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Affidavit

BEFORE ME, the undersigned Notary, ______________________________________ [name of Notary before whom Affidavit is sworn], on this ______________________ [day of month] day of __________________________ [month], 20_______ [year], personally appeared ______________________________________________________ [name of affiant], known to me to be a credible person and of lawful age, who being by me first duly sworn, on ___________ [his or her] oath or affirmation, deposes and states: 1. 2. 3. 4. 5. I sent financial reports and filed tax returns with the Internal Revenue Service; All reports and returns sent to the IRS are under threat, duress and coercion; Any IRS document signed by me is signed under threat, duress and coercion; The reports and returns are only sent because I fear retaliation by the IRS; The reports and returns are only sent to avoid having property seized, going to jail, or having harm done to me, my family and/or my property, and not because I believe there exists a legitimate obligation; 6. I am terrified of the IRS and of being attacked by them if I don't comply with them; 7. At no time do or did I make any legal determination that I am a taxpayer with taxable income; 8. I am not competent to make legal determinations anyone is a taxpayer with taxable income. _____________________________________ [signature of affiant] _____________________________________ [typed or printed name of affiant] _____________________________________ [address of affiant linle 1] _____________________________________ [address of affiant line 2 Subscribed and sworn to or affirmed before me on this ______ day of ________________, 20____, by _____________________________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature_______________________________________________(Seal)

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