· notice to principal ... chase bank notice of non-payment due ... i am returning your...

NOTICE TO PRINCIPAL ** **** NOTICE TO AGENT IS IS NOTICE TO AGENT **** ** NOTICE TO PRINCIPAL

UCC 1-308/1-207_______________ UCC 3-501 DEMAND AND CEASE AND DESIST __ of __

UCC 3-501 DEMAND

(all international and “STATE OF . . .” equivalents)

TO DEBTOR: HSBC Bank USA, N.A., et. al. C/o: 523 Union Street Seattle, WA 98101 Attn: Abraham A. Dairi [email protected] 206.224.9973 fax 206.336.0580 direct Attn: Terry Park [email protected] 206.224.9973 fax 206.224.9961 phone Ref Account Name/Number: ANNEXES: A – HSBC Premier Statement of Account [ENTER DATE] B - Security Agreement with UCC Doc/File # C - CHASE BANK notice of non-payment due to HSBC reporting account frozen D – HSBC REPORT OF “STOLEN CARD” E - Notice of Mistake, Demand and Opportunity to Cure, May 1, 2012 (Second Notice too) RE: DEMAND FOR INFORMATION

Dear HSBC Bank USA, N.A., et. al., I am returning your presentment (Annex A) WITHOUT DISHONOR since the presentment is statement that you have acted outside of your authorized role as custodian by refusing to honor my orders of payment without written notice to me and without my consent. Furthermore, the presentment still states you debited my holdings for those amounts under the total “checks/withdrawals and other subtractions” for the month without explanation of whom they were paid to. This instrument presented states that HSBC reversed two payments I made without due notice or explanation: [ENTER FACT SPECIFIC FAILURES OF BANK] One payment I made was to my CHASE Credit Card for $31,991.91 made by e-payment for May 7, 2012; the second payment I made was to [ENTER PAYEE] for $[ENTER AMOUNT] check #[ENTER #] which HSBC reversed on [ENTER DATE], 2012; furthermore you reported my debit card issued on the above referenced account as “stolen”. (Annex A, C and D). Are you a Holder-In-Due-Course of the above referenced account or any account with the name [ACCOUNT NAME] under UCC 3-302, UCC 3-303, UCC 3-305 or UCC 3-306, or any international or “STATE OF. . .” equivalent? You have sent me an incorrect instrument (Annex A), UCC 3-115 (or international and “STATE OF. . .” equivalent), with which you are trying to induce me by fraud UCC 3-305(a) (or international and “STATE OF. . .” equivalent) to accept, for your benefit. I am the Secured Party on the above referenced account, established [ENTER DATE OPENED], per your offer that I

mailto:[email protected]




accepted, which I duly secured, nunc pro tunc, UCC Doc #[ENTER #] (See Annex B). I AM RETURNING YOUR UNSUBSTANTIATED PRESENTMENT UNDER UNIFORM COMMERICAL CODE 3-501(b)(3) (or international and “STATE OF. . .” equivalent) and I DEMAND THAT YOU PRODUCE WITHIN 72 HOURS OF THIS PRESENTMENT the following:

1. Produce proof of claim that you maintain a security interest, public policy UCC 1-201(35), and any and all international and “STATE OF. . .” equivalent, in my private person, property or my funds held in HSBC ACCOUNT NAMES OR NUMBERS, inclusive of [ENTER ACCOUNT NUMBER] and any accounts with the name [ENTER ACCOUNT NAME] that makes you a Holder-In-Due-Course, public policy UCC 1-201(21) , and any and all international and “STATE OF. . .” equivalents;

2. Produce the agreement permitting you to refuse to honor my payment orders exists that contains my signature? Produce it.;

3. What agreement permitting you to freeze my account exists that contains my signature? Produce it; 4. What agreement permitting you to steal my funds exists that contains my signature? Produce it; 5. What Territorial Application, public policy UCC 1-105, and any and all international and “STATE OF. . .”

equivalent, exists that we have agreed upon that contains my signature?; 6. I hereby declare and affirm my status as a creation of God, a natural [man/woman], who is free to travel as I chose,

and free to use and enjoy my private property as I chose without hindrance or delay; 7. There are grounds for insecurity on my part based on your action and inaction. Therefore, I demand assurances

under public policy UCC 2-609, and any international and “STATE OF. . .” equivalent, as to your delegation of authority, UCC 2-210 , and any and all international and “STATE OF. . .” equivalent, to operate in a Union state, in a capacity that applies to me outside of your authorized capacity as “Custodian” of my funds and property in the above referenced account and “order taker” therefrom;

8. What presumption(s) make you believe that you have authority to refuse my orders of payment?; 9. What presumption(s) make you believe that you have authority to freeze my account?; 10. What presumption(s) make you believe that you have authority to withhold my private funds and property from

me?; 11. Produce the negotiable instruments I signed that was payable to you, UCC 3-419 , and any and all international and

“STATE OF. . .” equivalent, that would make you a Holder-In-Due-Course in the above referenced HSBC ACCOUNT NAME/NUMBER, to act and present outside of your authorized capacity as “Custodian” and “order taker”, specifically the actions to refuse my orders of payment, freeze my account, present to third-parties that my account is frozen, and withhold my funds and property from me;

12. Which principal are you operating for in this instance? The FEDERAL RESERVE, the UNITED STATES, or the United States of America?;

13. I demand you provide me the identification, inclusive of employee numbers and licenses, who determined that they had the authority and standing to refuse my orders, freeze my account, and/or withhold my funds and property from me;

14. Produce answers and documents with specificity and particularity to each of the above points, signed by pen and ink, UCC 3-401 (or international and “STATE OF. . .” equivalent).

YOU HAVE 72 HOURS FROM RECEIPT OF THIS DEMAND TO COMPLY. A lack of response on your part means a fault, UCC 1-201(16) (or international and “STATE OF. . .” equivalent) exists, reating fraud through material misrepresentation which vitiate all forms, contracts, agreements etc., expressed or implied, from the beginning, UCC 1-103 (or international and “STATE OF. . .” equivalent). Your presentments are fraudulent and unconscionable UCC 1-303 (or international and “STATE OF. . .” equivalent) and are discharged, UCC 3-603 (or international and “STATE OF. . .” equivalent) without resort to a commercial tribunal. The United States is a corporation



and HSBC BANK USA, N.A. is a corporation and there is NO IMMUNITY for anybody when they deal in commercial paper. WITH EXPLICIT RESERVATION OF ALL RIGHTS WITHOUT PREJUDICE UCC 1-308 (or international and “STATE OF. . .” equivalent): A FACSIMILE OR DIGITAL COPY OF THIS ORIGINALLY EXECUTED WRITTEN NOTICE OF MISTAKE, DEMAND FOR RELEASE AND OPPORTUNITY TO CURE SHALL BE LEGALLY BINDING AS AN ORIGINAL AND IT IS EFFECTIVE IMMEDIATELY. Done and effective this May 21, 2012, All Rights Reserved Without Prejudice UCC 1-308, RCW 62.A.1-207, all “STATE OF . . .” and international codes and equivalents (“UCC 1-308”): ___________________________________________________________ UCC 1-308 Bance Hom, Principal Permanent Address: 1639 E. Pebble Beach Dr. Tempe, AZ [85282] Registered Authorized Agent Address: Bance Hom C/o 513 25th Ave NW Gig Harbor, WA [98335]

[ NOTARY ]

[ENTER LETTERHEAD]

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UCC DEMAND/NOTICE OF CEASE AND DESIST

[ENTER DATE] CHIEF [ENTER CHIEF'S NAME] [ENTER SPECIFIC NAME] POLICE DEPARTMENT [ENTER SPECIFIC Detective] [ENTER EMAIL IF KNOWN] [ENTER MAILING ADDRESS] [ENTER CERTIFIED/REGISTERED MAIL #] CHRISTINE GREGOIRE GOVERNOR STATE OF WASHINGTON 416 Sid Snyder Ave SW Suite 200 P.O. BOX 40002 Olympia, WA 98504

SAM REED SECRETARY OF STATE STATE OF WASHIGNTON Legislative Building P.O. BOX 40220 Olympia, WA 98504-0220

ROBERT MCKENNA ATTORNEY GENERAL STATE OF WASHINGTON [email protected] 1125 Washington Street SE PO Box 40100 Olympia, WA 98504-0100

cc: See Annex C, restated and incorporated here as if set forth in full Separately and jointly: [ENTER SPECIFIC NAME] Police Department and State of Washington, through any and all of its agencies, [ENTER BANK NAME AS ENTERED ON SECURITY FINANCING STATEMENT FOR BANK ACCOUNT(S)], et. al., provides me custodian services by contractual obligation and duties, duly secured by UCC Security Financing Agreement Doc # [ENTER DOC #], restated and incorporated here by Annex A as if set forth in full. [ENTER BANK NAME], N.A., et. al., is under investigation for highly criminal behavior by various governments. Acting outside of their granted authority, [ENTER BANK NAME], N.A., et. al., refused to honor its contractual duties and obligations and froze my accounts to deny me access to my property. When asked pursuant to applicable law under what standing and authority they had to deny me access to my property, they shifted all responsibility and liability to [ENTER NAME] Police Department and State of Washington through one of its agencies. A true and accurate scan of the original written letter from [ENTER BANK NAME], N.A., et. al., is annexed as Annex B, restated in its entirety and incorporated herein as if set forth in full. I do not understand under what standing, authority or jurisdiction either of you would have over me, my private land and property, specifically freezing my accounts and denying me access to my property, if in fact [ENTER BANK NAME], et. al.'s allegation is true[OR ENTER FACT SPECIFIC EVENTS]. Various attempts of requests for verification and information have been made, by email and calls to the [ENTER POLICE DEPARTMENT] switchboard, inclusive of requests for proof of whether a Detective [ENTER NAME] works for [ENTER NAME] Police Department, his/her badge number, the case/incident number, his/her authority and jurisdiction over me, my private land and property, if any. Despite attempts and requests to verify and get information, no verification and information have been produced as of [ENTER CURRENT DATE]. I have knowingly, willingly and intentionally instructed all my agents, employees, work associates, and family who have come to me with a report that a [man/woman], whether [he/she] is impersonating a public officer or not, claiming to record their calls and then making threats of various future “actions” and spewing alphabets such as “FBI” to intimidate them to answer questions, I have instructed them to inform said [man/woman] and her accomplices, that they will happily return calls, consent to recordings, and comply with all official written requests from public officers, officials, or persons as soon as said officers, officials or persons provide verifiable proof and documentation as demanded in #1-38 below;


[ENTER LETTERHEAD]

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I personally will happily return all calls, and reply to all official written requests from public officers, officials and persons, as soon as said officers, officials and persons provide me with verifiable proof and documentation as demanded in #1-38 below; ALL OF YOUR PHONE CALLS AND DEMANDS, WRITTEN OR ORAL, DELIVERED DIRECTLY OR INDIRECTLY, ARE RETURNED WITHOUT DISHONOR AND PURSUANT TO PUBLIC POLICY UCC 3-501, RCW 62A.3-501, ARS 47-3501, all “STATE OF . . .” and International equivalents, you, inclusive of your principals, departments, divisions, agents, employees, assigns, or successors are hereby ordered to produce verifiable proof of your identification, standing, authority and jurisdiction, inclusive of any and all accommodation agreements, signed with wet-ink signature under the penalty of perjury under the laws of the United States of America and the state of Washington, specifically as follows:

1. your identification, public policy UCC 3-501, all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate copy of your identification registered with the [Enter Name] Police Department and appropriate public and government offices;

2. your badge number, public policy UCC 3-501, all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate badge number registered with the [Enter Name] Police Department and appropriate public and government offices;

3. your oath, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

4. your bond, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

5. your appointment by [Enter Name] Police Department Chief of Police sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

6. the accommodation agreement, public policy UCC 3-419, all “STATE OF . . .” and International equivalents, authorizing you to represent and present on behalf of STATE OF _____________, inclusive of any department or office thereof, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of ________________ that the foregoing is true, complete and correct copy of the original recorded with the appropriate public and government offices;

7. the statute, implementing regulation, state and Federal Register volume and page number where a requirement has been published that states I must comply with any written or oral request, demand or other instruction from [Enter Name] Police Department, any State of Washington agency/department, or any state agency in the United States of America, without my consent;

8. I deny that any such statute, implementing regulation, state and Federal Register exists; 9. the statute and implementing regulation that states or authorizes your jurisdiction over me and my property

without my consent; 10. I deny that any such statute and implement regulation exists; 11. an original accommodation agreement, public policy UCC 3-419, all “STATE OF . . .” and International

equivalents, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate;

12. I deny giving knowing, willing, and intentional written consent to [Enter Name] Police Department, State of Washington, or any state of the United States authority over me and my property, or authority to represent me and present on my behalf, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington;

[ENTER LETTERHEAD]

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13. a case number for the allegation allegedly being investigated, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing case number is the true and accurate case number issued by [Enter Name] Police Department and recorded with the appropriate public and government offices;

14. I deny that any such case number exists; 15. a certified copy of the original report made and taken by the [Enter Name] Police Department in order to issue a

case number, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate copy of the original report taken by the [Enter Name] Police Department and recorded with the appropriate public and government offices;

16. I deny that any such report exists; 17. a certified copy of the original report made and taken by an the State of Washington, sworn by wet-ink signature

signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate copy of the original report taken by the [Enter Name] Police Department and recorded with the appropriate public and government offices;

18. I deny that any such report exists; 19. the identification and contact information of any and all persons who provided you with any of my confidential

personal information, inclusive of any and all accounts under the name [ENTER ACCOUNT NAME], whether located at any and all financial institutions or other institutions;

20. Written confirmation that [Enter Name] Police Department ordered [ENTER BANK NAME], et. al., to freeze the account(s) registered under the name [ENTER ACCOUNT NAME], sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate;

21. a certified copy of the original written order from [Enter Name] Police Department to [ENTER BANK NAME], et. al., ordering the account(s) registered under the name [ENTER BANK NAME] frozen, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate copy of the original order to freeze said account(s) made by the [Enter Name] Police Department and delivered to [ENTER BANK NAME], et. al.;

22. I deny that any such order exists; 23. Written confirmation that the State of Washington, through any and all of its agencies, ordered [ENTER BANK

NAME], et. al., to freeze the account(s) registered under the name [ENTER ACCOUNT NAME], sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is true and accurate;

24. A certified copy of the original written order from the State of Washington, through any and all of its agencies, to [ENTER BANK NAME], et. al., ordering the account(s) registered under the name [ENTER ACCOUNT NAME] frozen, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate copy of the original order to freeze said account(s) made by State of Washington and delivered to [ENTER BANK NAME], et. al.;

25. I deny that any such order exists; 26. Written confirmation that [Enter Name] Police Department ordered or requested [ENTER COUNTY NAME]

COUNTY SHERIFF DEPARTMENT to send officers/deputies to look for [ENTER ACCOUNT NAME] at an address located in [ENTER COUNTY NAME] County, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate;

27. a certified copy of the original written order or request from [Enter Name] Police Department to [ENTER COUNTY NAME] COUNTY SHERIFF DEPARTMENT to send officers/deputies to look for [ENTER ACCOUNT NAME], sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate copy of said original order or request;

[ENTER LETTERHEAD]

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28. I deny that any such written order or request exists; 29. A certified copy of the basis and information the [Enter Name] Police Department gave to [ENTER COUNTY

NAME] COUNTY SHERIFF DEPARTMENT to get them to send officers/deputies to look for [ENTER ACCOUNT NAME], sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate;

30. Written confirmation that [Enter Name] Police Department ordered or requested [IF MORE THAN ONE COUNTY, THEN ENTER COUNTY NAME] COUNTY SHERIFF'S OFFICE to send officers/deputies to look for [ENTER ACCOUNT NAME] at an address located in [ENTER COUNTY NAME] County, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate;

31. A certified copy of the original written order or request from [Enter Name] Police Department to [ENTER 2ND COUNTY NAME] COUNTY SHERIFF'S OFFICE to send officers/deputies to look for [ENTER ACCOUNT NAME], sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing certified copy is the true and accurate copy of said original order or request;

32. I deny that any such written order or request exists; 33. A certified copy of the basis and information the [Enter Name] Police Department gave to [ENTER 2ND

COUNTY NAME] COUNTY SHERIFF'S OFFICE to get them to send [ENTER NUMBER OF OFFICERS] officers/deputies to look for [ENTER ACCOUNT NAME], sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate;

34. My principle of law is aligned with common law and protected under the UNITED STATES CONSTITUTION, Article 4 Section 3 Clause 1;

35. Identify your principle of law, public policy UCC 1-103, all “STATE OF . . .” and International equivalents, that abrogates my rights duly reserved and protected as stated herein, signed and sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate;

36. I deny that [Enter Name] Police Department can produce the proof and documents as demanded in #1-35 above;

37. I deny that State of Washington, through any of its agencies, can produce the proof and documents as demanded in #1-36 above;

38. I DEMAND THAT YOU PRODUCE THE PROOF and DOCUMENTS AS DEMANDED IN #1-37 ABOVE, SEPARATELY POINT BY POINT, WITH SPECIFICITY AND PARTICULARITY;

39. NOTICE: YOUR FAILURE TO PRODUCE THE PROOF AND DOCUMENTATION AS DEMANDED IN #1-38 ABOVE RENDERS THE ABOVE ALLEGATIONS AND YOUR INABILITY OR UNWILLINGNESS TO PRODUCE AS TRUTH, AS A MATTER OF LAW, MATTER OF FACT AND AS A MATTER OF PUBLIC POLICY, RESULTING IN THE ISSUANCE OF A CERTIFICATE OF DISHONOR PURSUANT TO PUBLIC POLICY UCC 3-505, RCW 62A.3-505, ARS 47-3505, AND ANY AND ALL STATE AND INTERNATIONAL EQUIVALENTS.

For all I know a woman (or a man) impersonating a public officer or official is repeatedly harassing me, my friends, my family, my work associates, employees, and my agents; Said woman (or man) is apparently now contacting county sheriffs of various jurisdictions and states requesting them to perform her (his) actions without producing verifiable proof of # 1-38 above, thus attempting to shift or engage the additional responsibility and liability to said sheriffs, to the potential detriment and damage of the people who prepaid for those sheriffs' offices and operations. IF YOU ARE UNWILLING OR INCAPABLE OF PRODUCING THE PROOF AND DOCUMENTATION AS DEMANDED IN #1-38 ABOVE, THEN YOU ARE ORDERED TO:

A) CEASE AND DESIST PERMANTLY FROM DENYING ME ACCESS TO MY PROPERTY, SPECIFICALLY

[ENTER LETTERHEAD]

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ACCOUNT(S) AT [ENTER BANK NAME], et. al. within 72 (seventy-two) hours of receiving this written demand, with full indemnity and waiver of tort granted automatically granted upon my receipt of your written confirmation of said release of my property;

B) CEASE AND DESIST PERMANTLY FROM CONTACTING ME DIRECTLY AND INDIRECTLY BY ANY MEANS OF COMMUNICATION. YOU ARE HEREBY ORDERED TO CEASE AND DESIST PERMANTLY FROM ALL ACTS AND INACTIONS THAT ARE CONSIDERED BY A REASONABLE MAN TO BE HARASSMENT UNDER ANY LAW AND JURISDICITION AGAINST MYSELF, MY FRIENDS, MY FAMILY, MY EMPLOYEES, MY WORK ASSOCIATES, MY AGENTS, MY PRIVATE LAND AND PROPERTY;

By your failure to unfreeze my accounts or otherwise render them unencumbered for my unfettered access to my property for use at my sole discretion, and to produce proof of your identification, standing, authority and jurisdiction as demanded in #1-38 above, you are deemed “uncooperative” and you are knowingly, willingly and intentionally accepting full liability and responsibility, to be perfected as due, owing and collectible, pursuant to the process as noticed and stated in # 39 above, inclusive of any and all damages incurred by me due to your actions and in-actions, by true bill, duly secured, invoicing principle amount, costs, expenses, lost profits, interest, and triple damages thereof totaling over [ENTER SUM CERTAIN] to date and accumulating and accruing, nunc pro tunc.

NOTICE TO PRINCIPAL IS NOTICE TO AGENT; NOTICE TO AGENT IS NOTICE TO PRINCIPAL DULY VERIFIED as ISSUED, with due standing, authority and authorization, November 28, 2012, knowingly, willingly and intentionally made, given, and noticed, with unlimited personal liability, sworn under the penalties of perjury in accordance with lawful Universal Contract, under governing law, International Law Ordinance UCC Doc No. 2012113593 and WA UCC Doc. No. 2012-296-1209-2, preserved and protected under perpetuity 2000043135, guaranteed, protected and secured, public policy, UCC 1-103, common law remedy thereunder guaranteed, public policy, UCC 1-305; Duly witnessed, secured, entered and noticed; Without prejudice as promised, preserved, and protected, public policy, UCC 1-308, NUNC PRO TUNC, PRAETEREA PRETEREA: ___________________________________________ [Enter BE'ings Name] c/o [enter street address] [enter city and state] [enter “near [enter zip] in brackets] [enter email if desired]

ANNEX A

[ENTER LETTERHEAD]

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[enter pictures of secured party's UCC Security Financing statement duly securing accounts/assets at financial institution]

ANNEX B

[enter scan of bank letter if applicable, or other relevant document]

[ENTER LETTERHEAD]

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ANNEX C

notice to principal is notice to agent

[ENTER LETTERHEAD]

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notice to agent is notice to principal

DEPARTMENT OF JUSTICE OFFICE OF PUBLIC INTEGRITY Jack Smith, Chief [email protected] UNITED STATES SECRET SERVICE Mark Sullivan, Director David Iacovetti, Special Agent in Charge [OR ENTER OTHER LOCAL SPECIAL AGENT] [email protected] FEDERAL BUREAU OF INVESTIGATIONS Robert S. Mueller, Director Carolyn Woodbury, Special Agent [OR ENTER OTHER LOCAL SPECIAL AGENT] [email protected] DEPARTMENT OF SOCIAL & HEALTH SERVICES STATE OF WASHINGTON Chris Imhoff, Director [email protected] CITY OF [enter city name] COUNCIL [enter name], President, [enter email/address] [enter name], [enter email/address] [enter name], [enter email/address] [enter name], [enter email/address] [enter name], [enter email/address] [enter name], [enter email/address] [enter name], [enter email/address]





UCC 3-501 / FLA. STAT. § 673.501 DEMAND AND ORDER FOR CEASE AND DESIST Name & Contact Information

June 20, 2012 [name of judge] [address of judge] RICK SCOTT GOVERNOR STATE OF FLORIDA 400 S. Monroe St Tallahassee, FL 32399

KEN DETZNER SECRETARY OF STATE STATE OF FLORIDA P.O. BOX 6327 Tallahassee, FL 32314

PAM BONDI ATTORNEY GENERAL STATE OF FLORIDA The Capitol PL-01 Tallahassee, FL 32399-1050

cc: [Plaintiff's Attorney] and See Annex A, restated and incorporated here as if set forth in full Reference: Alleged [enter case # and name] Dear Mssrs. [last names of: judge, if a man] Scott, Detzner and Ms. Bondi: I received a document that purports to be a complaint to the [enter name of court] in Miami, Florida. As the lawful owner of the private land and building located near [enter your address], I will be happy to comply with this purported complaint as soon as I receive the following documents from you, to wit:

THE PURPORTED COMPLAINT IS REJECTED WITHOUT DISHONOR AND PURSUANT TO PUBLIC POLICY UCC 3-501, FLA. STAT. § 673.501, and any and all international equivalents. Pursuant to said Public Policy, I demand that you produce: 1. your identification, public policy UCC 3-501, FLA. STAT. § 673.501 , all “STATE OF . . .” and International

equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of your identification registered with the appropriate public and government offices;

2. your employee identification number, public policy UCC 3-501, FLA. STAT. § 673.501, all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of your employee identification registered with the appropriate public and government offices;

3. your oath, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

4. your bond, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original bond recorded with the appropriate public and government offices;

5. the accommodation agreement, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . . .” and International equivalents, authorizing you to represent and present on behalf of STATE OF FLORIDA, inclusive of any department or office thereof, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

6. the statute, implementing regulation, state and Federal Register volume and page number where a


requirement has been published that states I must comply with the summons without my consent; 7. I deny that any such statute, implementing regulation, state and Federal Register exists; 8. the statute and implementing regulation that states or authorizes your jurisdiction over me, my private land

and my property without my consent; 9. I deny that any such statute and implement regulation exists; 10. an original accommodation agreement, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . .

.” and International equivalents, made knowingly, willingly and intentionally, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;

11. I deny giving knowing, willing, and intentional written consent to State of Florida, or any state of the United States granting authority over me, my private land and property, or authority to represent me and present on my behalf, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;


13. Identify your principle of law, public policy UCC 1-103, FLA. STAT. § 671.103, all “STATE OF . . .” and International equivalents, that abrogates my rights duly reserved and protected as stated herein, signed and sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Washington that the foregoing is true and accurate;

14. I deny that you can produce the proof and documents as demanded in #1-13 above; 15. I deny that State of Florida, through any of its agencies, can produce the proof and documents as

demanded in #1-14 above; 16. I DEMAND THAT YOU PRODUCE THE PROOF and DOCUMENTS AS DEMANDED IN #1-15

ABOVE, SEPARATELY POINT BY POINT, WITH SPECIFICITY AND PARTICULARITY; 17. NOTICE: YOUR FAILURE TO PRODUCE THE PROOF AND DOCUMENTATION AS

DEMANDED IN #1-16 ABOVE RENDERS THE ABOVE ALLEGATIONS AND YOUR INABILITY OR UNWILLINGNESS TO PRODUCE AS TRUTH, AS A MATTER OF LAW, MATTER OF FACT AND AS A MATTER OF PUBLIC POLICY, RESULTING IN THE ISSUANCE OF A CERTIFICATE OF DISHONOR PURSUANT TO PUBLIC POLICY UCC 3-505, FLA. STAT. § 673.505.

IF YOU ARE UNWILLING OR INCAPABLE OF PRODUCING THE PROOF AND DOCUMENTATION AS DEMANDED IN #1-16 ABOVE, THEN YOU ARE ORDERED TO:

A) CEASE AND DESIST PERMANANTLY FROM CONTACTING ME DIRECTLY AND INDIRECTLY BY ANY MEANS OF COMMUNICATION; YOU ARE HEREBY ORDERED TO CEASE AND DESIST PERMANANTLY FROM ALL ACTS AND INACTIONS THAT ARE CONSIDERED BY A REASONABLE MAN TO BE HARASSMENT UNDER ANY LAW AND JURISDICITION AGAINST MYSELF, MY FRIENDS, MY FAMILY, MY EMPLOYEES, MY WORK ASSOCIATES, MY AGENTS, AND MY PRIVATE LAND AND PROPERTY;

By your failure to CEASE AND DESIST, and to produce proof of your identification, standing, authority and jurisdiction as demanded in #1-16 above, you are deemed “uncooperative” but you are knowingly, willingly and intentionally accepting full liability and responsibility, to be perfected as due, owing and collectible, pursuant to the process as noticed and stated in # 17 above, inclusive of any and all damages incurred by me due to your actions and in-actions, by true bill, duly secured, invoicing principle amount, costs, expenses, lost profits, interest,


and triple damages accumulating and accruing, nunc pro tunc.

NOTICE TO PRINCIPAL IS NOTICE TO AGENT; NOTICE TO AGENT IS NOTICE TO PRINCIPAL Duly sworn as true and correct, executed on this ___ day of ______, 2012, with all rights reserved without prejudice, UCC 1-308, FLA. STAT. § 671.207, and any and all “State of . . .” and international equivalents (“UCC 1-308”): UCC 1-308___________________________________________ [Name] c/o [your address (near [your zip])

PUBLIC NOTARY STATE OF_________________) )ss COUNTY OF______________) On _________2012, ________________________ did personally appear before me, a licensed public notary for the STATE OF__________________, and did produce satisfactory evidence of identification that he/she is the person whose signature and initials are affixed to this instrument. Furthermore, he/she did swear under the penalties of perjury under the United States of America, without State of Florida, that he did affix his/her signature to this instrument knowingly, willingly and intentionally. _________________________________________________ [seal] name date my commission expires______________________________


ANNEX A

notice to principal is notice to agent notice to agent is notice to principal

[plaintiff] [plaintiff's contact information] DEPARTMENT OF JUSTICE OFFICE OF PUBLIC INTEGRITY Jack Smith, Chief [email protected] UNITED STATES SECRET SERVICE Mark Sullivan, Director Mark Vass [email protected] Rose Brown [email protected] Angela Zents [email protected] FEDERAL BUREAU OF INVESTIGATIONS Robert S. Mueller, Director John V. Gillies, Special Agent in Charge-Miami [email protected] [email protected] FLORIDA SUPREME COURT Charles T. Canady, Chief Justice 500 South Duval Street Tallahassee FL 32399-1925







UCC 3-501/FLA. STAT. § 673.503 DEMAND AND ORDER FOR CEASE AND DESIST Name & contact information page 1 of 4

June 20, 2012 [name of plaintiff's attorney] [address of plaintiff's attorney] cc: See Annex A, restated and incorporated here as if set forth in full Reference: Alleged [enter case # and name] Dear [Plaintiff's Attorney] I received a document that purports to be a complaint to the [enter name of court] in Miami, Florida. As the lawful owner of the private land and building located near [enter your address], I will be happy to comply with this purported complaint as soon as I receive the following documents from you: THE PURPORTED COMPLAINT IS REJECTED WITHOUT DISHONOR AND PURSUANT TO PUBLIC POLICY UCC 3-501, FLA. STAT. § 673.501, and any and all “STATE OF . . .” and international equivalents. Pursuant to said Public Policy, I demand that you produce:

1. your identification, public policy UCC 3-501, FLA. STAT. § 673.501 , all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of your identification registered with the appropriate public and government offices;

2. your Florida bar association number, public policy UCC 3-501, FLA. STAT. § 673.501, all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate bar number registered with the appropriate public and government offices;


4. your bond, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

5. the accommodation agreement, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . . .” and International equivalents, by and between you and [name of Plaintiff] authorizing you to represent and present [plaintiff] to third-parties, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original on record with [plaintiff] and the appropriate public and government offices;

6. a certified copy of the board resolution, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . . .” and International equivalents, duly executed by [plaintiff] authorizing them to file suit and hire you to


represent and present on the behalf of [plaintiff] to third-parties, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original in the custody of [plaintiff] and with the appropriate public and government offices, if any;

7. the original contract by and between myself and [plaintiff] with my wet-ink signature and the wet-ink signature of [plaintiff], signed knowingly, willingly, and intentionally signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;

8. I deny that any such contract exists; 9. proof of that a loan was made:

(a) proof of prior title and ownership of funds allegedly loaned to me by [plaintiff]; (b) proof of history of funds allegedly loaned to me by [plaintiff]; and, (c) proof of actual transfer of said funds by [plaintiff] to me;

10. I deny that any loan exists; 11. proof of a perfected debt that is collectible by [plaintiff] from me; 12. I deny that any perfected debt exists; 13. a loan and a debt are to entirely different concepts, legally and factually; 14. a loan is not a debt; a debt is not a loan; 15. the statute, implementing regulation, state and Federal Register volume and page number where a

requirement has been published that states I must comply with the complaint without my consent; 16. I deny that any such statute, implementing regulation, state and Federal Register exists; 17. the statute and implementing regulation that states or authorizes your jurisdiction over me, my private

land and my property without my consent; 18. I deny that any such statute and implement regulation exists; 19. an original accommodation agreement, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . .

.” and International equivalents, made knowingly, willingly, and intentionally, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;

20. I deny giving knowing, willing, and intentional written consent to [plaintiff] granting authority over me and my property, or authority to represent me and present on my behalf, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;



23. I deny that [Plaintiff] can produce the proof and documents as demanded in #1-22 above; 24. I deny that [plaintiff's attorney]can produce the proof and documents as demanded in #1-23 above; 25. I DEMAND THAT YOU PRODUCE THE PROOF and DOCUMENTS AS DEMANDED IN #1-24


DEMANDED IN #1-25 ABOVE RENDERS THE ABOVE ALLEGATIONS AND YOUR INABILITY OR UNWILLINGNESS TO PRODUCE AS TRUTH, AS A MATTER OF LAW, MATTER OF FACT AND AS A MATTER OF PUBLIC POLICY, RESULTING IN THE


ISSUANCE OF A CERTIFICATE OF DISHONOR PURSUANT TO PUBLIC POLICY UCC 3-505, FL. STAT § 673.505.



By your failure to CEASE AND DESIST, and to produce proof of your identification, standing, authority and jurisdiction as demanded in #1-25 above, you are deemed “uncooperative” but you are knowingly, willingly and intentionally accepting full liability and responsibility, to be perfected as due, owing and collectible, pursuant to the process as noticed and stated in # 26 above, inclusive of any and all damages incurred by me due to your actions and in-actions, by true bill, duly secured, invoicing principle amount, costs, expenses, lost profits, interest, and triple damages accumulating and accruing, nunc pro tunc.


PUBLIC NOTARY STATE OF_________________) )ss COUNTY OF______________) On _________2012, ________________________ did personally appear before me, a licensed public notary for the STATE OF__________________, and did produce satisfactory evidence of identification that he/she is the person whose signature and initials are affixed to this instrument. Furthermore, he/she did swear under the penalties of perjury under the United States of America, without state of Florida, that he did affix his/her signature to this instrument knowingly, willingly and intentionally. _________________________________________________ [seal] name date my commission expires______________________________


ANNEX A


RICK SCOTT GOVERNOR STATE OF FLORIDA 400 S. Monroe St Tallahassee, FL 32399



FLORIDA SUPREME COURT Charles T. Canady, Chief Justice 500 South Duval Street Tallahassee FL 32399-1925 DEPARTMENT OF JUSTICE OFFICE OF PUBLIC INTEGRITY Jack Smith, Chief [email protected] UNITED STATES SECRET SERVICE Mark Sullivan, Director Mark Vass [email protected] Rose Brown [email protected] Angela Zents [email protected] FEDERAL BUREAU OF INVESTIGATIONS Robert S. Mueller, Director John V. Gillies, Special Agent in Charge-Miami [email protected] [email protected]








June 20, 2012 [name of judge] [address of judge] RICK SCOTT GOVERNOR STATE OF FLORIDA 400 S. Monroe St Tallahassee, FL 32399



cc: [Plaintiff's Attorney] and See Annex A, restated and incorporated here as if set forth in full Reference: Alleged [enter case # and name] Dear Mssrs. [last names of: judge, if a man] Scott, Detzner and Ms. Bondi: I received a document that purports to be a summons to the [enter name of court] in Miami, Florida. As the lawful owner of the private land and building located near [enter your address], I will be happy to comply with this purported summons as soon as I receive the following documents from you, to wit:

THE PURPORTED SUMMONS IS REJECTED WITHOUT DISHONOR AND PURSUANT TO PUBLIC POLICY UCC 3-501, FLA. STAT. § 673.501, and any and all international equivalents. Pursuant to said Public Policy, I demand that you produce: 1. your identification, public policy UCC 3-501, FLA. STAT. § 673.501, all “STATE OF . . .” and International

equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of your identification registered with the appropriate public and government offices;

2. your employee identification number, public policy UCC 3-501, FLA. STAT. § 673.501, all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of your employee identification registered with the appropriate public and government offices;


4. your bond, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original bond recorded with the appropriate public and government offices;

5. the accommodation agreement, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . . .” and International equivalents, authorizing you to represent and present on behalf of STATE OF FLORIDA, inclusive of any department or office thereof, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

6. the statute, implementing regulation, state and Federal Register volume and page number where a


requirement has been published that states I must comply with the summons without my consent; 7. I deny that any such statute, implementing regulation, state and Federal Register exists; 8. the statute and implementing regulation that states or authorizes your jurisdiction over me, my private land


.” and International equivalents, made knowingly, willingly and intentionally, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;

11. I deny giving knowing, willing, and intentional written consent to State of Florida, or any state of the United States granting authority over me, my private land and property, or authority to represent me and present on my behalf, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;



14. I deny that you can produce the proof and documents as demanded in #1-13 above; 15. I deny that State of Florida, through any of its agencies, can produce the proof and documents as

demanded in #1-14 above; 16. I DEMAND THAT YOU PRODUCE THE PROOF and DOCUMENTS AS DEMANDED IN #1-15


DEMANDED IN #1-16 ABOVE RENDERS THE ABOVE ALLEGATIONS AND YOUR INABILITY OR UNWILLINGNESS TO PRODUCE AS TRUTH, AS A MATTER OF LAW, MATTER OF FACT AND AS A MATTER OF PUBLIC POLICY, RESULTING IN THE ISSUANCE OF A CERTIFICATE OF DISHONOR PURSUANT TO PUBLIC POLICY UCC 3-505, FLA. STAT. § 673.505.





NOTICE TO PRINCIPAL IS NOTICE TO AGENT; NOTICE TO AGENT IS NOTICE TO PRINCIPAL

Duly sworn as true and correct, executed on this ___ day of ______, 2012, with all rights reserved without prejudice, UCC 1-308, FLA. STAT. § 671.207, and any and all “State of . . .” and international equivalents (“UCC 1-308”): UCC 1-308___________________________________________ [Name] c/o [your address (near [your zip])

PUBLIC NOTARY STATE OF_________________) )ss COUNTY OF______________) On _________2012, ________________________ did personally appear before me, a licensed public notary for the STATE OF__________________, and did produce satisfactory evidence of identification that he/she is the person whose signature and initials are affixed to this instrument. Furthermore, he/she did swear under the penalties of perjury under the United States of America, without State of Florida, that he did affix his/her signature to this instrument knowingly, willingly and intentionally. _________________________________________________ [seal] name date my commission expires______________________________

ANNEX A



[plaintiff] [plaintiff's contact information] DEPARTMENT OF JUSTICE OFFICE OF PUBLIC INTEGRITY Jack Smith, Chief [email protected] UNITED STATES SECRET SERVICE Mark Sullivan, Director Mark Vass [email protected] Rose Brown [email protected] Angela Zents [email protected] FEDERAL BUREAU OF INVESTIGATIONS Robert S. Mueller, Director John V. Gillies, Special Agent in Charge-Miami [email protected] [email protected] FLORIDA SUPREME COURT Charles T. Canady, Chief Justice 500 South Duval Street Tallahassee FL 32399-1925








June 20, 2012 [name of plaintiff's attorney] [address of plaintiff's attorney] cc: See Annex A, restated and incorporated here as if set forth in full Reference: Alleged [enter case # and name] Dear [Plaintiff's Attorney] I received a document that purports to be a summons to the [enter name of court] in Miami, Florida. As the lawful owner of the private land and building located near [enter your address], I will be happy to comply with this purported summons as soon as I receive the following documents from you: THE PURPORTED SUMMONS IS REJECTED WITHOUT DISHONOR AND PURSUANT TO PUBLIC POLICY UCC 3-501, FLA. STAT. § 673.501, and any and all “STATE OF . . .' and international equivalents. Pursuant to said Public Policy, I demand that you produce:

1. your identification, public policy UCC 3-501, FLA. STAT. § 673.501 , all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of your identification registered with the appropriate public and government offices;

2. your Florida bar association number, public policy UCC 3-501, FLA. STAT. § 673.501, all “STATE OF . . .” and International equivalents, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate bar number registered with the appropriate public and government offices;


4. your bond, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original recorded with the appropriate public and government offices;

5. the accommodation agreement, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . . .” and International equivalents, by and between you and [name of Plaintiff] authorizing you to represent and present [plaintiff] to third-parties, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original on record with [plaintiff] and the appropriate public and government offices;

6. a certified copy of the board resolution, public policy UCC 3-419, FLA. STAT. § 673.419, all “STATE OF . . .” and International equivalents, duly executed by [plaintiff] authorizing them to file suit and hire you to


represent and present on the behalf of [plaintiff] to third-parties, sworn by wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate copy of the original in the custody of [plaintiff] and with the appropriate public and government offices, if any;

7. the original contract by and between myself and [plaintiff] with my wet-ink signature and the wet-ink signature of [plaintiff], signed knowingly, willingly, and intentionally signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;

8. I deny that any such contract exists; 9. proof of that a loan was made:

(a) proof of prior title and ownership of funds allegedly loaned to me by [plaintiff]; (b) proof of history of funds allegedly loaned to me by [plaintiff]; and, (c) proof of actual transfer of said funds by [plaintiff] to me;

10. I deny that any loan exists; 11. proof of a perfected debt that is collectible by [plaintiff] from me; 12. I deny that any perfected debt exists; 13. a loan and a debt are to entirely different concepts, legally and factually; 14. a loan is not a debt; a debt is not a loan; 15. the statute, implementing regulation, state and Federal Register volume and page number where a

requirement has been published that states I must comply with the complaint without my consent; 16. I deny that any such statute, implementing regulation, state and Federal Register exists; 17. the statute and implementing regulation that states or authorizes your jurisdiction over me, my private land


.” and International equivalents, made knowingly, willingly, and intentionally, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;

20. I deny giving knowing, willing, and intentional written consent to [plaintiff] granting authority over me and my property, or authority to represent me and present on my behalf, signed by my wet-ink signature signed under the penalty of perjury under the laws of the United States of America and the state of Florida that the foregoing is true and accurate;



23. I deny that [Plaintiff] can produce the proof and documents as demanded in #1-22 above; 24. I deny that [plaintiff's attorney]can produce the proof and documents as demanded in #1-23 above; 25. I DEMAND THAT YOU PRODUCE THE PROOF and DOCUMENTS AS DEMANDED IN #1-24


DEMANDED IN #1-25 ABOVE RENDERS THE ABOVE ALLEGATIONS AND YOUR INABILITY OR UNWILLINGNESS TO PRODUCE AS TRUTH, AS A MATTER OF LAW, MATTER OF FACT AND AS A MATTER OF PUBLIC POLICY, RESULTING IN THE


ISSUANCE OF A CERTIFICATE OF DISHONOR PURSUANT TO PUBLIC POLICY UCC 3-505, FL. STAT § 673.505.





PUBLIC NOTARY STATE OF_________________) )ss COUNTY OF______________) On _________2012, ________________________ did personally appear before me, a licensed public notary for the STATE OF__________________, and did produce satisfactory evidence of identification that he/she is the person whose signature and initials are affixed to this instrument. Furthermore, he/she did swear under the penalties of perjury under the United States of America, without state of Florida, that he did affix his/her signature to this instrument knowingly, willingly and intentionally. _________________________________________________ [seal] name date my commission expires______________________________


ANNEX A


RICK SCOTT GOVERNOR STATE OF FLORIDA 400 S. Monroe St Tallahassee, FL 32399



FLORIDA SUPREME COURT Charles T. Canady, Chief Justice 500 South Duval Street Tallahassee FL 32399-1925 DEPARTMENT OF JUSTICE OFFICE OF PUBLIC INTEGRITY Jack Smith, Chief [email protected] UNITED STATES SECRET SERVICE Mark Sullivan, Director Mark Vass [email protected] Rose Brown [email protected] Angela Zents [email protected] FEDERAL BUREAU OF INVESTIGATIONS Robert S. Mueller, Director John V. Gillies, Special Agent in Charge-Miami [email protected] [email protected]







Account # XXXXXXXXX, any subordinate accounts or classifications, or other acounts created for or from [ACCOUNT NAME], inclusive of ALL identifiers, social security numbers, abbreviations, idem sonans, or other legal, financial and managerial forms (secured accounts), [ENTER BANK'S LEGAL NAME] inclusive of its parent holding, subsidiaries, franchises, associates, affiliates, assigns, successors or other partners and their departments by the past actions of its officers, employees, agents, contractors, or licensees thereto or an agent thereof, known and unknown, domestic or foreign, NUNC PRO TUNC (“[ENTER BANK'S NAME], et. al.”) (“Debtor”), accepted offer providing custodian services from date of account activity, for securing private properties of [Enter Secured Party's name], Secured Party, any and all tangibles, value current funds placed into secured accounts by Secured Party; Any and all funds of Secured Party, inclusive of knowing or unknowing leveraged, borrowed, derived, earned, generated or otherwise created, used or collected funds from Secured Party's value current funds placed into secured accounts, mirror accounts, or the like, NUNC PRO TUNC, and inclusive of any and all accrued interest to secure accounts inclusive of Secured Account # [RE-ENTER ACCOUNT #]; Fiduciary obligations accepted for any and all individuals, inclusive of [ENTER ACCOUNT MANAGER'S NAME], [ENTER ACCOUNT MANAGER'S NAME with just first letters of first and last name capitalized], or any persons or entities acting or claiming to act under [ENTER BANK'S NAME], et. al., NUNC PRO TUNC; Any and all fiduciary obligations and corporate liability accepted for [ENTER BANK'S NAME], et. al., whether acting as Principal, Agent or otherwise serving their interests over Secured Party's interest to any and all properties of Secured Party, NUNC PRO TUNC; NUNC PRO TUNC original activity under secured property of Secured Party and legal obligations of Debtor as recognized in any and all jurisdictions; Secured Party's written directives and orders to be completed by custodian, [ENTER BANK'S NAME], et. al.; Done and effective from account activity, All Rights Reserved Without Prejudice UCC 1-308, all “STATE OF . . .” and international codes and equivalents (“UCC 1-308”), /s/ [Enter Secured Party's Name], Secured Party; [Enter Secured Party's Name], Secured Party, is corrected above due to automated filing systems altering original capacity(ies) and standing(s).

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