REQUEST FOR NUMIDENT PRINTOUT

Last revised: 03/22/18

1. PURPOSE:
This is a Privacy Act (PA) request to obtain the NUMIDENT record for the Social Security Number that was illegally
issued to a member or a prospective member. It is useful as a preparation for sending in the Resignation of Compelled
Social Security Trustee, Form #06.002. It is not absolutely necessary that you have the NUMIDENT record to send
in Form #06.002, but it can be helpful.

This is NOT a Freedom of Information Act (FOIA) request under 5 U.S.C. §552, but a Privacy Act (PA) Request
under Privacy Act, 5 U.S.C. §552a. If you identify this request as a FOIA, they may reject it and not provide the
information requested.

2. PROCEDURE FOR USE:

2.1. The destination address to send Privacy Act requests can change. It is best to verify that the address included
is still accurate. The latest information about FOIA relating to the Social Security Administration can be found at:
https://www.ssa.gov/foia/request.html
2.2. Fill in your personal information in the boxes provided.
2.3. Fill in the payment information at the end.
2.4. Sign and date the form.
2.5. Mail the form.
3. PROTECT YOUR LEGAL EVIDENCE.
Keep the original in a safe place locked up, preferably away from your house so that it may not be seized. Also, scan
it in as a full color PDF and make backups you keep in several locations. One of the first things a judge will do if
you want the document admitted as evidence in a legal trial is ask about the chain of custody of the document and
whether it has remained under your own control at all times so that there is an assurance that it was not tampered
with. See the free article Techniques for Building a Good Administrative Record available below for further details:
Techniques for Building a Good Administrative Record, Form #09.008
http://sedm.org/Forms/FormIndex.htm
4. FURTHER READING AND RESEARCH:
4.1. Privacy Act, 5 U.S.C. §552a
https://www.law.cornell.edu/uscode/text/5/552a
4.2. A Citizen's Guide to Using the Privacy Act and the Privacy Act of 1974 to Request Records, Form #03.001
http://sedm.org/Forms/FormIndex.htm
4.3. Important Government Contacts-Family Guardian. Section 7 contains a list of all the IRS Disclosure Offices
that you can send your request to.
http://famguardian.org/Subjects/Taxes/Contacts/Contacts.htm
4.4. Department of Justice FOIA Guide
http://www.usdoj.gov/oip/foi-act.htm
4.5. Department of Justice Basic FOIA Training Manual
https://www.justice.gov/oip/doj-guide-freedom-information-act
4.6. IRS Freedom of Information
https://www.irs.gov/privacy-disclosure/irs-freedom-of-information
4.7. Government Information Locator Service (GILS)
http://www.gils.net/
4.8. SEDM Forms Page, Section 1.3: Discovery
http://sedm.org/Forms/FormIndex.htm
4.9. SEDM Litigation Tools Page, Section 1.3: “Discovery”
http://sedm.org/Litigation/LitIndex.htm
4.10. The Political Graveyard-Most Comprehensive source of U.S. political biography
http://politicalgraveyard.com/
4.11. National Political Index

Request for Numident Printout 1

Copyright SEDM, http://sedm.org
Form 03.006, Rev. 3-18-2018
 http://www.politicalindex.com/index.htm
4.12. Congressional Quarterly: Publishes contact information for politicians in Washington, D.C. within all
departments
https://cqrollcall.com/

Request for Numident Printout 2

Copyright SEDM, http://sedm.org
Form 03.006, Rev. 3-18-2018
 Request for Numident Printout Record

To: Social Security Administration

OEIO FOIA Workgroup
6100 Wabash Ave.
P.0. Box 33022
Baltimore, MD 21290-3022

1 Request for Privacy Act Records

This correspondence constitutes a formal request under the Privacy Act (PA), 5 U.S.C. §552a to obtain any and all NUMIDENT
records relating to the referenced account.

1. I am requesting copies of records in lieu of personal inspection of the requested records.

2. REGARDLESS of the type of record maintained, you are REQUIRED by the Privacy Act to disclose it to me.
3. I understand the penalties provided in 5 U.S.C. §552a(i)(3) for requesting or obtaining access to records under false pretenses.
4. This is NOT a Freedom of Information Act (FOIA) request under 5 U.S.C. §552.
5. I am attesting under the penalty of perjury under the laws of the united States of America 28 U.S.C. §1746(1) and from without
the "United States", that:
a. I am the ONLY human being who could possibly be described by the erroneous and false records requested, even
though they are being illegally maintained, in violation of my Fourth Amendment rights, and without my consent.
b. The information and facts identified herein are true and correct to the best of my ability.
6. I certify that I was ineligible at the time the SS-5 application was submitted and continue to be ineligible under the Social Security
Act, 42 U.S.C. Chapter 7. Consequently, I am trying to prevent a FRAUD upon myself and a fraud upon the Social Security
Administration in either paying into or collecting any money.
7. The Citizenship Profile Code (CSP) associated with the Record should be “D” and NOT “A”, meaning OTHER. If it indicates
“A”, the record is in error and should be corrected because you have be confused with someone domiciled on federal territory.
This has been the case from the time application was made to the present time.
8. I understand that any false representation to knowingly and willfully obtain information from Social Security records is punishable
by a fine of not more than $5,000 or one year in prison.
9. I also understand AND YOU SHOULD TOO that the same $5,000 penalty for false representation applies to the FALSE records
YOU are maintaining which indicate elgibility to participate.
10. I DO NOT consent to the sharing of this information with any other agency or person within the national governemnt who is
outside the Social Security Administration.

Below is the information needed to retrieve the false and inaccurate information in your record. reuqested:

_______________________________ ______________________ __________________

(Narne) (Social Security Number) (Date of Birth)

If you do not know your Social Security number, please provide the following information:
Name: Date of Birth:

Place of Birth: Mother’s Maiden Name:

Sex: Father’s Name:

In all cases, also provide the following:

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 Mailing Address: Daytime Phone Number:

______________________________________

______________________________________

NOTE 1: There is a fee for obtaining this printout. If you know the SSN, the charge if $16.00; if the SSN is not known, the charge is
$18.00. The applicable fee must accompany this request. You may pay by check, money order, or MasterCard, Visa, Discover,
American Express, or Diner's Club credit card. Checks and money orders should be made payable to "Social Security Administration".
If paying by credit card, please provide the following:

Type of Credit Card: _______________________________________________________________________

Card Holder's Name:________________________________________________________________________
Assigned SSN (not applicant’s but ILLEGALLY assigned to him/her, see NOTE 2 below): __________________
Card Holder's Address: ______________________________________________________________________
Daytime Phone Number: _____________________________________________________________________
Amount to be charged: ______________________________________________________________________
Credit Card Number: ____________ Month/Year of Expiration:_________________________________

NOTE 2: See: Why You Aren’t Eligible for Social Security, Form #06.001;
http://sedm.org/Forms/06-AvoidingFranch/SSNotEligible.pdf

2 Request to destroy any records maintained without my consent BEFORE responding to this request for
records remaining AFTER destruction

1. Pursuant to the Privacy Act, 5 U.S.C. §552a(b), you must have my consent to maintain records about me and you do not have
my consent.
2. You do not have my permission to maintain ANY records about me, and especially not in the context of any office or
employment within ANY government, state or federal. The maintenance of any such records is a violation of my Fourth
Amendment right to privacy and legally admissible evidence of criminal identity theft on your part.
3. Because you do NOT have my consent to maintain such records and doing so is a violation of my privacy, I hereby request
that you destroy ALL Social Security records about me and retain all records about money paid to you by me or on
behalf of me because it was paid illegally, under duress and must be returned IMMEDIATELY. If you do not do so, you
are in violation of the Privacy Act, and ESPECIALLY any and all so-called “benefits”. It is ILLEGAL to offer
“benefits” in states of the Union.
Why You Aren’t Eligible for Social Security, Form #06.001;
http://sedm.org/Forms/06-AvoidingFranch/SSNotEligible.pdf
4. The term “taxpayer” and “person” within the Internal Revenue Code is synonymous with a public office in the national but not
state government exercised in a federal enclave and domiciled on federal territory under 4 U.S.C. §72. I was never lawfully
elected or appointed to serve within and DO NOT serve within said government for the periods in question, and therefore am a
victim of criminal identity theft on your part if you DO NOT correct the records as required by 5 U.S.C. §552a(d)(2). See:
The “Trade or Business” Scam, Form #05.001
https://sedm.org/Forms/FormIndex.htm
https://sedm.org/Forms/05-MemLaw/TradeOrBusScam.pdf
5. This submission is a request under the Privacy Act for any and all records connected to my all caps name that you have NOT
honored my request to DESTROY. As such, it is provided to document CRIME on your part, which certainly DOES NOT fall
within the auspices of a “routine use”, but a LAW ENFORCEMENT use. It will be used as evidence of criminal attempts by
you to violate my privacy and commit identity theft as described in:
Government Identity Theft, Form #05.046
https://sedm.org/Forms/FormIndex.htm
https://sedm.org/Forms/05-MemLaw/GovernmentIdentityTheft.pdf
6. Because these records are being requested for a law enforcement use, any and every attempt to interfere with their disclosure as
the main party affected by their maintenance hereby constitutes:
a. Criminal witness tampering. I am the party adversely affected by these knowingly false records, I am a witness to federal
crimes they are evidence of, and their maintenance constitutes an attempt to influence and coerce me to criminally
impersonate a public officer, which is also a crime.
b. Obstruction of justice.

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7. The provisions of law applicable to the unauthorized use or commercial use of my personally identifying information are
covered by the following, which you expressly consent to by virtue of maintaining any and all records about me:
Privacy Agreement, Form #06.014
https://sedm.org/Forms/FormIndex.htm
https://sedm.org/Forms/06-AvoidingFranch/PrivacyAgreement.pdf

Your response to this request should include a list of records destroyed or no longer in existence because they were destroyed in
response to this request. Anything in this correspondence not EXPRESSLY rebutted under penalty of perjury with evidence shall be
deemed admitted for all future interactions in court relating to the false records you are maintaining. Federal Rule of Civil Procedure
8(b)(6).

3 Consequence of providing NO RECORDS in response to this request

In the event that you respond to this request with NO RECORDS, such an action shall constitute legal evidence and a formal
admission by you that:

1. Any records that match my name are not me as a human being.

2. I am not a statutory “taxpayer”.
3. The records relate to the OWNER of the franchise mark, which is the Social Security Number. That owner is the Commissioner
of Social Security, who is also personally responsible for all injuries that property might inflict to my absolutely owned private
property.

"A franchise entails the right to operate a business that is "identified or associated with the franchisor's
trademark, or to offer, sell, or distribute goods, services, or commodities that are identified or associated with
the franchisor's trademark." The term "trademark" is intended to be read broadly to cover not only trademarks,
but any service mark, trade name, or other advertising or commercial symbol. This is generally referred to as
the "trademark" or "mark" element.

The franchisor [the government] need not own the mark itself, but at the very least must have the right to
license the use of the mark to others. Indeed, the right to use the franchisor's mark in the operation of the
business - either by selling goods or performing services identified with the mark or by using the mark, in
whole or in part, in the business' name - is an integral part of franchising. In fact, a supplier can avoid Rule
coverage of a particular distribution arrangement by expressly prohibiting the distributor from using its
mark."

[FTC Franchise Rule Compliance Guide, May 2008;

SOURCE: http://business.ftc.gov/documents/bus70-franchise-rule-compliance-guide]

4. Any attempts to enforce against me personally are a product of the crimes documented in:
Affidavit of Duress: Illegal Tax Enforcement by De Facto Officers, Form #02.005
https://sedm.org/Forms/02-Affidavits/AffOfDuress-Tax.pdf

Sincerely,

_______________________________________ __________________________
Signature Date

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