Declaration of Earthly Occupancy
I, <<YOUR FULL NAME>>, the Declarant, am of lawful age and sound mind, am competent
for testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first
hand knowledge of the facts and stating that these facts are true and represent the best of my
knowledge.
I was delivered out of my mother’s womb on November twenty-eighth, in the year of the
common era one thousand nine hundred seventy in <<CITY>>, <<YOUR COUNTY’S NAME>>,
<<YOUR STATE>> Republic, united states of America not within any federal district, nor within any
territory or possession of any federal district. I am the son of <<FATHER’S FULL NAME>> Senior
and the son of Carolyn Marie Glover. I am not now nor have I ever been a British subject. My parents
are not now nor have they ever been British subjects.
My Citizenship is in Heaven as per Philippians Chapter three, verse twenty. Heaven is my
eternal home and I am under the exclusive jurisdiction of the King of Kings and Lord of Lords.
My political status is that of a Judicial Power Occupant of <<YOUR STATE>> Republic, and
I am thereby claiming all the Rights, privileges, and immunities recognized in the Constitution for
<<YOUR STATE>> Republic, which is a binding contract upon the government of <<YOUR
STATE>> Republic and enforceable in the courts under the statute of frauds.
This Affidavit of Occupancy functions as a NOTICE in compliance with fifteen Statutes at
Large, Chapter two hundred forty-nine (Section one), of July twenty-seventh, in the year of the
common era one thousand eight hundred sixty eight, and serves as notice upon all government
employees that the below signed man is legally and lawfully expatriating out of the jurisdiction of the
United States.
By virtue of being a Sovereign, Judicial Power Occupant on the soil in the portion of the
continent of North America commonly known as <<YOUR STATE>> Republic, I am also a Judicial
Power Occupant of the United states of America and empowered with all of the Rights, privileges, and
immunities recognized in the Constitution for the United States, which Constitution is a binding
contract upon the government of the United States and is enforceable in the courts under the statute of
frauds.
I am not, nor have I ever been a citizen or subject of the United States, nor any of them, as
contemplated by the so-called fourteenth amendment of the Constitution for the United States.
I am not, nor have I ever knowingly and voluntarily been a resident of the United States nor of
any political subdivision(s) within the United States.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
_______________________
My commission expires on: _______________.
AFFIDAVIT RELEASE OF APPOINTMENT
I, <<YOUR FULL NAME>>, the affiant, am of lawful age and sound mind, am competent for
testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first hand
knowledge of the facts and stating that these facts are true and represent the best of my knowledge.
I was born on twenty-eighth day of the eleventh month in the common era one thousand nine
hundred seventy in <<YOUR STATE>> Republic, the offspring of <<FATHER’S SULL NAME>>
senior and the child of Carolyn Marie Glover. I am not now and never have been a British subject.
My parents are not now and have never been British subjects.
This Release of Appointment functions as a NOTICE under 15 Statutes at Large, Chapter 249
(Section 1), July 27, 1868 and serves as notice unto all government employees that the below signed
Citizen may legally and lawfully expatriate out of the jurisdiction of the United States into the
Jurisdiction of a Sovereign state and claim state Citizenship.
This is a Release of Appointment made under the Michigan Compiled Law 556.119, et seq. and
constitutes a Rescission of Contract.
At the age of under eighteen years, I was under the mistaken understanding that the law
required that I have or use a Social Security Card before I could receive an exchange for the personal
resource known as my labor. Under mistake, I used a Social Security Card and was issued the number
of <<YOUR SSN>>.
The contract that resulted in the issuance of the above Social Security Number is invalid
because I did not have legal capacity under the age of eighteen years for signing a binding contract.
One of the purposes of Social Security Act was the assistance of the United States in the efforts
toward remedying the condition of bankruptcy. Whereas, over sixty years have passed after the
initiation of the Social Security Act with no progress being made toward ending the condition of
bankruptcy AND whereas it is a well established evidentiary presumption that any sane person intends
the natural and probable results of their deliberate acts, then I have the right of presuming that the
administrators of the Social Security Act are either insane or intentionally committing fraud. Whereas,
the presumption is that either one or the other of the foregoing scenarios is true, the contract resulting
in the above Social Security Number is null and void, either through lack of capacity on the part of the
Social Security Administration by reason of insanity or by lack of enforceability through fraud.
Because the supreme Court has determined that fraud vitiates the most solemn contracts and
even judgments, the Social Security Card that was issued bearing my name is null and void, ab initio,
as if it had never been issued, because of fraud by the Social Security Administration.
<<YOUR FULL NAME>> is hereby and herein completely released out of the Social
Security contract under Michigan Compiled Law 556.118(4) with consideration paid over for
<<YOUR FULL NAME>> by the Social Security Trust Fund of all money and funds that have been
paid into the Social Security Trust Fund on behalf of <<YOUR FULL NAME>>. Said release is
absolute and irrevocable under Michigan Compiled Law 556.119 and upon fulfillment of consideration
by the Social Security Trust Fund, the Social Security Administration is unconditionally released out
of all obligations on behalf of <<YOUR FULL NAME>>, without consideration for the Social
Security Administration under Michigan Compiled Law 556.118(4).
I am hereby demanding that all moneys and funds that have been paid into the Social Security
Trust Fund on my behalf be withdrawn and delivered into my possession within thirty days. Failure by
non-delivery of all monies or funds paid into the Social Security Trust Fund on behalf of the Claimant
is deemed as permission granted by the administrator of the Social Security Trust Fund for suing the
said administrators of the Social Security Trust Fund in their personal capacities in a court of
competent jurisdiction. When the moneys and funds are not delivered into possession of the Claimant,
in full, within thirty days of delivery of this AFFIDAVIT, then the presumption is valid that the Social
Security Trust Fund can not pay because the fund is bankrupt. Failure by non-delivery of moneys and
funds due for <<YOUR FULL NAME>> within thirty days is deemed a waiver of all defenses,
including but not limited by, affirmative defense, legal defense, meritorious defense, partial defense,
peremptory defense, personal defense, real defense, or equitable defense by the Social Security
Administration as well as the Principal and agents of the Social Security Administration.
Notice unto Principal is notice unto Agents. Notice unto Agent is notice unto Principal.
The above-described Social Security Card is enclosed for cancellation.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
AFFIDAVIT
REVOCATION OF SIGNATURE, FOR GOOD CAUSE
I, <<YOUR FULL NAME>>, the affiant, am of lawful age and sound mind, am competent for
testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first hand
knowledge of the facts and stating that these facts are true and represent the best of my knowledge.
Because the Internal Revenue Service, through false information, concealment of information,
disinformation, misinformation, and misdirection is intentionally misleading me into believing that I
have a legal duty of providing them with information, I am hereby revoking my signature, for good
cause, off of all filings of any “ Form 1040,” “form W-4,” and any associated forms which I have
submitted/mailed/filed between the year 1985 through 2004 and those forms are hereby made void, ab
initio, and are no longer usable for any legal purpose.
I was misinformed and misled into the mistaken belief that there was a legal requirement for
having a Social Security Number before legally exchanging my labor for compensation. Deliberate
misrepresentation of the facts by the Internal Revenue Service and Social Security Administration
causes damage upon my property and my rights, which is fraud by the Internal Revenue Service and
Social Security Administration. I am revoking, rescinding, repudiating, and rejecting the power of
appointment of the Internal Revenue Service. I am not eligible for any federal benefits or survivor
benefits, nor am I liable for the debts of the United States Government.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
AFFIDAVIT
REVOCATION OF SIGNATURE, FOR GOOD CAUSE
I, <<YOUR FULL NAME>>, the affiant, am of lawful age and sound mind, am competent for
testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first hand
knowledge of the facts and stating that these facts are true and represent the best of my knowledge.
I hereby revoke my signature, for cause, from the “Signature Card” signed on March 1, 1995
when I opened checking account #02173243255 at Huntington National Bank, Norton Shores Branch,
3580 Henry Street, <<YOUR CITY AND STATE>>.
I am hereby and herein demanding the delivery of the signature card into my custody.
Conditions that justify revocation of signature, are various elements of fraud including, but not
limited by, fraud in the inducement. The full particulars of the contract that I was signing were not
available for my inspection nor were the full particulars of the contract ever at any time offered for my
inspection.
Through fraud by concealment, I was misled into believing the form was for a different purpose
than that for which the form is actually used.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
<<YOUR FULL NAME>>
Sui Juris
vs.
Department of the Treasury
Internal Revenue Service
Philadelphia, Pennsylvania 19255
respondents
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NOTICE AND DEMAND
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Whereas, the Internal Revenue Service (IRS) is in receipt of notice of revocation of signature off of all
my past filings of their Forms 1040 and associated forms; and,
Whereas, the IRS is in receipt of a copy of my RELEASE OF APPOINTMENT out of the obligations
and restrictions placed upon my person through the Social Security Administration via the instruments known as
the Social Security Card number <<YOUR SSN>> and any 1040 or W-4 forms, such RELEASE OF
APPOINTMENT making me no longer an instrumentality of the United States or a person presumed as being
under the jurisdiction of the United States as contemplated in the so-called 14th amendment of the Constitution
for the United States; and,
Whereas, the IRS is in receipt of my Notice of Expatriation, giving notice under Fifteen Statutes at
Large, two hundred forty-nine, that I am leaving the jurisdiction of the federal government of the United States
and claiming jurisdiction of <<YOUR STATE>> Republic, which is where I enjoy living; and
Whereas, I am now free of legal disability.
THEREFORE, the voided and rescinded Social Security Number must not used for identifying me in
any manner by the IRS or any other agency; and,
THEREFORE, the IRS must not relate with my person, papers, or property in any other manner than in
compliance with full due process; and,
THEREFORE, neglect by the Internal Revenue Service in making such corrections in the records as
the within instrument is demanding in that result in a trespass against the rights and immunities of <<YOUR
FULL NAME>> is deemed a waiver of all defenses, including but not limited by, affirmative defense, legal
defense, meritorious defense, partial defense, peremptory defense, personal defense, real defense, or equitable
defense by the Internal Revenue Service as well as the Principal and agents of the Internal Revenue Service.
Notice unto Principal is notice unto Agents. Notice unto Agent is notice unto Principal.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
<<YOUR FULL NAME>>
Sui Juris
vs.
Huntington National Bank
respondents
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NOTICE AND DEMAND
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Whereas, Huntington National Bank is in receipt of my RELEASE OF APPOINTMENT and
am released out of obligations and benefits of U.S. citizenship, including the obligations and benefits
of the signature on the signature card associated with checking account # 02173243255; and,
Whereas, Huntington National Bank is in receipt of notice that after the day of closure of the
above-numbered account Huntington National Bank no longer has my permission for disclosing any
information about me or my business affairs unto any person or persons whomsoever, this includes but
is not limited by such agents of quasi-governmental agencies as the Internal Revenue Service; and,
Whereas, any such disclosure of my personal affairs constitutes a violation of my
Constitutionally secured right of security of my person, my property, and my papers;
THEREFORE, Huntington National Bank, its agents, and its employees are hereby and herein
placed on notice that any deprivation of my secured rights results in this document being useable as
evidence of intent in seeking a default judgment against the aforesaid persons in district court of the
united States under Title 18 USC and Title 42 USC for deprivation of rights in the amount of
$1,000,000.00.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
<<YOUR FULL NAME>>
Claimant; Sui Juris
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vs.
Social Security Administration
respondents
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NOTICE AND DEMAND
Whereas, the Social Security Administration (SSA) is in possession of <<YOUR FULL NAME>>’s Declaration
of Earthly Occupancy and Instrument of Release showing release of appointment over the person and property of
<<YOUR FULL NAME>>; and,
Whereas, said release is accompanied by the Social Security Card #<<YOUR SSN>> for cancellation of number
by the Social Security Administration; and,
Whereas, upon receipt of the above-named legal Instruments the Social Security Administration becomes the
holder in due course of those instruments; and,
Whereas, <<YOUR FULL NAME>> is thereby released out of performance on all of <<YOUR FULL
NAME>>’s obligations under said contract; and,
Whereas, <<YOUR FULL NAME>> is no longer either identified with or by the revoked Social Security
Number; any attempt of using Social Security Number <<YOUR SSN>> for identifying <<YOUR FULL NAME>> is
fraud on the part of any person or agency using Social Security Number <<YOUR SSN>> for such purposes; and,
Whereas, upon delivery for <<YOUR FULL NAME>> of all deposits made into the Social Security Trust Fund
on behalf of <<YOUR FULL NAME>>, the Social Security Administration is released from performance on all
obligations under contract; and,
Whereas, the SSA is in receipt of my Notice under Fifteen Statutes at Large Two hundred forty-nine that I am
leaving the jurisdiction of the federal government of the United States and claiming expatriation onto the soil of <<YOUR
STATE>> Republic, which is where I live.
THEREFORE, any use of the above-given Social Security Number for identifying <<YOUR FULL NAME>> is
a deprivation of rights of life, liberty, and property and a violation of security of the person, property, and papers of
<<YOUR FULL NAME>>; and
THEREFORE, I am hereby DEMANDING that all money and funds paid into the Social Security Trust Fund on
my behalf be withdrawn and delivered into my possession within thirty days of the date of service of this notice upon the
Social Security Administration. When the benefits are not delivered into my possession, in full, within thirty days of
service of this Notice and Demand, then the presumption prevails that the Social Security Trust Fund can not pay because
the Social Security Trust Fund is bankrupt. Failure by non-delivery of the funds into possession of Claimant within thirty
days constitutes a waiver of all defenses including but not limited by, affirmative defense, legal defense, meritorious
defense, partial defense, peremptory defense, personal defense, real defense, or equitable defense by the Social Security
Administration as well as the Principal and agents of the Social Security Administration.
Notice unto Principal is notice unto Agents. Notice unto Agent is notice unto Principal.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
<<YOUR FULL NAME>>
Sui Juris, Claimant
vs.
Michigan Department of Motor Vehicles
respondents
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NOTICE AND DEMAND
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Whereas, the above-named claimant is in possession of a copy of my RELEASE OF APPOINTMENT
and am released out of obligations and benefits of U.S. citizenship, including the obligations and benefits of the
instrument known as the Michigan Operator License bearing number B 550 135 149 908; and,
Whereas, such RELEASE OF APPOINTMENT makes me no longer an instrumentality of the United
States or a person presumed as being under the jurisdiction of the United States as contemplated in the so-called
fourteenth article amended onto the Constitution for the united States; and,
WHEREAS, I am now free of legal disability;
THEREFORE, the above-named respondent must not use the voided and rescinded Michigan Operator
License for identifying me in any way; and,
THEREFORE, the above-named respondent must not relate with my person, papers, or property in any
other manner than as prescribed under American Common Law; and,
THEREFORE, all action taken against <<YOUR FULL NAME>> without full due process
constitutes violation of the God given rights and immunities of <<YOUR FULL NAME>>; and,
THEREFORE, when agents of the above-named respondent, commit actions which violate my rights
as recognized in the Constitution for the united States, the agents of above-named respondent are put on
NOTICE that such violations constitute a waiver of all defenses, including but not limited by, affirmative
defense, legal defense, meritorious defense, partial defense, peremptory defense, personal defense, real defense,
and/or equitable defense. NOTICE upon agent is NOTICE upon principal. NOTICE upon principal is NOTICE
upon agents.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in accord with
the best of my knowledge on this tenth day of the third month in the year of the common era two thousand
four.
_________________________________________________________
<<YOUR FULL NAME>>
ATTESTATION
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and for the
purposes therein stated.
Signed this day, ____________________, at _______________, _________________.
_______________________________
Notary Public
My commission expires on: _______________.
<<YOUR FULL NAME>>
Sui Juris, Claimant
vs.
Michigan Department of Motor Vehicles
respondents
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NOTICE AND DEMAND
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Whereas, the above-named claimant is in possession of a copy of my RELEASE OF APPOINTMENT
and am released out of obligations and benefits of U.S. citizenship, including the obligations and benefits of the
instrument known as the Michigan Identification card bearing number B 550 135 908 0; and,
Whereas, such RELEASE OF APPOINTMENT makes me no longer an instrumentality of the United
States or a person presumed as being under the jurisdiction of the United States as contemplated in the so-called
fourteenth article amended onto the Constitution for the united States; and,
WHEREAS, I am now free of legal disability;
THEREFORE, the above-named respondent must not use the voided and rescinded Michigan
Identification card for identifying me in any way; and,
THEREFORE, the above-named respondent must not relate with my person, papers, or property in any
other manner than as prescribed under American Common Law; and,
THEREFORE, all action taken against <<YOUR FULL NAME>> without full due process
constitutes violation of the God given rights and immunities of <<YOUR FULL NAME>>; and,
THEREFORE, when agents of the above-named respondent, commit actions which violate my rights
as recognized in the Constitution for the united States, the agents of above-named respondent are put on
NOTICE that such violations constitute a waiver of all defenses, including but not limited by, affirmative
defense, legal defense, meritorious defense, partial defense, peremptory defense, personal defense, real defense,
and/or equitable defense. NOTICE upon agent is NOTICE upon principal. NOTICE upon principal is NOTICE
upon agents.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in accord with
the best of my knowledge on this tenth day of the third month in the year of the common era two thousand
four.
_________________________________________________________
<<YOUR FULL NAME>>
ATTESTATION
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and for the
purposes therein stated.
Signed this day, ____________________, at _______________, _________________.
_______________________________
Notary Public
My commission expires on: _______________.
<<YOUR FULL NAME>>
Sui Juris, Claimant
vs.
Dalton Township Clerk
respondents
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NOTICE AND DEMAND
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Whereas, the above-named claimant is in possession of a copy of my RELEASE OF APPOINTMENT
and am released out of obligations and benefits of U.S. citizenship, including the obligations and benefits of any
application for Voter Registration card re <<YOUR FULL NAME>>; and,
Whereas, such RELEASE OF APPOINTMENT makes me no longer an instrumentality of the United
States or a person presumed as being under the jurisdiction of the United States as contemplated in the so-called
fourteenth article amended onto the Constitution for the united States; and,
WHEREAS, I am now free of legal disability;
THEREFORE, the above-named respondent must not use the voided and rescinded Voter Registration
card for identifying me in any way; and,
THEREFORE, the above-named respondent must not relate with my person, papers, or property in any
other manner than as prescribed under American Common Law; and,
THEREFORE, all action taken against <<YOUR FULL NAME>> without full due process
constitutes violation of the God given rights and immunities of <<YOUR FULL NAME>>; and,
THEREFORE, when agents of the above-named respondent, commit actions which violate my rights
as recognized in the Constitution for the united States, the agents of above-named respondent are put on
NOTICE that such violations constitute a waiver of all defenses, including but not limited by, affirmative
defense, legal defense, meritorious defense, partial defense, peremptory defense, personal defense, real defense,
and/or equitable defense. NOTICE upon agent is NOTICE upon principal. NOTICE upon principal is NOTICE
upon agents.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in accord with
the best of my knowledge on this tenth day of the third month in the year of the common era two thousand
four.
_________________________________________________________
<<YOUR FULL NAME>>
ATTESTATION
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and for the
purposes therein stated.
Signed this day, ____________________, at _______________, _________________.
_______________________________
Notary Public
My commission expires on: _______________.
<<YOUR FULL NAME>>
Sui Juris, Claimant
vs.
Michigan Bureau of Vital Statistics
respondents
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NOTICE AND DEMAND
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Whereas, the above-named claimant is in possession of a copy of my RELEASE OF APPOINTMENT
and am released out of obligations and benefits of U.S. citizenship, including the obligations and benefits of the
instrument known as any application for State of Michigan Marriage License or Certificate of Marriage dated
the 8th day of August, 1996 re <<YOUR FULL NAME>>; and,
Whereas, such RELEASE OF APPOINTMENT makes me no longer an instrumentality of the United
States or a person presumed as being under the jurisdiction of the United States as contemplated in the so-called
fourteenth article amended onto the Constitution for the united States; and,
WHEREAS, I am now free of legal disability;
THEREFORE, the above-named respondent must not use the voided and rescinded State of Michigan
Marriage License or Certificate of Marriage for identifying me in any way; and,
THEREFORE, the above-named respondent must not relate with my person, papers, or property in any
other manner than as prescribed under American Common Law; and,
THEREFORE, all action taken against <<YOUR FULL NAME>> without full due process
constitutes violation of the God given rights and immunities of <<YOUR FULL NAME>>; and,
THEREFORE, when agents of the above-named respondent, commit actions which violate my rights
as recognized in the Constitution for the united States, the agents of above-named respondent are put on
NOTICE that such violations constitute a waiver of all defenses, including but not limited by, affirmative
defense, legal defense, meritorious defense, partial defense, peremptory defense, personal defense, real defense,
and/or equitable defense. NOTICE upon agent is NOTICE upon principal. NOTICE upon principal is NOTICE
upon agents.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in accord with
the best of my knowledge on this tenth day of the third month in the year of the common era two thousand
four.
_________________________________________________________
<<YOUR FULL NAME>>
ATTESTATION
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and for the
purposes therein stated.
Signed this day, ____________________, at _______________, _________________.
_______________________________
Notary Public
My commission expires on: _______________.
Certificate of Posting
This certifies that the undersigned observed the following described documents being
placed in an envelope addressed for:
__________________________
__________________________
__________________________
__________________________
and identified by Identification Number #_________________________ with the correct posting
locations for sender and receiver.
This envelope is entered into the delivery system of U.S. Postal Service, without recourse,
and is deemed as being delivered upon deposit with this delivery service.
Item #
Description
1
1 page Declaration of Earthly Occupancy
2
2 page AFFIDAVIT RELEASE OF APPOINTMENT
3
1 page NOTICE AND DEMAND
4
1 page REVOCATION OF SIGNATURE, FOR GOOD CAUSE
MAILING CERTIFIED BY:
_________________________________
Witness
_________________________________
Witness
DATE: _________________
AFFIDAVIT
REVOCATION OF SIGNATURE, FOR GOOD CAUSE
I, <<YOUR FULL NAME>>, the affiant, am of lawful age and sound mind, am competent for
testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first hand
knowledge of the facts and stating that these facts are true and represent the best of my knowledge.
I hereby revoke my signature, for cause, from all “applications for Michigan Driver/Operator
License, registrations and plates” bearing the name <<YOUR FULL NAME>> or number B 550 135
149 908.
I am hereby and herein demanding the delivery of the signature card into my custody.
Conditions that justify revocation of signature, are various elements of fraud including, but not
limited by, fraud in the inducement. The full particulars of the contract that I was signing were not
available for my inspection nor were the full particulars of the contract ever at any time offered for my
inspection.
Through fraud by concealment, I was misled into believing the form was for a different purpose
than that for which the form is actually used.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
AFFIDAVIT
REVOCATION OF SIGNATURE, FOR GOOD CAUSE
I, <<YOUR FULL NAME>>, the affiant, am of lawful age and sound mind, am competent for
testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first hand
knowledge of the facts and stating that these facts are true and represent the best of my knowledge.
I hereby revoke my signature, for cause, from the “application for Michigan Identification
Card” bearing the name <<YOUR FULL NAME>> or number B 550 135 908 0.
I am hereby and herein demanding the delivery of the signature card into my custody.
Conditions that justify revocation of signature, are various elements of fraud including, but not
limited by, fraud in the inducement. The full particulars of the contract that I was signing were not
available for my inspection nor were the full particulars of the contract ever at any time offered for my
inspection.
Through fraud by concealment, I was misled into believing the form was for a different purpose
than that for which the form is actually used.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
AFFIDAVIT
REVOCATION OF SIGNATURE, FOR GOOD CAUSE
I, <<YOUR FULL NAME>>, the affiant, am of lawful age and sound mind, am competent for
testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first hand
knowledge of the facts and stating that these facts are true and represent the best of my knowledge.
I hereby revoke my signature, for cause, from the “application for Michigan Marriage License”
bearing the State file NO. 0827, Local File NO. 580681 dated of the 8th day of August 1996.
I am hereby and herein demanding the delivery of the signature card into my custody.
Conditions that justify revocation of signature, are various elements of fraud including, but not
limited by, fraud in the inducement. The full particulars of the contract that I was signing were not
available for my inspection nor were the full particulars of the contract ever at any time offered for my
inspection.
Through fraud by concealment, I was misled into believing the form was for a different purpose
than that for which the form is actually used.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.
AFFIDAVIT
REVOCATION OF SIGNATURE, FOR GOOD CAUSE
I, <<YOUR FULL NAME>>, the affiant, am of lawful age and sound mind, am competent for
testifying as a first-hand witness, and am telling the truth, voluntarily relating the following first hand
knowledge of the facts and stating that these facts are true and represent the best of my knowledge.
I hereby revoke my signature, for cause, from any “application for voter registration(s)” for any
county within the State of Michigan.
I am hereby and herein demanding the delivery of the signature card into my custody.
Conditions that justify revocation of signature, are various elements of fraud including, but not
limited by, fraud in the inducement. The full particulars of the contract that I was signing were not
available for my inspection nor were the full particulars of the contract ever at any time offered for my
inspection.
Through fraud by concealment, I was misled into believing the form was for a different purpose
than that for which the form is actually used.
This document is the preparation of the undersigned.
Before the Almighty God and under His statutes, I declare that the foregoing is the truth in
accord with the best of my knowledge on this tenth day of the third month in the two thousand and
fourth year of common era.
_______________________________
<<YOUR FULL NAME>>, Sui Juris
ACKNOWLEDGMENT
<<YOUR FULL NAME>>, the undersigned, who is personally known by me or upon proper
identification, is appearing before me this day and signing the within instrument in my presence and
for the purposes therein stated.
Signed this day, ____________________, at <<YOUR CITY AND STATE>>.
SEAL
_______________________
Notary Public
My commission expires on: _______________.