reformat & pull line-spacing together in the list so this is all on 1 page. NOTE: You will get a Liber
Number when you record this Affidavit and you will use THIS Liber # for your documents. If your
county refuses to record this (some do & then someday you’ll do the Neg. Aver. Process to reestablish a Public Record in that county), try a neighboring county, or as last resort use the Liber #
from your non-resident county filing, in your docs. Do not use the NRR address as a Liber #. Delete
this blue note.
AFFIDAVIT OF RECORDING
On this _________day of ____________, A.D. 20______, for the purpose of notification, I, the
undersigned Secured Party Creditor and three witnesses located in the County of County
and State of State, do solemnly swear or affirm that Name of Secured Party Creditor
recorded this Affidavit of Recording in the above named County. This Affidavit verifies that
the following documents listed below are recorded at the (Use this following info if you did
an online filing) following website URL for public viewing.
http://www.nationalrepublicregistry.com/public/state.dateNumber,pdf(File Number
from NRR Docs) (Or use this following info if you recorded in a non-resident county)
CountyRecordingOffice, RecordingCounty County, RecordingState, Liber Number.
Number of Pages
1.
CERTIFICATION OF ELECTRONIC RECORDING (Enter if you used this recording method; otherwise delete)
1
2.
ACKNOWLEDGMENT OF FILING (Enter if you received this for your UCC recording – otherwise delete this line)
1
3.
UCC1 and ADDENDUM
2
4.
ATTACHMENT “A” - PROPERTY LIST
5
5.
POWER OF ATTORNEY
2
6.
COMMERCIAL SECURITY AGREEMENT
4
7.
INDEMNITY BOND/ LIEN
1
8.
HOLD HARMLESS AND INDEMNITY AGREEMENT
2
9.
NON-NEGOTIABLE SECURITY AGREEMENT
1
10.
LEGAL NOTICE AND DEMAND
8
11.
LEGAL NOTICE & DEMAND DEFINITIONS
7
12.
ACT OF STATE with APOSTILLE (Enter what you have . . . Apostille optional, but highly recommended)
2
Signature
_____________________________________________________
Witness Name
First Witness
Signature
__________________________________________________
Witness Name
Second Witness
_____________________________________________________
Printed
__________________________________________________
Printed
Signature
_____________________________________________________
Witness Name
Third Witness
Signature
__________________________________________________
Secured Party Name, Secured Party Creditor
_____________________________________________________
Printed
__________________________________________________
Printed
Section 5 – NOTARIZED VERSION – If you do your county recording of the SECTION 1 Freedom Docs
online with nationalrepublicregistry.com (NRR), or in a county other than your residence county, you’ll
then need to record this Affidavit document in your residence County. (If you move, record one in your new
county.) Call and ask which county office has the Miscellaneous File for Public Record, the cost to record, &
the margin size & how many inches of blank space you need at the top in order to record a one-page Affidavit.
You may need to adjust margins or retype to reformat & pull line-spacing together in the list so all is on 1
page. NOTE: You will get a Liber Number when you record this Affidavit and you will use THIS Liber # for
your documents. If your county refuses to record this (some do & then someday you’ll do the Neg. Aver.
Process to re-establish a Public Record in that county), try a neighboring county, or as last resort use the
Liber # from your non-resident county filing in your docs. Do not use the NRR address as a Liber #. Delete
this blue note.
AFFIDAVIT OF RECORDING
On this _________day of ____________, A.D. 20______, for the purpose of notification, I, the
undersigned Secured Party Creditor recorded this Affidavit of Recording in
____________________COUNTY in the STATE of ________________________________________. This
Affidavit verifies that the following documents listed below are recorded at the (Choose
this for online filing): following website URL for public viewing.
http://www.nationalrepublicregistry.com/public/state.dateNumber,pdf(File Number
from NRR Docs) (Or choose this for recording in a non-resident county):
CountyRecordingOffice, RecordingCounty County, RecordingState, Liber Number.
Number of Pages
1.
CERTIFICATION OF ELECTRONIC RECORDING (Enter if you used this recording method; otherwise delete)
1
2.
ACKNOWLEDGMENT OF FILING (Enter if you received this for your UCC recording – otherwise delete this line)
1
3.
UCC1 and ADDENDUM
2
4.
ATTACHMENT “A” - PROPERTY LIST
5
5.
POWER OF ATTORNEY
2
6.
COMMERCIAL SECURITY AGREEMENT
4
7.
INDEMNITY BOND/ LIEN
1
8.
HOLD HARMLESS AND INDEMNITY AGREEMENT
2
9.
NON-NEGOTIABLE SECURITY AGREEMENT
1
10.
LEGAL NOTICE AND DEMAND
8
11.
LEGAL NOTICE & DEMAND DEFINITIONS
7
12.
ACT OF STATE with APOSTILLE (Enter what you have . . . Apostille optional, but highly recommended)
2
LS: ______________________________________________________________
Real Man Name, Secured Party Creditor
Date
ACKNOWLEDGEMENT OF NOTARY
State of ________________________ )
) ss.
County of ______________________ )
On the______ day of_______________, two thousand-nine, before me, _____________________________, Notary,
personally appeared John Lee Doe, known to me (or proved to me on the basis of satisfactory evidence of
identification) to be the living man/woman whose name is subscribed upon this instrument and acknowledged to me
that he/she executed the same in his/her authorized capacity; and by his/her signature on this instrument, John Lee
Doe has acted on behalf of the person who executed this instrument.
Witnessed by my hand and official seal, _____________________________________________
My Commission Expires: _________________________
SEAL
________________STAMPS_________________
(COPY & DEFICIENT are TWO–two–2–different stamps.) COPY is black & used on the Actual and Constructive
Notice, Birth Certificate Bond, and the International Bill of Exchange in each of the 18-AGENCY packets, & when to
designate papers as a “COPY” - - could also be red. This COPY stamp is Arial Black in 48-point. DEFICIENT is
ONLY used for Civil cases when sued, NEVER with Criminal cases. Get instructions to use it for court papers.
COPY
On left is FranklinGothicMedium 48 pt. / right is Impact 48pt.
(Arial Black 48 pt. is thick, but more space between letters.)
DEFICIENT
DEFICIENT
STAMP NAME: Envelope Stamp - - - Put on the front of the envelope every time you send a BPN to discharge
public debt.
FONT: Times New Roman 14-point
PRIORITY / CONFIDENTIAL
STAMP NAME: Envelope Stamp - - - Put on the back of the envelope every time you send a BPN to discharge
public debt.
FONT: Times New Roman 14-point
ATTENTION CFO
(Match the Alphabet Letter on the back of your SS card with the following list,
& the corresponding Bank’s number is your DTC Routing Number)
Federal Reserve Bank Routing Numbers
A - BOSTON - 0110-0001-5
B - NEW YORK - 0210-0120-8
C - PHILADELPHIA - 0310-0004-0
D - CLEVELAND - 0410-0001-4
E - RICHMOND - 0510-0003-3
F - ATLANTA - 0610-0014-6
G - CHICAGO - 0710-0030-1
H - ST. LOUIS 0810-0004-5
I - MINNEAPOLIS - 0910-0008-0
J - KANSAS CITY - 1010-0004-8
K - DALLAS - 1110-0003-8
L - SAN FRANCISCO - 1210-0037-4
STAMP NAME: 7-Line AFV Bill/Presentment/Statement Stamp - - - This closes the account. Discharge the total
amount of the bill. Hand print/write, use from computer, or stamp at a 45-degree angle. Goes on front & back of every
paper. Make no smaller than 10-point print. The following is FONT: Arial 10-point, centered.
ACCEPTED FOR VALUE AND RETURNED FOR VALUE
Stamp is in red.
Use BLUE to fill in.
FOR SETTLEMENT AND CLOSURE
The “Fed. Res. Bank Routing #s” are
on the bottom of the last page & are in
the “Fed Res Bank Routing Numbers”
file in the EXTRAS folder. Find the bank
which corresponds with the alphabet
letter on the back of your SS card. Use
that corresponding bank’s ID# as YOUR
“Fed. Res. Bank Routing #.”
SOCIAL SECURITY NUMBER __________________
(with dashes for STRAWMAN)
DTC ROUTING NUMBER ______________________ (Fed. Res. Bank Routing # - See bottom of last page.)
DTC ACCOUNT NUMBER _____________________ (0+8 numbers on back of SS card
to be a 9-digit number)
BY: _____________________________________ (Real Man Autograph)
DATE: _________________________________
STAMP NAME: 6-Line AFV Credit Card Stamp - - - Used to discharge most of the account. This doesn’t close the
account. Leave at least $50 in the account so that you don’t discharge it completely. Hand print/write, make in the
computer or use a stamp - - - a 45-degree angle, lower left to upper right. Make no smaller than 10-point print. The
following is FONT: Arial 10-point, centered.
Stamp is in red.
ACCEPTED FOR VALUE AND RETURNED FOR VALUE
Use BLUE to fill in.
SOCIAL SECURITY NUMBER __________________ (with dashes for STRAWMAN)
This stamp is used for
Revolving Lines of Credit.
DTC ROUTING NUMBER ______________________ (Fed. Res. Bank Routing # - For example: credit cards and
See bottom of last page.)
bank lines of credit. ALSO
DTC ACCOUNT NUMBER _____________________ (0 + 8 numbers on back of SS card
USE THIS STAMP FOR THE
to be a 9-digit number)
1040-V FOR SECTION 2 FOR
BY: _____________________________________ (Real Man Autograph)
THE TREASURY PACKET…..may
Need 7 or more lines to fit on 1040-V. DATE: _________________________________
May be best to do by hand or via computer.
************************************************************************
STAMP NAME: AFV Birth Certificate Stamp - - - Hand Print/write, Print by Computer, or Stamp on reverse of birth
certificate for Treasury Packet, lower left to upper right, 45 degree angle. Use a ruler for straight-edge lines.
FONT: Arial 10-point, centered:
NON-NEGOTIABLE CHARGEBACK
Stamp is in red.
Use BLUE to fill in.
OFFICE HOLDER SECRETARY OF THE TREASURY
I ACCEPT FOR VALUE ALL RELATED ENDORSEMENTS IN ACCORDANCE WITH UCC-3-419, HJR-192, AND PUBLIC LAW 73-10.
CHARGE MY PRIVATE UCC CONTRACT TRUST ACCOUNT EXEMPTION IDENTIFICATION NUMBER FOR THE
REGISTRATION FEES AND COMMAND THE MEMORY OF THE FOLLOWING:
Read what the
Fed. Res. Bank Routing #
SOCIAL SECURITY NUMBER ______________________________ (with Dashes for STRAWMAN)
is in the first small AFV
Stamp sidebar of info
DTC ROUTING NUMBER _______________________________ (Fed. Res. Bank Routing # - above.
See bottom of last page.)
You’ll use this BC stamp once.
DTC ACCOUNT NUMBER ___________________________ (0+8 numbers on back of SS card
Suggestion: print this “stamp” out
to be a 9-digit number)
by hand for the one-time use.
CHARGE THE SAME TO THE DEBTOR’S ORDER OR YOUR ORDER.
PRE-PAID COMMON STOCK / PRIORITY / EXEMPT FROM LEVY
BY: ________________________________________________ DATE: _______________________
(Real Man Autograph)
AGENCY MAILING LIST
As a convenience, the following 4 pages have been formatted for printing labels. The label
specifications are as follows:
LABEL BRAND: Avery
LARGE LABEL MODEL: 5263 (Qty. 250)
LARGE LABEL SIZE: 2” X 4”
SMALL LABEL MODEL: 5160 (Qty. 250)
SMALL LABEL SIZE: 1” X 2 5/8 ”
PRINTING INSTRUCTIONS:
1.
2.
3.
Purchase label paper at your local office supply store according to above
specifications.
Insert label paper into your local printer.
Select to print appropriate page numbers of this document for the large or small
labels you want to print out.
HEADS UP!
BEWARE
CAUTION
Before you use address labels on your envelopes with $21.00 postage stamps on
them, and the Return Green Cards, check with your post office because there are
some post offices which will no longer mail a Registered envelope with a stick-on
label. The addresses MUST BE hand addressed because there are too many incidents
where someone is tearing off the labels and the mail becomes undeliverable. I do
NOT understand how this can happen when a registered mail item needs to be
documented with every connection of delivery/receipt. But people have sent emails
saying their post office will no longer accept Registered Mail items with labels. So it’s
just something to know about and check before you use a label and also put the $21
of postage stamps on your envelopes.
ALSO, a note regarding the PS Form 3811 Green Cards: In #2 (Article Number),
always write the label number in this line BEFORE you put the long, thin, sticky, peeloff number strip in #2. ALSO, write the number on the other (front) side under
“United States Postal Service.” The card should be addressed: Your Name, c/o
Notary’s Name, c/o Notary’s Address, Notary’s City – State – Zip. ALSO, in #1 along
the bottom, black line, put something like: (Your initials, BPN-006, 10-15-09) so you
know which file it’s for. Check “Registered” in #3. Make a copy of front and back
before sticking on envelope & mailing, and upon return.
TIMOTHY F. GEITHNER
SECRETARY OF THE TREASURY
DEPARTMENT OF THE TREASURY
1500 PENNSYLVANIA AVENUE N.W.
WASHINGTON, D.C. 20220
FEDERAL RESERVE WINDOW
20TH AND CONSTITUTION AVE N.W.
WASHINGTON, D.C. 20551
UNITED STATES SECURITIES AND
EXCHANGE COMMISSION
COMMISSION HEADQUARTERS
100 F STREET N.E.
WASHINGTON, DC 20549
UNITED STATES SECURITIES AND
EXCHANGE COMMISSION
RONALD L. CRAWFORD, REGIONAL SECRETARY
OFFICE OF COMPLIANCE INSPECTIONS AND
INVESTIGATIONS
3475 LENNOX ROAD N.E., SUITE 1000
ATLANTA, GEORGIA 30326-1232
DOUGLAS SHULMAN
OFFICE OF THE COMMISSIONER
INTERNAL REVENUE SERVICE
1111 CONSTITUTION AVENUE N W
WASHINGTON, DC 20224
SOCIAL SECURITY
ADMINISTRATION
P.O. BOX 33008
BALTIMORE, MARYLAND 21290-3008
DEPARTMENT OF
TRANSPORTATION
RAY LAHOOD, SECRETARY
1200 NEW JERSEY AVENUE S.E.
WASHINGTON, D.C. 20590
UNITED STATES COURT OF
INTERNATIONAL TRADE
ONE FEDERAL PLAZA
NEW YORK, NEW YORK 10278-0001
UNITED STATES DEPARTMENT OF
COMMERCE
DENNIS F HIGHTOWER, DEPUTY SECRETARY
1401 CONSTITUTION AVENUE N W
WASHINGTON, DC 20230
UNITED STATES DEPARTMENT OF
COMMERCE
OFFICE OF GENERAL COUNCIL
DEPARTMENT OF ASSISTANCE AND FINANCE
LITIGATION
14TH AND CONSTITUTION AVENUE N W
MAIL STOP 5875 HCHB
WASHINGTON, DC 20230
ERIC THORSON
(YOURUCCRECORDINGSTATE) SECRETARY OF STATE
U.S. TREASURY – INSPECTOR GENERAL
1500 PENNSYLVANIA AVENUE N.W.
WASHINGTON, D.C. 20220
UCC DIVISION
(ADDRESS)
(CITY, STATE ZIPCODE)
FRANK Y. NG, OR DESIGNEE
(YOUR RESIDENCE STATE)
NAME - SECRETARY OF STATE
DEPUTY COMMISSIONER INTERNATIONAL
P.O. BOX 920
BENSALEM, PA. 19020
IVY CHESNEY, OR DESIGNEE
DIRECTOR OF INTERNATIONAL OPERATIONS
INTERNAL REVENUE SERVICES
1111 CONSTITUTION AVENUE N.W.
WASHINGTON, D.C. 20224
(YOUR RESIDENCE STATE)
DEPARTMENT OF TREASURY
(NAME OF TREASURER), STATE TREASURER
(ADDRESS)
(CITY, STATE ZIPCODE)
(YOUR BIRTH STATE)
DEPARTMENT OF HEALTH
AND VITAL STATISTICS
ADDRESS
CITY, STATE ZIP CODE
(ADDRESS)
(CITY, STATE ZIPCODE)
U.S. DEPARTMENT OF
TRANSPORTATION
ASSISTANT GENERAL COUNSEL FOR
ENVIRONMENTAL, CIVIL RIGHTS, AND
GENERAL LAW
ROOM W96-304(C-10), U.S.
M STREET AND NEW JERSEY AVENUE S.E.
WASHINGTON, D.C. 20001
JUAN CARLOS PUIG MORALES
Internal Revenue Service
DEPARTMENT DE HACIENDA
P.O. BOX 9024140
SAN JUAN, PUERTO RICO 00902-414
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
TIMOTHY F. GEITHNER
SECRETARY OF THE TREASURY
DEPARTMENT OF THE TREASURY
1500 PENNSYLVANIA AVENUE N.W.
WASHINGTON, D.C. 20220
SOCIAL SECURITY ADMINISTRATION
FEDERAL RESERVE WINDOW
P.O. BOX 33008
BALTIMORE, MARYLAND 21290-3008
20TH AND CONSTITUTION AVE N.W.
WASHINGTON, D.C. 20551
DEPARTMENT OF
TRANSPORTATION
UNITED STATES SECURITIES AND
EXCHANGE COMMISSION
UNITED STATES COURT OF
INTERNATIONAL TRADE
RAY LAHOOD, SECRETARY
1200 NEW JERSEY AVENUE S.E.
WASHINGTON, D.C. 20590
UNITED STATES SECURITIES AND
EXCHANGE COMMISSION
RONALD L. CRAWFORD, REGIONAL SECRETARY
OFFICE OF COMPLIANCE INSPECTIONS AND
INVESTIGATIONS
3475 LENNOX ROAD N.E., SUITE 1000
ATLANTA, GEORGIA 30326-1232
UNITED STATES DEPARTMENT OF
COMMERCE
OFFICE OF GENERAL COUNCIL
DEPARTMENT OF ASSISTANCE AND FINANCE LITIGATION
TH
14 AND CONSTITUTION AVENUE N.W.
MAIL STOP 5875 HCHB
WASHINGTON, D.C. 20230
FRANK Y. NG, OR DESIGNEE
DEPUTY COMMISSIONER INTERNATIONAL
P.O. BOX 920
BENSALEM, PA. 19020
U.S. DEPARTMENT OF
TRANSPORTATION
ASSISTANT GENERAL COUNSEL FOR
ENVIRONMENTAL, CIVIL RIGHTS, AND
GENERAL LAW
ROOM W96-304(C-10), U.S.
M STREET AND NEW JERSEY AVENUE S.E.
COMMISSION HEADQUARTERS
100 F STREET N.E.
WASHINGTON, D.C. 20549
UNITED STATES DEPARTMENT OF
COMMERCE
DENNIS F HIGHTOWER, DEPUTY SECRETARY
1401 CONSTITUTION AVENUE N.W.
WASHINGTON, D.C. 20230
ERIC THORSON
U.S. TREASURY – INSPECTOR GENERAL
1500 PENNSYLVANIA AVENUE N.W.
WASHINGTON, D.C. 20220
(YOUR RESIDENCE STATE)
(NAME), SECRETARY OF STATE
ADDRESS
CITY, STATE ZIP CODE
(YOUR RESIDENCE STATE)
DEPARTMENT OF TREASURY
(NAME) STATE TREASURER
ADDRESS
CITY, STATE ZIP CODE
ONE FEDERAL PLAZA
NEW YORK, NEW YORK 10278-0001
DOUGLAS SHULMAN
OFFICE OF THE COMMISSIONER
INTERNAL REVENUE SERVICE
1111 CONSTITUTION AVENUE N.W.
WASHINGTON, D.C. 20224
(YOUR UCC RECORDING STATE)
Secretary of State
UCC DIVISION
ADDRESS
CITY, STATE ZIP CODE
IVY CHESNEY, OR DESIGNEE
DIRECTOR OF INTERNATIONAL OPERATIONS
INTERNAL REVENUE SERVICES
1111 CONSTITUTION AVENUE N.W.
WASHINGTON, D.C. 20224
JUAN CARLOS PUIG MORALES
DEPARTMENT DE HACIENDA
P.O. BOX 9024140
SAN JUAN, PUERTO RICO 00902-414
WASHINGTON, D.C. 20001
(YOUR BIRTH STATE)
DEPARTMENT OF HEALTH
AND VITAL STATISTICS
ADDRESS
CITY, STATE ZIP CODE
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
First Middle Last
First Middle Last
First Middle Last
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US
c/o Real Man Street Address
City, State; near [Zip]
Non-Domestic without the US