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DECLARATION OF STATUS
Declaration of reclassification
Where you stand with the law system

POWER OF ATTORNEY IN FACT CERTIFICATE OF AUTHORITY
AFFIDAVIT OF COPYRIGHT

F O U N DAT I O N A L PA P E R W O R K

File in county probate

Separates you from their system

telling them the true designation of the paperwork – there is an issues – what jurisdiction  -

Certificate of identity – UST Certificate of identity – DOJ

QUIET TITLE – PULLS OUT OF THE PUBLIC – I AM NOT A BUSINESS – YOU TAKING MY ID IS ILLEGIBLE

DECL ARATION OF STATUS

SAMPLE
DECLARATION OF STATUS OF FIRST MIDDLE  LAST Original document
Restoration of Former Status

From  Being a  Public "United  States" citizen;
a  Federally-owned  "U.S. citizen" as of March 9, 1933; and
a Taxpayer/Bondman  put to Tribute as of September 8, 1936.

To Becoming Once Again

A PRIVATE CITIZEN OF THE UNITED STATES OF AMERICA:
an "American  Nationa]"
Under Section  I     of the  14th Amendment:
Constitution of the United  States of America

Brunswick,  YourState
Zip Code  Excepted  [04011-7533] Phone:  207-798-4695
+++++++++++++++++++++++++++++++++++++++++++++++++++++

Declaration of Status of First  Middle  Last:
Pre 1933  Private American  National Citizen of the  United  States of America, and
Declaration of Mistake
Maxims: "Equity regards as done that which ought to have been done. n
Equity will not aid a volunteer
Equity will not complete an imperfect gift
Equity will not suffer a wrong to be without a remedy
Equity will not permit a statute to be used as an instrument offraud
An unrebutted Declaration point by point stands as Truth

Coming in peace,  and granting peace to all men,

Accordingly,  I,  First Middle Last  affiant formally known as First Middle  Last in some cases, in esse and sui juris,  by good  reason and  good conscience,  hereby make oath, depose and  declare that the following facts are true,  correct and complete to the  best of my knowledge and  belief.
I,    irst Middle  Last, do solemnly declare and affirm  the following historical facts and distinctions with  regard  to the status of de jure  Private American  National citizenship  (said original  federal citizenship, secured by Article  IV, Section  2 of the Constitution of the United States,  having been  broadened into national  citizenship  by Section  1 of the  14th Amendment to the Constitution of the  United States of America) and on the other hand, a State-created, statutory, de facto Public "U.S. Citizenship", as a basis  enabling a correction of mistake  by this Declaration. This de facto Public U.S. citizenship,  being in substance likened  to a privileged  Roman citizenship, would enable the constitutionally de jure  civilian government of the  United  States (having been constitutionally altered  from  being a de jure  "Federal" government to a de jure "National" government  by the  14th Amendment,  1868) to be replaced with a Congressionally-created,  statutory, de facto Emergency War Powers military government of the United
States on March 9, 1933. This current de facto government in  many ways  has in fact replaced  the  constitutional, de jure jurisdiction of the  United  States, the "United  States"  being the collective name of the states which are  united by and under the constitution," (Hooven & Allison Co. v. Evatt,  324 U.S. 652, 672),  replacing it with a de facto jurisdiction of the  United  States",  (Hooven  & Allison Co. v. Evatt,  supra, 671).
This in effect then,  leaves only exclusive/American Equity Jurisdiction operable for remedies required  by the
Private American  National Citizen, the  posterity of the  People that created these United States.

Further,  that unilateral contract was the application for birth certificate/ public filing of a "Certificate of Live  Birth". The American application for birth certificate  "Certificate  of Live  Birth" -by operation of law-would  be the contract to alter de jure  Private American National  Citizenship to de facto Public "U.S. Citizenship". With this presumption of fact of an existing contract held by every individual  Public "U.S. Citizen" (holding its Private American  National  Citizen of the United States of America  as Property and Surety), every court legally sits in a martial,  concurrent jurisdiction  (in which the forms of Law and Equity have been merged)  enforcing the statutes of an Emergency War Powers Congress. This de facto status enables and obligates all federal  and state courts to sit in this state of emergency, subverting the Common Law jurisdiction of the United States (as  per Section  I      of the  13th Amendment, and Section  I       of the  14th Amendment)  by rendering ineffective,  the constitutional status of de jure private American  National  Citizens of the United  States of America  (Section  1 of the  14th Amendment).

As of March 6, 1933,  all  Public "U.S.  citizens" -with their Surety/Property,  Private American  National  Citizens• were seized  as booty of war by President Franklin Roosevelt's martial,  Emergency War Powers Proclamation  2039 which  practically overthrew the Sovereignty of the  People of the  United  States of America,  reducing them  to being mere  property of a de facto military government sitting in  Washington,  D.C., to be treated  as "rebels  and

DECLARATION OF STATUS OF FIRST MIDDLE  LAST I    Page  1 of 5
belligerents"  living in the fifty states deemed  by the Conqueror/Commander-in-Chief to be merely "occupied territories", the  seized  state governors ruling their de facto military governments in subordination to Washington DC.

Therefore, finding this situation of statutory-altered,  Private American  National Citizenship status  intolerable, unconscionable, and at variance and  in confiict with the originally established courts of Common  Law as well  as the courts or exclusive/inherent Equity/Chancery governed solely by the  Maxims  of Equity,  I,  First Middle of Last, do make oath, solemnly declare  and affirm:
1. WHEREAS,  the  FRANCHISE, CORPORATE SOLE, Cesti Que Trust, via the "application for birth certificate and/or the  BIRTH CERTIFICATE"  (hereinafter BIRTH CERTIFICATE) being in fact a  unilateral contact under seal,  was created and offered  legally through deceit,  in effect, alters, within the current, government, the status of "We  the  People", which  includes every individual  Private American National  Citizen; first of our sovereignty as a People, then  of our constitutionally-created  status, and  ultimately our lives,  fortunes and  our sacred honor;
2. WHEREAS,  the true  purpose of the  BIRTH  CERTIFICATE,  a unilateral contract under seal,  is to  be a covert commercial  agreement and  unconscionable  by "We the  People",  adhesion contract/quasi-contract between the state of the  baby's  natural  birth and the mother of the  baby, the  baby then  deemed  property of the  Federal, de facto military government of the  United States (the BIRTH CERTIFICATES being recorded by the  Department of Commerce then  to serve as collateral securities for the  unquestionable  public debt as per Section 4 of the  14th Amendment);

3. WHEREAS,  the true  nature of the  DATE OF FILING on the  BIRTH CERTIFICATE, a unilateral contract under seal, is to commence the  legal  birth of the  quasi-corporate, artificial  person/Public "U.S. citizen" created  by all  necessary legal  elements of a  unilateral  contract (it being  in writing, signed,  sealed and delivered  for registration and  filed with a  public office of the  baby's state of live  birth);
4. WHEREAS,  the true  nature of the  DATE OF BIRTH of the  baby named  on the BIRTH CERTIFICATE  is to commit the
natural  person/Private American  Natural Citizen as Surety, for, and personal property, of the state-created,
artificial  person/Public "U.S. citizen", both entities being legally wedded  into one legal  entity, the  hybrid, federally•
owned, Public "U.S. citizen",

5. WHEREAS,  the  BIRTH CERTIFICATE is a BUSINESS INSTRUMENT recorded with the County Recorder, a subsidiary of the  Secretary of State  (of the several states treated as "conquered  territories"), also sent to the  Bureau of Census,  a division of the  Department of Commerce in Washington,  D.C., placing the  NAME of the  Public "U.S. citizen"  into interstate  and foreign world commerce as a statutory,  legal,  "person"  (as corporations,  partnerships, trusts,  corporate soles, etc.),  distinct and  separate from  the "natural  born citizen",  i.e. the Private American National Citizen;

6. WHEREAS,  the Secretary of State (of the several  states) charters corporations and issues franchises, therefore, any natural  born  citizen/Private American National  Citizen with a BIRTH  CERTIFICATE  is liable to the  Franchise Board  of the State's Department of Revenue for income/excise/privilege taxes, as well  as being liable to the
Internal  Revenue Service collecting the  internal  revenue  for the  "Federal  Corporation" of the  United States (28  USC
3002 (lS)(A) via excise/income/privilege taxes in  payment of the  interest on the national debt (proven  by President Ronald  Reagan's Grace commission) which  interest is owed  to the  Roman  papacy's Federal  Reserve Bank;

7. WHEREAS,  this BIRTH CERTIFICATE, functioning as a BUSINESS INSTRUMENT,  has deceived  the  Private American National Citizen,  First Middle of� allegedly named  on said certificate, into an unknown and  covert implied contract by operation of law, and  had  placed  Affiant and  fellow Private American National  Citizens under an alien, foreign,  and yet "temporary",  de facto military jurisdiction of the United  States created  at first by the 'Emergency Banking Relief Act",  in  its initial  paragraphs containing a congressionally-amended  WWI  statute  known as "Trading with the  Enemy Act" and  codified  as 12 USC 9S(a), and secondly by then  President Franklin  D. Roosevelt's
Emergency War Powers Proclamation 2040 decreed  on March 9, 1933;

8. WHEREAS,  the above de facto jurisdiction of the United  States includes the jurisdiction of the constitutionally• created, federal and state civilian courts (IN  FORM) sitting in a  martial  Roman Equity/At Law (IN SUBSTANCE), they are no longer proceeding against the accused Private American National Citizen with the Mode of a  Common Law civilian due process, but rather with the Mode of a  Roman Civil  Law martial due process that, if unchallenged  by producing state-filed  public records and other prima fascia evidence, will confer a martial jurisdiction over the accused, being then  forced  to plead  in a court imposing martial  due  process and procedure derived  from  a congressionally-amended World War I   statute as of March 9, 1933, the judges, federal and state, acting on behalf of the de facto military dictator/Commander-in-chief sitting in Washington D.C.;
9. WHEREAS,  upon the public filing of the BIRTH CERTIFICATE with its attached Private American Citizen serving as Surety  and  personal  property, another "source" was created  that would generate "income" which could  then  be income/excise/privileged  taxed; the natural  person /baby/Private American National  Citizen  now wedded to  his new artificial  person/ "U.S. Citizen" as its property and subordinate Surety, the new "source"  (deemed  a "rebel" and  "belligerent"  residing according to state statute  in a state deemed  an "occupied  territory") being in commerce and subject to the absolute legislative powers of the "temporary" Emergency War Powers Congress (1933-present) to regulate without limited  interstate and  foreign  commerce  pursuant to Article  1, Section 8, Clause 3, of the "United  States Constitution" during this  time of a "temporary" declared state of National  Emergency now 2016  in its eighty-third year;
10. WHEREAS, Affiant, a  Private American National Citizen, has presently ceased to be Surety for the personal property of the Public "U.S. citizen"  FIRST MIDDLE LAST' by means of a duly filed "Release With Consideration"• Nunc Pro Tune Ab lnitio", and "Rescission of Signatures of Suretyship-Nunc Pro Tune Ab lnitio", thereby

DECLARATION OF STATUS OF FIRST MIDDLE  LAST I    Page Z of 5
returning to the former status of being a Private American  National  Citizen held for less than  twenty (20) days after
Affiant's natural  birth;

11. WHEREAS, Affiant in esse, has irrevocably separated  himself from the state-created  FRANCHISE, CORPORATE SOLE, "United Sates Citizen", created by means of a  publicly filed BIRTH CERTIFICATE, hereby revokes all  powers, including but not limited to,  Powers of Attorney and/or Agency that Affiant may have granted to any third party, public and/or private. Therefore, Alliant does not consent and  is not a  party to FDR's contract with all "U.S. citizens"  by means of Proclamation 2040 confirmed  and  approved  by Congress in its passage of the "Emergency Banking Relief Act'' and then thereby amending the "Trading With the Enemy Act''. Therefore, Affiant is not in commerce (as are corporations),  never to enjoy any commercial  privilege of limited  liability as a matter of "United States citizenship" status (as do corporations being Public U.S. citizens),  having discharged  all de facto Emergency War Power Military Governments, federal and state,  from  any duty  or obligation arisen from  Affiant being the Property/Surety for and/or wedded to the state-created  hybrid, the federally owned Public "U.S. citizen" in service of Washington D.C., for commerce and war;
12. WHEREAS,  I         First Middle  of !ill, have returned  to my former status of being an American  Freeman and  an American  National  in Equity,  i.e.  de jure Private  National  Citizen of the  United States under Section  1 of the  14th Amendment and  therefore stand  "in  personam",  "in esse", and  "sui juris",  possessing all  God-given unalienable rights including those protected  by the first eight amendments of the Bill of Rights, all Constitutional rights (federal and state) and all common Law rights of a de jure Private Citizen of the United States/ American National,  no longer under the legal disability of being the Property/Surety for and/or wedded to a  de facto, state-created,
Public "U.S. citizen" owned by the Federal de facto Military Government of the United States;

13. WHEREAS, I, First Middle of Last  am no longer the Property/Surety for and/or wedded to a de facto Public U.S. citizen"  (which  is "alien juris"), therefore,  no longer under the de facto jurisdictional  power of statutorily-created, de facto Emergency War Powers Governments (federal  and  state) as those  absolute  legislative, absolute  executive, and absolute judicial  powers are exercised  towards a de facto Public "U.S. citizen" deemed  a "rebel and
belligerent" statutorily "residing"  in a state deemed  "occupied territory", and therefore  no longer under the paternal guardianship of de facto Emergency War Powers Governments (federal and state) as those absolute, paternal  powers are exercised  towards its "infants, children and  wards", and the de facto Public U.S. citizens";
14. And so First Middle  of�  aka First Middle  Last,  hereby present my renunciation, as to any implied  allegiance
to the de facto "United Sates".
THEREFORE, based  upon the foregoing, I,  First Middle of Last, in esse and sui juris, do make oath, solemnly declare
and affirm the following positive averments:

1.      I     am one of the  Posterity of ''We the People" by whom  and  for whom  the Constitution was originally ordained and established according to its Preamble, holding de jure Private American National Citizenship conferred upon my natural birth by section I   of the 14th Amendment to the Constitution for the United States.

2.     My ProQer name at Common Law is "First Middle", my surname/family name is "Last", I     am also known by the name First Middle Last.

3.     My Proper name "First Middle  of Last''  is spelled  in  both  upper and  lower case letters,  without capitonyms
(without using all capital-lettered  name),  in accordance with  proper rules of English grammar.

4.    I     was naturally born on September the Eighth (8th), the year of our Lord Nineteen Hundred  and thirty-six (1936) and was called  First Middle Last for many years.  My natural and legal parents were Arnold Middle Last and Shirley Getchell Last, who unknowingly and  by mistake subjected myself, as a newborn baby, to this Emergency war  Powers Government; to be unconscionably and mistakenly on public record.
S.     I     was naturally born in the city of Portland, on the land of the County of YourCounty, within the geographical
jurisdiction of the YourState  State, one of the several  States of the  Union.

6.     In the day of my natural  birth I   became  a de jure Private American  National Citizen of the geographical  United
States of America (composing the fifty states) pursuant to Section I     of the 14th Amendment to the
Constitution of the United States of America.

7.    In the day of my natural birth I   became a de jure PRIVATE AMERICAN NATIONAL CITIZEN/ PRIVATE RESIDENT of the geographical YourState State pursuant to Section I     of the 14th Amendment to the Constitution of the United States of America.
8.    On the day my "Certificate of Live Birth" was filed with the "State of YourStat   ', by operation of law I     became the Property/Surety and/or and wedded to "First Middle  Last", a state-created, YourState  "corporate sole" and  statutory Public "U.S. citizen" of the de facto "Emergency war Powers Military Government of the
"United  States",  it governing the states as "conquered  territories" and  its state-created  "U.S. citizens" as a conquered  people.
9.    Said  Property has been returned  to the  natural owner, said  Suretyship has been terminated,  the  marriage  has ended  and  my former status of Private American  National Citizen of the  United  States of America  has been restored,  pursuant to the  maxims of the  Law of Contract,  The American Common  Law,  Equity Maxims, Equity Jurisprudence and  the  Uniform Commercial  Code,  by means of a duly filed  and publicly recorded "Release Without Consideration-Nunc Pro Tune Ab lnitio".
10.   If a de jure Private American National Citizenship of the Republic is "paramount and dominant", my de
jure Private Citizenship of the Republic of YourState  is "subordinate and derivative" of said  Private National Citizenship of the United States. Selective Draft Law Cases; 245 U.S. 366, 389 (1918). Private Citizens of the United States were called "American Freemen" by pre-14th Amendment presidents George Washington, Andrew Jackson, Zachary Taylor and Abraham Lincoln, as well as by post 14th Amendment Supreme Court

DECLARATION  OF STATUS OF FIRST MIDDLE LAST I    Page 3 of 5
Justice John  Marshall  Harlan evidenced  by his dissent  [in  U.S. Maxwell v Dow,  176 U.S. 581, 607, 617 (1900)
and  Downes v. Bidwell,  182  U.S. 2444, 381 (1901)].

11.   I,  now Specially and Privately Reside without the  military jurisdiction of the "United  States" as defined  by the "Trading With the  Enemy Act'', and therefore  Privately Reside within a non-military occupied  private estate within the territorial jurisdiction of the geographical  Republic of YourState   which I     sometimes refer to as The
�� Republic Free State. Therefore I   am  a Special and Private Resident  holding Private Citizenship of
the  Republic of YourState  pursuant to Section  1 of the  14th  Amendment.

12.   My flags are the civilian flag of the  Republic of the  United States of America (4  USC 1) and  the civilian flag of
the Republic of YourState.  Neither civilian flag,  representing its nation under a republican form  of government, displays gold  fringe  and/or gold cords with gold  tassels' as do military colors displayed  by the Commander-in• chief of the de facto Military Government of both the  United  States of America and  the  Republic of YourState.
13.   My  law is the  Twenty Maxims of English/American  Equity.

14.   My seal is private to my family.

15.   Being a non-statutory, constitutionally-protected  Private American  National Citizen of the Republic of the United  States of America  and  a non-statutory, constitutionally-protected  Private Citizen/Special and Private Resident of the  Republic of YourState and therefore  no longer the  Property/Surety for and/or wedded  to the YourState  "corporate sole"/ "Public U.S.  citizen"  "FIRST MIDDLE  LAST I   am not in commerce as a matter of personal  status, as are statutory, state-created,  Surety-backed  Public "U.S. citizens" of the  United  States, and therefore the sentient,  living person "First Middle  Last", without a Surety and Personal  Property,  is a "Non• Taxpayer" described  in  Economy Plumbing & Heating vs. United  States, 470 F.  2d, 585 at 589 (1972).
16.   I       have  rescinded  every Signature of Surertyship-Nunc Pro Tune Ab lnitio-ever executed  on behalf of the corporate sole/ "U.S. citizen" "FIRST MIDDLE LAST"  (including and  derivative of the NAME thereof)  be it public and/or private,  by means of a duly  filed  'Rescission of Signatures of Suretyship-Nunc Pro Tune Ab lnitio".

17.   The legal Title  holder(s) and  the  Equitable Title  holder of all  legal  property of the  Private  Business Trust "FIRST MIDDLE  LAST" are  private  in nature evidenced  by a "Notice of Private Trust Arrangement" filed  in the  public record.
18.   I     am the agent for the  Private Business Trust "FIRST MIDDLE  LAST" in the acquisition of its legal  property by
nature evidenced  by a "Notice of Private Trust Agreement" filed  in the public  record.

19.  The Private Business Trust"  IRST MIDDLE  LAST" is in  U.S. domestic and world  commerce, all products being equitable  property by nature of a special and  private Sole  Beneficiary holding the status of a  Private Citizen of the  United  States, secured  by Section  1 of the  14th Amendment to the Constitution of the United  States of America. Therefore the  Private Business Trust "FIRST MIDDLE  LAST", "has no income",  and therefore  the trust is a  Non-taxpayer legal  entity.
Further,  I,  First Middle of Last in esse and sui juris,  makes oath, do solemnly declare and affirm the following
negative averments:

1.    I     am not alien juris, holding the status of being the  Property/Surety for and/or wedded  to an artificial,  de facto,  hybrid  Public "U.S. citizen created  by state statute  in the state of my natural  birth for the  benefit of the de facto Emergency War Powers Military Government created  on March 9, 1933; hence  I      am  neither an  infant or a child  nor a rebel or a belligerent under the power  of a paternal  and  martial  Emergency War Powers Military Government, federal or state.
2.     My Proper name is not "FIRST MIDDLE LAST", "FIRST E.  LAST", First E.  Last", or any other form  or derivative
thereof; of this nom  de guerre/name of war carried  by all "U.S. citizens", which  is principal  in distinguishing the difference  between all of the  uppercase names and mixed case  names, which  has been affirmed  by a federal  court of record.
3.     My Proper name is not spelled in solely upper case  letters or with any abbreviations, which  is principal  in distinguishing the difference between the all-uppercase name and the mixed case name which has been affirmed  by a federal court of record.
4.    I     am not"   R      MIDDLE LAST", "FIRST E. LAST", or "First E. Last'', or any derivative thereof; which is principal
in distinguishing the difference between the all-uppercase  names and the mixed case names that has been affirmed  by a federal court of record.
5.    I     am neither the Property/Surety for,  nor wedded to the artificial entity "FIRST MIDDLE LAST" "FIRST E.
LAST", "First E.  Last'' or any other derivative of this  nom  de  guerre/name or war carried  by all "U.S. citizens", said  NAME being the legal property by characteristic of the de facto Military Government of the United States of America.
6.     I      am  neither a statutory,  state-created  Public "United  States citizen",  (artificial  person) of the sovereign,  de
facto Military Government of the United States nor am  I     Surety for and/or personal property of and/or
wedded to a statutory, state-created  Public "United  States citizen"  (artificial person) of the sovereign, de
facto Military Government of the United  States as a matter of Status and/or a matter of public  and/or private contract. Therefore,  I      am not a state-created, federally owned, statutory Public,  "United  States
citizen" (artificial  person/"U.S. citizen") of the sovereign, de facto Military Government of the  United  States for income/excise/privilege tax purposes.
7.    My flags, national and state, are not military colors bordered with gold fringe and/or draped with gold cords
with gold tassels.
8.    I     am not a rebel, belligerent or enemy publicly residing within a conquered territory of the "United States" (the territory over which the sovereignty of the United States exists", Hooven, supra  p 671), its sovereign, de

DECLARATION OF STATUS OF FIRST MIDDLE  LAST [    Page 4 of 5
facto,  Military Government having been created  by FDR's presidential  proclamation  2040 approved and
confirmed by Congress,  "Emergency Banking Relief Act" (12 USC 9Sb), which act also was amended (via  12
USC 9Sa) the "Trading with the Enemy Act'' (SO USC App, S(b), on March 9, 1933.
9.    I   do not publicly reside according to state statute within a conquered territory or within a federal military district of the geographical Republic of the United States of America (composed of the fifty states). My special, private and confidential  location, of living in Equity, on the land of the County of YourCount,1 may be mailed
service at:

First Middle of Last,  American  National
Private Citizen of the  United  States of America Private Citizen of the  Republic of YourState Nation YourState,  General  delivfry Brunswick, Zip accepted  near (04011-7355)
10.  I     do not publicly reside according to statute within any of the ten regions of the geographical  United States of America designated  by Zip codes of the Federal Zone Improvement Project begun  in  1963 and  take exception to whenever and  wherever possible  in the  use of either a ZIP code or a Postal code,  both  being synonymous.
Further, I,  First Middle of Last, in esse and sui juris, make oath, do solemnly declare and affirm the
following specific negative averments:

1.      Whereas a  mistake made by my natural parents in unknowingly subjecting me, while yet a  baby, to the intentions and jurisdiction of this aforesaid temporary de facto government that they misunderstood, and now hold such  mistaken act as unconscionable by their own  admission?
2.     Am I      not free, under the rules of English American Equity, to correct a  mistake for the regard of my own
interest?
3.     Can  I     not now choose  by my free will act to properly correct my status by way of this declaration, for the intention of having  proper and  peaceful  relations with all  men?
4.     Are not all  of the aforesaid  averments made in this declaration true  regarding
who  I     am, and  who  I     am  not being?
5.     Are my own  parents both  not also in the  process of a similar status correction action  regarding their own interests?
6.     Is it not my intention to see it that my own  wife and  children  have the same proper status as myself,  and  does
our identity belong  on the  U.S. "Do not Detain  Do not Arrest List"?

Further and  Finally:
I, First Middle of Last, am a  constitutionally-acknowledged and  protected, de jure, Pre-1933 Private American National Citizen of the United States of America, and therefore, I     am a  constitutionally-acknowledged and protected, de jure, Private Citizen of the Republic of YourState, Specially and Privately residing in
English/American Equity on the land of YourCounty County, in YourState.

Therefore, I         First Middle  of�  holding the constitutionally-protected  private right to a civilian due process of law on both a federal and state level, as well as being unaffected  by the "Emergency Banking Relief Act" having imposed a  martial due process of law (by way of the amended  "The Trading With the Enemy Act") on any substantively, artificial,  "person within  the United  States"  deemed  federal "booty of war",  am as foreign, by nature and by characteristic, to the extra-constitutional, alien, de facto, temporary"  Emergency War  Powers Military Government of the  United  States and owe  no temporary allegiance to said  "temporary"  Emergency War Powers
Government. Therefore,  I     am foreign,  by nature and  characteristic,  to the extra-constitutional, alien, de facto, "temporary"  Emergency War Powers Government of the State of �Stat   and the extra-constitutional,  alien, de facto,  "temporary",  Emergency war Powers Governments of the other forty-nine (49) states and  owe  no temporary allegiance to said  "temporary" Emergency War Powers  Military Governments  having been "temporarily" created  by Congress (12 USC 9Sa) and by President Franklin D. Roosevelt (Presidential  Proclamation
2040) on March 9, 1933.

This "Declaration of Status of First Mktdle  of Last: American  National;  Pre-1933  Private American  National
Citizen" supersedes any previous filing with any public office of said  Declaration of Status.

Again I  say:  I  come in and operate  in  peace.

Further Affiant Sayeth Not.

               Rrst Middle last                                                  _

First Middle Last, American Freeman

American  National Pre-1933 Private Citizen of the United States,  Private Resident of the Republic of
YourState,  Private Resident of the County of YourCountyJ Sole Beneficiary for "FIRST MIDDLE LASr': legal entity formally known  as First Middle Last. Without Prejudice. All Rights and  Liberties Reserved.

DECLARATION  OF STATUS OF FIRST MIDDLE LAST I    Page 5 of 5

POA
POWER OF ATTORNEY IN  FACT

&
HOLD HARMLESS/ INDEMNITY IDENTITY'S

KNOW ALL MEN AND WOMEN  BY THESE  PRESENTS:

JOHN  ADAM  DOE,  herein  reference  to as  PRINCIPAL,  in  the County of                                  _ of sound  mind, appoints  the living  man known  as John-Adam:  Doe;  a peaceful,  non-belligerent, and non-combatant party, as his true and lawful ATIORNEY IN  FACT.
Any   and   all   powers   of  ATIORNEY   IN   FACT  -    NON-ADVERSE,   NON-BELLIGERENT,   NON• COMBATANT    PARTY  does  supercede   any  and   all  former  Power  of  Attorney  powers,   and furthermore  current  Powers  cures all previous  signatures  given  by principal.    In  the principal's name, and  for the  principal's use  and  benefit, said ATIORNEY IN  FACT has full and complete authorization for the facilitation by the conveyance through any communications  in translation for assimilation  in account science correction techniques  in all facets  of interstate,  intrastate, domestic, and foreign commerce relations with full protection of Safe Harbour and Sinking Funds Provisions for all accounts, proceeds, products, fixtures, and services such as:
1)   Sell,  exchange,   buy,  invest,  and I or  reinvest  any  assets  and I or  property  whether  by possession  and  I or  ownership,  which   may   have   income   production   or  non-income production assets and property.
2)   Open,  maintain,  and I or close  bank accounts:  with express provisions for;  demand deposit
(checks,  custodial) accounts,  term  deposit (savings) accounts,  and certificates  of deposit, brokerage accounts,  and other similar accounts with depository and repository and financial institutions.
a.     Conduct any business with any depository institution, any repository institution, and all financial  institution  service providers in particular;  all issue agents,  all transfer agents,  and all       payout agents  with  respect to  any  of  principal's accounts.  With  express  provisions for creation  of deposits  and  withdrawals, acquisition and procurement for all bank statements,  passbooks,  drafts, money orders, warrants, certificates, stocks, shares, bonds, mortgages, encumbrances, liens, financial obligations, promissory notes,  bills of exchange, assigns, hardship claims,  abandonment claims,  salvage claims,  quitclaims,  and  vouchers;  either assignable to, assignable to the order of, payable to, pay to, pay to the order of, or payable to the order of, for the principal  by any legal person,  body corporate, body politic, body ecclesiastical, and any  corporation sale ..
b.     Perform  any act necessary to deposit,  negotiate,  sell,  transfer,  or exchange any
legal  and I or lawful  obligation  in the style  of a note,  security,  bond,  stock, share,  of the Treasury of the  United  States of America,  and all Treasuries of every  United Nations  Member  States  and all Foreign  Governments  and  their political subdivisions.
c.    Have access to any safe deposit box whether in possession and I or by ownership with the express provision for the contents.
3)   Take any and all legal/lawful steps  necessary  to collect any amount or debt due and/or past due,  and/or to  settle  any  claim,  whether  made against or from  affirmation on behalf of principal against any other person  or entity.
4)   Exercise  all stock  rights  as  proxy, with these express provisions for all rights,  privileges, and powers with  respect to stocks,  bonds, debentures, and I or other investments.
5)   Maintain  and/or  operate  any  business,  personal   property, and  ownership interests  of, with, for, and by principal.
6)   Purchase and/or maintain insurance, re-insurance, and/or bond  rights herein.
7)   Enter into /ego/ ond lawful bound contracts on behalf of principal.
8)   Employ professional and business assistance as may be appropriate.
9)    Sell, convey, lease, mortgage,  manage,  insure, improve, repair, or perform  any other act with  respect to  any  of principal's  property  whether os current ownership, possession holder,   ond/or  os  potential   acquisition  ond   procurements   of  ownership   ond/or possession  placement,  with  the  express  provision for  real  estate,  real  estate  rights, privileges,  powers,  without limit  to  the  right  to  remove  tenants  and/or  to  recover possession ond settlement. This express provision without limit is also for the  right to sell and/or  to  encumber any  current  homestead  possession  ond/or  ownership  ond / or
potential possession ond I or ownership.
10) Transfer  any of principal's assets to  the trustee of any style of c'est qui trust and/ or foreign situs trust; whether it be deed of trust, express trust, irrevocable trust,  revocable

POWER OF ATIORNEY  IN  FACT  I        Page 1 of 3
trust,  and/or  any other  legal  and/or  lawful  creation  by principal,  whether  or not said
such trust is in existence at the time of such transfer.
11)  Prepare,  sign,  and  file  documents  with  any  governmental  body  or  agency,  with  the express provision  without limit as authorization to implement account science  of units of exchange  and units of account for all depository and repository events:
a.    Prepare, sign and file income and other tax returns with federal, state, local, and other governmental bodies.
b.    Obtain   information  and  I or  documents  from  any  government  and  I or  its
agencies; and negotiate, compromise, and/
or settle any matter with such government and I or agency for any/all lawful tax matters.

c.     Prepare applications, provide information, and perform  any other act which is a reasonable request by any government and I or its agencies whom  have either a sworn  oath, sworn affirmation, sworn  affidavit of appointment,  and public bond, lawful  insurance  provider,  and lawful  re-insurance  provider  in  connection  with
governmental  benefits  with  the  express  provision  for  military  benefits,  social security benefits,  health benefits.
12)  Make  gifts  from  assets  to  members  of  family  and  to  such  other  persons  and  / or charitable organizations with whom  principal  does establish a pattern to provide gifts.

The Principal  hereby appoints John-Adam:  Doe, the living man, a  peaceful,  non-belligerent, and

non-combatant  party;   of                                          City  here                                     �

Country  of

as substitute Authorization  Representative and  for the sole  purpose  to provide  gifts of property to said ATTORNEY IN  FACT, as the event does deem to be  appropriate. (13)  Disclaim  any  interest  that might  otherwise  be a transfer  or distribution  to  principal  from
any other person, estate, trust, and I or other entity, as may be appropriate.

Said ATTORNEY IN  FACT-in-fact shall not be liable for any loss that results from a judgment error that  was  made  in  good  faith.  Wherein,  said  ATTORNEY  IN  FACT  is given  grant for a   HOLD HARMLESS  and  FULL  INDEMNITY  stance  in law,  in  good  faith  performance  of  duty  as  active
action through the authority of this Power of ATTORNEY IN  FACT.

Principal  authorizes  said  ATTORNEY  IN  FACT to further indemnify and  hold  harmless  any  third

party who accepts and acts under good faith to uphold this document.

Herein given through gift and by grant to said ATTORNEY IN  FACT full power and authority to do

all and every act and thing whatsoever requisite and necessary to be done relative to any of the current events  and  their continuation  as fully  to all  intents  and  purposes  as principal  might or
could do if personally present.

All   that   said   ATTORNEY IN   FACT   PEACEFUL,   NON-ADVERSE,   NON-BELLIGERENT,    NON• COMBATANT PARTY shall lawfully do or cause to be done  under the authority of this power of ATTORNEY  IN  FACT is express  emergency approval.  ALL  VALID BY  THE PRESCRIPTION  OF  THE LAW OF  NECCESITY AND THE DOCTRINES OF UNCONSCIONABILITY  AND LA MORT  SAISIT  LE  VIF IN ACCORDANCE WITH APPLICABLE LAWS, CARDINAL ORDERS, ORDINAL  ORDERS, AND COMMERCIAL STANDARD;  PROVIDES FOR FULL ABSOLUTION THROUGH REDEMPTION.

By:

Ois

_©_o_h_n  A      m                   D_o_e---Liv- --g_M_a_n       -o-i;_S_u_-ur
JOHN ADAM DOE
Executed this July 28, 2017

Power of Attorney-In-Fact;  Master Account Holder; Principal Secured Party; Holder-In-Due-Course for Title, Lien, and  Bond of the private property held in
©JOHN ADAM DOE TRUST'

POWER OF ATTORNEY  IN  FACT  I        Page 2 of 3

Using a notary on this document does not constitute any adhesion, grant jurisdiction,  nor does  it in any manner alter any legal status of any of the parties hereto.  The purpose of a notary is verification and identification only and not for entrance into any foreign jurisdiction.

Dated: this                 day of                                     , in the year of 20_ A.D.

County,                                                                               republic State BEFORE  ME,  the undersigned  authority,  on  this                  day of-------�  20_, and  personal  appearance--------------------- to me  known  to
be the person  whose  description is found  here  in and who does autograph and acknowledges to

me that  he  does  execute  the same freely  and  voluntarily  for  the uses  and  purposes  therein expressed.
WITNESS my hand and official seal the date aforesaid.

notary public

(seal)

POWER OF ATIORNEY  IN  FACT  I        Page 3 of 3

CERTIFICATE OF AUTHORIT Y
CERTIFICATE OF AUTHORITY
Request for private banker's license with  regards to SSN estate

First Of the family  Last Date of Nativity YYYY-MM-DD Domicil  Non  Domestic Private  Post
c/o 1234 street, on City, State  Re1:1ublic, on County of YourCounty
Non-domestic without the 14th Amendment
Estate Trust
FIRST MIDDLE LAST Reg.  Date July 28, 2017
File#                            _

DECREE ORDERS  BY TESTIMONY

These involuntary Pledge/Lease FIRST MIDDLE  LAST belonging to the private named  woman and ar child,  were fraudulently  and involuntarily  pledged  into  the (military)  'civil service'  and  are subject to and under the trading with the enemy hence public domain, for continuance of 'avatar public business' on behalf of the United States.

Its indisputable that these ALL CAP names avatars are 'private property leased' from the 'original depository,  the living woman or child' with regards to the following statement {the unknowingly (Head Count) civilian in a martial law system  1861-2017).
Your Constitutional office is hereby ordered by decree on behalf of these estate interests,  that the US Treasury shall rescinded  and  withdraw from  unsecured  public  civil service  and  the  public domain  (to be ordered,  privately sealed),  therefore,  the administrative  agencies  of the UNITED STA TES  shall  make  the  return  all of  the  rights,   titles  and  interest  and  royalties,   custodial, warehoused  and kept thru the involuntary lease (excise duty and obligation) agreement.

A full paymentfor involuntary usufructories, shall be paid back to the private estate source, hence the lender of the name and assets (upper and lower case name here).

The UNITED STA TES TREASURY shall immediately approve and license the principal account holder as exclusive authority...  First Middle Last,  on behalf of the civilly deceased  entities FIRST MIDDLE LAST and shall be acknowledged as acting in  the capacities of 'private banker source'{creditor] ESTA TE-EIN  aka  'a national banking association' for use by the Original Depository identified on this Certificate of Authority,
You are hereby  ordered  to  vacate  the  blocks status,  and  return  the  controls of these  as-set• accounts and make  the 100% financial adjustments as to only authorize party and license of the newly create estate,  the 'principal account holder'.
You are ordered  by decree  to discharge  and pay  all debt public and private related to these accounts,  and return  the accounts back into balance of zero daily.

CERTIFICATE  OF AUTHORITY  I    Page 1 of3
You are to provide ledgering of all financial  transactions as to support the Attorney of fact and records by sending a ledger once a month as to the accuracy of the accounts.

The  UNITED STA TES TREASURY shall administrate  the above  Estate  Trust assets  held in special trust on behalf of the fee simple owner, in its original jurisdiction, standing without the fatal flaws of the 14th Amendment.

All other third parties are ordered to stand down and are prohibited from any further uses of these accounts without expressed  written consent by the principal account holder First Middle  Last hence lawful contract laws.

I     irst Middle Last; have caused  this action,  decree orders,  directives,  instructions  and claim for and on behalf of the civilly dead avatar FIRST MIDDLE LAST and I am hereby am acting as power of attorney  'estate  representative',  to have a voice and to represent lawful payments,  privately and publicly as to its original intent by congress thru the HJR 192,  Public law  7310, Stats at large
10 volume 48 pages  '1 -112 to pay all debts publicly and privately under the full faith  and credit of this nation.

I hereby certify that I am the exclusive principal heir,  the only first in line party of interest,  which has a absolute full and complete 100% equitable claim of authority, on all assets therein.

The foreign  duty and  excise  tax  is  hereby  authorized  to be paid  during  these  administrative processes  (a reversion) as to assist in the release of these accounts back to the original party of interests (a remainder),  and thru the reorganization of NESARA of the United States  (going gold back US notes),  the terminations,  dissolution  of unsecured (debtor) status  and classifications  of these accounts merged into the estate as res.  These accounts are hereby forbidden for usufructory use of third party intervenors. Providing no lawful contract is equal to commercial robbery without authority to do so.

From  this  point  forward,   the   Office  of  FIRST  MIDDLE  LAST  ESTATE  ESTATE-EIN   is   to  be acknowledged as to the permanent account holder with  100% decisions on release of asset,  that all assets are to be merged and deposited into safekeeping for future use of the estate.

You are directed  to open  a sealed  account  on  behalf  of  the  estate,  naming  the  POA  herein

numerated as the exclusive representative and registered agent contact.

FULL AND COMPLETE  LEDGER OF ACCOUNTING  MUST BE  PRESENT  BY THE US TREASURY of past transactions, for further adjudication on behalf of the leasers on the private name and  estate purposes.
FIRST MIDDLE  LAST,  'national banking association'

Activated  Federal  Reserve Account number xxxxxnnn with  Routing numbers as follows:

2) E-Checks BRANCH FRB

3) Fed-Wire  BRANCH  FRB

CERTIFICATE  OF AUTHORITY  I    Page 2 of3
The  UNITED STATES shall  immediately settle all  presentments of debt using the sealed  SSN account, therefore make the return of the interest/lease back to the Original Depository and issue the "Charge Card" for use by the Certificate holder to charge the account to facilitate the
immediate discharge of debts as it arises and  make a full  account.

The UNITED STATES shall  immediately deliver the delinquent rent, which  has been  held  in abeyance in,  in a currency of value.
Registration of Intent

The request for  issue of a  Certificate of Authority by the above referenced American  Original Depository establishes the Original  Depository's  Intent To Withdraw Her  Divine  Estate from the Military Industrial  Complex,  discharge the debt in the settlement of the account and  return to original jurisdiction.
It is clear that the above reference American  Original Depository's intent is to overcome all of the assumptions of his status and re-establish them self as a living being, American Original Depository's  return from  being lost in a  sea  of illusion to redeem their Divine  Estate and  return to original jurisdiction.
Notice to principle is  notice to agent,  Notice to agent is  notice to Principle.  Evidence of the issue

of this Certificate of Authority is maintained  by First  Middle Last for verification at any time.

A COPY  OF SS CARD

FRONT

BACK

CERTIFICATE  OF AUTHORITY  I    Page 3 of3

AFFIDAVIT OF COPYRIGHT
FILE FOR RECORD -THIS IS AN INTERNATIONAL NOTICE

RETURN  TO:

john-henry of the House of Doe - Without Prejudice
123  Main St. YourCity,  YourState Non domestic
outside the UNITED STATES
Not in any federal zone,  territory,  possession,  enclave,  etc., and not subject to the jurisdiction of the  United States,  et al.

YourCounty County
)  ss:

NOTICE OF DECLARATION  IN  THE FORM OF A COMMERCIAL AFFIDAVIT OF TRUTH
State of YourState                   ) united  states of America original jurisdiction

NOTICE OF COMMON  LAW COPYRIGHT,
COPY CLAIM, TRADEMARK

This Declaration  is  made without prejudice:

Re: The legal  fiction(s) known  as JOHN  HENRY DOE, any/all  derivatives thereof.

I, john-henry  of the  House of Doe,  the  undersigned  affiant,  a   living man upon  the  land  of YourState, and  not a corporation  or legal  fiction,  etc.,  born  upon  the  land  in  the republic  of YourState  on the day  day  of Month  Year, declare  that  I      am  of majority and  competent to state  the  matters set forth  herein  with  first-hand  knowledge  of the facts and  that they are true,  correct,  not misleading,  and  certain, admissible as evidence.

1.      This plain statement of Fact being a  matter that must be expressed to  be  resolved.  In Commerce truth  is sovereign.  Truth  is  best  expressed  in  law  in  the  form  of an  affidavit.  An uncontroverted  affidavit  stands  as truth  in  commerce  and  becomes  the judgment,  can only be challenged  by a  rebuttal  affidavit item  for  item signed  under  penalty  of perjury,  and  can only be satisfied  by payment,  agreement,  resolution,  or by  a trial by jury according to the common  law of YourState.

2.     I     am  presenting this affidavit for truth  in commerce and  as a Contract for Waiver of Tort.

3.     The public  record  being  the  highest  form  of evidence,  I      am  creating  a  public  record  by Declaration  of said
Copyright by recording with the YourCounty County Recorder of Deeds, the YourState commonwealth.

4.    The  person and name known  as JOHN  HENRY  DOE,  and any/all derivatives thereof being a  legal fiction(s) without form  or substance,  and  without any  resemblance to  any natural  born  living being,  is entirely an intentional  commercial  Fiction  created  by the  alleged  de  facto  government  officials  and  agents  of the  nul tiel  COMMERCIAL CORPORATION(s) doing business as,  but not limited  to;  the  UNITED STATES,  USA,  US, GOVERNMENT OF WASHINGTON DC, DISTRICT  OF COLUMBIA (including any agencies/persons claiming jurisdiction   over  any   US   territories,   possessions,   enclaves,   etc.),   et  al,   FEDERAL   RESERVE   SYSTEM, DEPARTMENT   OF  TREASURY,  INTERNAL  REVENUE  SERVICE  (IRS),  BUREAU  OF ALCOHOL,  TOBACCO,  AND FIREARMS  (BATF),  FEDERAL  BUREAU  OF  INVESTIGATION  (FBI),  DEPARTMENT  OF HOMELAND  SECURITY, CENTRAL   INTELLIGENCE   AGENCY   (CIA),   NATIONAL   SECURITY   AGENCY   (NSA),   AMERICAN   BANKING ASSOCIATION (ABA), AMERICAN BAR ASSOCIATION (ABA), STATE OF TEXAS, STATE OF FLORIDA, COMMONWEALTH  OF PENNSYLVANIA,  etc.,  with  subdivisions  being CORPORATE  MUNICIPAL COUNTIES, BOROUGHS,  PARISHES, and CORPORATE  MUNICIPAL CITY(IES).  The  FICTION  is created for the  purpose of disenfranchising the  living  man, john-henry of the  House  of Doe of his  life,  liberty,  property and  the pursuit for happiness for the unjust enrichment of said  CORPORATE and  GOVERNMENTAL FICTIONS.

5.     A copyright,  copy-claim  and  trademark  is  hereby  placed  on the  name  and  FICTION  known  as  JOHN  HENRY
---D� and  any/all  derivati>teS-trer&>+.-------------------------•
john-henry of the House  of Doe  Declaration of Copyright for JOHN  HENRY  DOE©     AL-030368-CN    I        Page  1 of4
Any indentures, debentures, bonds, securities, judgments, warrants or any other kind of commercial paper issued or predicated  on the  name of the  legal  FICTION  known  as  JOHN  HENRY  DOE©, shall  become a  Security Agreement between the issuing party and the affiant and  shall  make the issuer liable for damages and  penalties as follows:

1.      Any usage  shall  incur  a  debt of $1,000.00 US  in  Silver  Dollar  Coin  convertible  at  the  legal  and  lawful  ratio prescribed  by law of 24:1 of Federal  Reserve Notes to Silver Dollars per day per  usage  per signatory;

2.     Failure  to correct  the  unjust  usage  in  a  timely  manner upon  notice  will  result  in  the  additional  penalty  of
$1,000.00 US  in  Silver  Specie  convertible  at  the  legal  and  lawful  ratio  prescribed  by law  of  24:1 of  Federal
Reserve  Notes to Silver Dollars per day; and,

3.     Failure  to render the appropriate  funds in  a  timely  manner will  result  in  a  Lien/Levy against the  property of the person violating said  copyright, as no controversy will exist.

Anyone  placing the  copyrighted,  copy-claimed  and  trademarked  JOHN  HENRY DOE©  or any  derivations  thereof on any document which is in any way associated with Me,  the  living soul, john-henry of the  House of Doe, shall, by such document acting  prima  facie as evidence  of violation,  become  liable  for  penalties  payable  in  legal  and  lawful  tender of:

a.     Ten  ($10.00)  dollars  US  in  Silver  Dollar  Coin  convertible  at  the  legal  and  lawful  ratio  prescribed  by law  of
24:1 of Federal  Reserve Notes to Silver Dollars  per day until  Notice  is delivered:

b.     One hundred  ($100.00) dollars  US in Silver Dollar Coin convertible at the  legal  and  lawful  ratio prescribed  by law of 24:1 of Federal Reserve Notes to Silver Dollars per day for each day AFTER Notice is received until the offending document is destroyed and a  public retraction is  made  in the  local  newspaper in a  double-wide column  of  not  less  than  three  (3")  inches  in  length,  if  such  notice  is  published  within  thirty (30)  days  of Notice;
c.    One thousand  ($1,000.00) dollars  US in Silver Dollar Coin  convertible at the legal  and  lawful  ratio  prescribed by law of 24:1 of Federal  Reserve  Notes to Silver  Dollars  per day for each day after  Notice  if such  retraction is not published  within thirty (30) days of said  Notice; and,

d.     Notice will be based upon the records of the commercial  business that affects delivery.

JOHN  HENRY DOE© is the  perfected proprietary security for the  living soul john-henry of the  House of Doe,  under original common  law for one hundred  (100) years and  is private  property for the protection of My estate,  life,  liberty, and  property.

Unauthorized  possession or use  of JOHN  HENRY DOE©  and  any/all  derivatives  thereof  may be  a violation  of State
Code for Fraudulent Use or Possession of Identifying Information which is  punishable  by prison and  fine.

Any  use  of JOHN  HENRY  DOE©  and  any/all  derivative(s)  thereof,  with  or without  scienter,  at  the  expense  of any right,  liberty,  property, or any part of My  estate, absent full disclosure and  lacking written prior consent is strictly forbidden    and   chargeable   to   each   of  the   users/issuers   in   the   amount  of  the   sum   certain   of  one   million ($1,000,000.00)  dollars of legal  and  Lawful  Silver  Dollar Coin  of the  United  States,  convertible  at the  legal  and  lawful ratio of 24:1 to Federal Reserve Note Dollars as prescribed by law and  is not limited by  any past, present, or future restriction  for each instance of said  unauthorized  use.

Placement of JOHN  HENRY DOE©  on any  document associated  in  any  manner with  My estate  or Me, john-henry of the  House  of  Doe,  without  My  written  prior  consent  is  all   of  the  evidence  required  for  enforcement  of this agreement/contract and is evidence that any and all  users and issuers are in full agreement and have accepted this agreement/contract without controversy under the conditions and  terms so stated  and  set forth  herein.

I, john-henry of the House of Doe, am  not an expert in  the law,  however,  I     do know  right from wrong.  If there is any living  man that  is  being unjustly damaged  by any statements  herein,  he/she  will  inform  Me by facts  in  the form  of a signed and sworn Affidavit. Therefore, I      hereby and herein reserve the right to amend and make amendment to the attached  Instrument as necessary  in  order that  the truth  may be  ascertained,  and  proceedings justly determined.  If any  living  soul  has  information  that  will  controvert  and  overcome  this  signed  and  sworn  Declaration  in  this commercial  matter,  you must advise  Me of the facts  in  the form of a  signed  and sworn Commercial Affidavit within ten  (10) days from  recording hereof, proving with particularity by stating all requisite actual evidentiary fact and all reqttisite--aettial--law;--andt--merely--t-he-ttltfmate-f-aets-ef  co11d usio11s--ef--law--t-hat--this--affidavit-by--Bedaraticn--is--
[oh n-hen ry of the House  of Doe  Declaration of Copyright for JOHN  HENRY  DOE©     AL-030368-CN    I        Page 2 of4
substantially  and  materially  false sufficiently  to change  materially  My  or the  fictions  status  and  factual  declaration. Your silence  stands as consent to, and  tacit approval  of,  the  factual  declarations  here  being established  as fact as  a matter  of law  and  this affidavit  by  Declaration  will  stand  as  final  judgment  in  this matter;  and  for  the  sum  certain herein stated and will be in full force and effect against all parties, due, payable and enforceable by law. The criminal penalties for commercial  fraud  is determined  by jury and  by law,  the  monetary value  is set forth  by Me  for violation of My  Private  Property  and  for  breach  of the  law,  the contract,  the Constitutions,  in  the amount  of the sum  certain stated  herein of two  million five hundred fifty thousand  ($ 2,550,000.00) dollars specie of Gold  coin or lawful  coinage of the  united States as defined by Article I, Section 10 of the Constitution of We the  People for  the  united States of America  and  will be due,  payable  on the eleventh day, and  any day there after as use occurs after filing by Me,  in the public records of the county of YourCounty,  in the YourState  Republican  commonwealth.

Notice  to  the  agent  is  notice  to  the  principal.  Notice  to  all  agents  of the  State  of YourState  and  all  subdivisions
thereof is made by the filing of this document with the YourCounty Notary, YourState.

Further affiant sayeth  not!

ALL RIGHTS RESERVED,

FOR COPY-CLAIM  OF JOHN  HENRY DOE©  and  any/all derivatives thereof.

By JOHN  HENRY DOE
Debtor, Granto

ACCEPTANCE

By                                                                                                                      no do/us

Honourable john-henry of the  House of Doe, living soul, sui juris, Agent, a  lawful Man and Attorney-in-Fact for JOHN HENRY DOE©,  Secured  Party, Trustee,  Right living seal  thumbprint In  red ink.  Pursuant to: at Lee County  Florida,  and "The Law of Land  Warfare" file #549875,  book 3681,  pages 3945-3949 and  book 3681,  pages 3956-3958,  3963-3964, and  3869-3970.   Also, applicable rule  #74, 75, and  79 to  knowingly communicate or correspond  "without proper authority ... ""., ET AL.

This document prepared  by john-henry of the House of Doe

john-henry of the House  of Doe  Declaration of Copyright for JOHN  HENRY  DOE©     AL-030368-CN    I        Page 3 of4

JU RAT

YourCounty County

) ss:
State of Yourstate                   )

outside the UNITED STATES
original jurisdiction

The  above  affiant,  personally  known  to  Me,  or  proved  to  Me  on  the  basis  of satisfactory  evidence,  to  be  the one whose  address (name) and autograph is subscribed to  the  within instrument. Affiant swears under the  pains and penalties of perjury that all statements made herein are true, correct,  certain,  and  not misleading.

Duly subscribed  and sworn on this                       day of                                  _

x                                                                               �

Notary Public

,  2017.

(seal)

john-henry of the House  of Doe  Declaration of Copyright for JOHN  HENRY  DOE©     AL-030368-CN   I        Page 4 of4

CERTIFICATE OF IDENTIT Y

2 FORMS DOJ & TREASURY

U.S Department of Justice                                                    Certification of Identity

FORM APPROVED OMB  NO.
1103-0016  EXPIRES 05/31/2020

Privacy Act  Statement.  In  accordance with  28 CFR  Section  16.4 l(d) personal data  sufficient  to identify the  individuals submitting  requests by mail  under the Privacy  Act of 1974,  5 U.S.C.  Section  552a,  is required.  The purpose of this  solicitation is to ensure that the records  of individuals who  are  the  subject of U.S.  Department of Justice  systems  of records  are  not wrongfully disclosed by the  Department.  Requests will  not  be processed if this  information  is not furnished.  False  information  on this  form  may  subject  the  requester to  criminal  penalties under  18  U.S.C. Section  1001  and/or 5 U.S.C. Section 552a(iX3).

Public  reporting burden  for this  collection of information  is  estimated to  average 0.50 hours  per  response, including the  time  for reviewing instructions,  searching  existing  data   sources,  gathering  and  maintaining  the   data  needed,   and  completing  and  reviewing  the  collection  of information.  Suggestions  for reducing this  burden may be submitted to the  Office  of Information  and Regulatory Affairs,  Office  of Management and Budget. Public Use Reports Project (1103-0016). Washington. DC 20503.

Citizenship Status 2                                                                                             Social  Security Number 3                                                                                                                _

Current  Address

-----------------------------------------------

Date of Birth                                                                       Place of Birth
-------------------                      -----------------------

OPTIONAL:  Authorization to Release Information to Another Person

This form is also to be completed by a requester who is authorizing information relating to himself or herself to be released to another  person. Further,  pursuant to 5 U.S.C.  Section 552a(b),  I  authorize the U.S. Department of Justice  to release  any and all information relating to me to:

Print or Type  Name

I  declare  under  penalty of perjury under the laws  of the  United  States  of America that  the  foregoing  is true  and correct,  and that  I  am the person named  above,  and  I  understand that  any falsification of this  statement  is punishable under the provisions of  18  U.S.C.   Section  1001  by a fine  of not more  than  $10,000  or by  imprisonment  of not more  than  five  years  or both,   and  that  requesting  or obtaining  any  record(s) under false pretenses is punishable under  the provisions of 5 U.S.C.  552a(i)(3) by a fine of not more than  $5,000.

Signature4                                                               Date                                                  �

1
Name of individual who is the subject of the record(s)  sought
2
Individual submitting a request under the Privacy Act of 1974 must be either "a citizen of the United States or an alien lawfully
admitted for permanent residence,"  pursuant to 5 US.C.  Section 552a(a)(2).  Requests will be processed as Freedom oflnformation Act
requests pursuant to 5 U.S.C.  Section 552, rather  than Privacy Act requests, for individuals who are not United States citizens or aliens
lawfully admitted for permanent residence.
3              .          .                                                                    .                                              .                                                                .                                                                                                                                                                                                       .                                                                   .                                              .                                                                                                                             .       .
Providing your  social security number is voluntary.  You are asked to provide your social  security number only to facilitate  the
identification of records  relating to you.  Without your  social security  number,  the Department may be unable  to locate  any or all records
pertaining to you.
4     .                                                                .                .          .                                                          .                                                    .
Signature  of individual who is the subject of the record sought

FORM DOJ-361
For official  use only:  Customer Name

FS Form  0385  (Revised June 2016)

Certificate  of Identity

Case No.

OMB No.  1530-0026

IMPORTANT:   Follow instructions  in filling  out this form.  You should be aware that the making  of any false, fictitious,  or fraudulent  claim or statement  to the United  States is a crime  under the laws of the United States.   Print in  ink or type all information.

Affidavit

•  I    certify that the  names                                                                                              and refer to the  same  person, whose correct name  is

•   The  names  are  different  because:

•   The  source of my knowledge is:

•  Is there now  or was  there during                                                                                 any other person known to you  by either or any
(Date or Period of Time)
of these names?   D Yes   0No      If  Yes,  please explain:

Signature - A person who is not named on the securities and  who has no interest in the securities must sign this form in the presence of a certifying officer.

Sign  Here:

Instructions to Certifying  Officer:

(Signature)                                                                (Daytime Telephone Number)

(Mailing Address)                                                                                       (E-mail Address)
1.  Name  of person(s) who  appeared and  date  of appearance MUST be completed.
2. Medallion stamps require  an original  signature.
3. Person(s) must  sign  in your presence.

I     CERTIFY that                                                                                                                                                      ,     whose identity(ies)  is/are
(Name[s] of Person[s] Who Appeared)

known or proven to me, personally appeared before me this                                                    day of

(Month/Year)

at                                                                                                   and signed this form.
City, State

(Signature and Title of Certifying Officer) (OFFICIAL STAMP
OR SEAL)                                                                                   (Name of Financial  Institution)

ACCEPTABLE  CERTIFICATIONS                                                                                               (Address) Financial  Institution's Official  Seal or Stamp
(such as Corporate Seal, Signature
Guaranteed Stamp,  or Medallion Stamp).                                                                          (City,  State, ZIP Code) Brokers  must use a Medallion Stamp.

(Notary certification  is  NOT acceptable.)

(Telephone)

FS Form 0385                                            Department of the Treasury  I      Bureau of the Fiscal Service

PRIVATE BANKER

Private banker EIN
THE PRESENT AMERICAN INTERNAL REVENUE BANKING SYSTEM:
V E R Y F E W W I L L E V E R U N D E R S TA N D A N D F O L LO W I T.

In order to come out of the Foreign Banking system and operate in the present American Internal Revenue
Banking system you need the following four (4) Bank Routing Numbers, as “EIN persons”:

Your Foreign Grantor Trust “EIN person” is over your American “Letters of Credit” granted to foreign trust with the authority to terminate and liquidate them at any time and with the authority to make your American Inheritance Treasury Withdrawals.

Your ESTATE “EIN person” is your Redemption Withdrawal Revenue Authority over your foreign granted SSN Mortmain UNITED STATES BANKRUPT TRUST account.

Your Individual Banker’s “EIN person” for your Private American Bank’s – Private Property and Tax

Exempt Purchasing and Ownership authority.

Your 9 digit Post ZIP Code “EIN” is your American Postmaster Bank’s Delivery and Processing

Location Address.

The U.S. Secretary of State and the U.S. Secret Service work as agents directly for the U.S. President of the American National Bank and the State - Secretary of State works as an agent directly for the State Governor, the State’s Bank President: so when these Agents are noticed then per the Expatriation Act; the Presidents of the Banks have also been noticed of the 14th Amendment - Banking Violation of Insurrection.

If your American National Banking demands are not timely honored, then you need to contact the American National Banking Inspector Generals; mainly the IRS “National Banking” Commissioner/Inspector General; for the national bank – to combat the foreign banking frauds and American identity thefts. Also the FBI.

Office of the Commissioner of Internal Revenue
1111 Constitution Avenue, NW, Washington, DC 20224-0002
Fax: (202) 622-5756 old one (may have to check on latest Fax #)
Deputy IRS Commissioner International
CIVIL Office Holder for International Accounts
Internal Revenue Service
Philadelphia, PA 19255-0725
Fax: (267) 941-1055
Phone:          (267) 941-1000

FOREIGN GRANTOR TRUST

EIN
Form   SS•4        Application  for  Employer  Identification  Number            OMB  No.  1545-0003 (Rev.  January  2010)               (For  use  by employers, corporations,  partnerships,  trusts, estates,  churches,       EIN
government  agencies,  Indian  tribal entities,  certain individuals,  and  others.)
Department  of tne Treasury
Internal  Revenue  service

..,..   See separate  instructions  for each line.        ..,.   Keep  a copy  for your records .
1             Legal  name  of entity (or individual) for whom the  EIN is  being  requested
LAST,  FIRST MIDDLE

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;;;..   2       Trade name of business  (if  different  from  name on line  1)          3       Executor,  administrator,  trustee,  "care  of" name

-

"Q)'       STRAWMAN                                                                              Spirtual  Name
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4a     Mailing address  (room,  apt., suite  no. and street,  or P.O. box)     Sa     Street  address  (if  different)  (Do  not enter  a P.O.  box.)
Care of:   22320  113th  Place Southeast                                    Foreign Address
a. 4b     City,  state, and ZIP  code  Qf  foreign,  see instructions)                  Sb     City,  state,  and ZIP  code  Qf  foreign,  see instructions)

0

�                 Kent, WA 98031                                                                            Foreign Address

Q)

a. 6       County  and state where  principal  business  is  located
>,
I-
la  Name  of responsible  party                                                                                 7b    SSN, ITIN,  or EIN
Spirtual  Name

Upper Lower case name
Ba   Is this application for a limited  liability company (LLC)  (or                                          8b      If  Ba is  "Yes,"  enter the number  of a foreign equivalent)?                                                           D  Yes       IZl   No                LLC members                                 �
Sc      If  Ba  is  "Yes,"  was the  LLC organized  in  the  United  States?                                                                                                         D  Yes       11ZJ      No
9a      Type  of entity (check  only one box).  Caution.  If  Ba  is  "Yes,"  see the instructions  for the correct  box to check.
D  Sole proprietor  (SSN) --�--�----•
O  Partnership

D  Estate  (SSN  of decedent)

	D	National  Guard	D	State/local  government	
	D	Farmers'  cooperativ	e   D	Federal  govemmenVITilitary	
_	D	REMIC	D	Indian tribal governments/enterprises	

D  Plan  administrator  (TIN)
D  Corporation  (enter form number to be filed)  ..,..                                                                               _

D

Upper Lower case name
Personal  service  corporation
D  Church  or church-controlled  organization
D Other nonprofit  organization  (specify)  ..,..

D  Trust (TIN of granter)
GZI     Other (specify)  �   forei   n enit
9b      If  a corporation,   name the  state  or foreign  country
(if  applicable)  where  incorporated

State

Qoup Exemption  Number (GEN) if any ..,..
Foreign  country
Count
10       Reason  for  applying  (check  only one box)
D  Started  new business  (specify type)  ..,._                                               _

D  Hired  employees  (Check  the box and see line  13.)
D  Compliance  with  IRS withholding  regulations
GZI     Other (specify)  �   For W-BBEN  Purposes Only

O  Banking  purpose  (specify  purpose)  ..,._                                                                                                                                          _ O  Changed  type  of organization  (specify  new type)  ..,._                                                                                      _ D  Purchased  going  business
O  Created  a trust  (specify type)  ..,._                                                                                                                                                        _
O  Created  a pension  plan (specify type)  ..,._                                                                                                                        _
11       Date business  started  or acquired  (month,  day, year). See instructions.              12

--

--------------- N/A ----------------,14
13       Highest  number of employees expected in  the next  12  months (enter  -0-  if  none).

If  no employees  expected,  skip  line  14.

Closing  month  of accounting  year     N/A

If you expect your employment  tax liability to be $1,000 or less  in  a full calendar year and want to file Form  944 annually instead of Forms 941  quarterly,  check here. (Your employment  tax liability generally will be $1,000
or less  if you expect to pay $4,000  or less  in total
Agricultural
N/A

Household
I                                                                                                           N/A               I

Other
N/A

wages.)  If you do not check this box,  you must file
Form  941  for every quarter.      D
15       First  date wages  or annultles  were  paid (month,  day,  year).  Note.  If  applicant  rs  a withhcldinq agent,  enter  date income  will first  be paid to nonresident  alien (month,  day, year)  •                                                                                                                                                                                         ..,._                                                                              N/A
16       Check one box that best describes the principal  activity  of your business.
D  Construction     D  Rental  & leasing       D  Transportation & warehousing
D  Real estate     D  Manufacturing       D  Finance  & insurance

D  Health care & social assistance D  Accommodation & food service D  Other (specify)

D  Wholesale-agent/broker
D  Wholesale-other    D  Retail
17       Indicate  principal  line  of merchandise  sold,  specific  construction  work  done,  products  produced,  or services  provided.
N/A
18       Has  the applicant  entity shown  on line  1    ever applied  for and received  an EIN?    D  Yes      �   No
If  "Yes,"  write  previous  EIN  here ..,..
Complete this section  only rf you want to authonze the named mdwrdual to receive the entity's EIN and answer questions about the completion of this form
Third	Desrqnee's  name	Desrqnee's  telephone number �nciude area code)	
Party		(                    )	
Designee	Address and ZIP code	Deeqree'e  fax numbef  �nclude aea code)	
(                    )
Under penalties of perjury.  I         dedare tnat I         have examined  ffus epphcanon, and  to tne  best of  ITTJ  knowledge   and behel, ttrs true, correct, and complete       Applicant's telephone number �nciude area co:le) Name and title  (type  or print  clearly)  ..,._                                                                                                                                                                                                                                                       (                    )
Apphcant's  fax numbef  �nclude aea code)
Sronatu-e  ..,._                                                                                                                                                                                                                                                                            Date  ..,._                                                                         (                    )
For  Privacy Act and  Paperwork  Reduction  Act  Notice,  see separate  instructions.                  Cat.  No.  16055'\I                  Form    SS-4   (Rev. 1-2010)

ESTATE EIN
Step 2:       To take the SS person into a DEAD PERSON Estate so you can pickup the Assets and put into your private Living Trust

Form    SS·4        Application  for  Employer  Identification  Number            OMB  No.  1545-0003 (Rev.  January  2009)               (For  use  by employers, corporations,  partnerships,  trusts, estates,  churches,       EIN
government  agencies,  Indian  tribal entities,  certain individuals,  and  others.)
Department  of the Treasury
Internal  Revenue  Service            ..,..   See separate  instructions  for each line.        ..,..    Keep  a copy  for your records .                                                                 D
1             Legal  name  of entity (or individual) for whom the  EIN is  being  requested
YOUR SSN NAME  Estate

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:,;..   2       Trade  name  of business  (if  different  from  name  on  line  1)           3       Executor,  administrator,  trustee,  "care  of" name

u-

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Your Living  Name
4a     Mailing  address  (room,  apt.,  suite  no.  and  street,  or P.O. box)     Sa     Street address  (if  different)  (Do  not enter  a P.O.  box.)
address
a. 4b     City,  state, and ZIP  code  Qf  foreign, see  instructions)                   Sb     City,  state,  and ZIP  code  Qf  foreign, see  instructions)
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0

Q)

a. 6       County and  state  where  principal  business  is  located
>,             America,  State where  born
I-
la  Name  of principal  officer,  general  partner,  granter,  owner, or truster         7b    SSN, ITIN,  or EIN
Leave blank  not needed
Ba   Is this application for a limited  liability company  (LLC)  (or                                             Bb     If  Ba is  "Yes,"  enter the  number  of a foreign  equivalent)?                                                               D  Yes        D  No                LLC members                               �
Be       If  Ba  is  "Yes,"  was  the  LLC  organized in  the  United  States?                                                                                                      D  Yes        D No

,

9a      Type of entity (check  only one  box).  Caution.  If  Ba  is  "Yes,"  see the  instructions  for  the  correct box to  check.  SSN Io,r your DEAD SS PERSON
D  Sole  proprietor  (SSN) --�--�-----
0 Partnership

[2]    Estate  (SSN  of decedent)
D  Plan  administrator  (TIN)
D  Corporation  (enter form  number to be filed)  ..,..                                                                              _

D  Trust (TIN of granter)
D  Personal  service  corporation

D  National  Guard

D  State/local  government
D  Church or church-controlled  organization
D  Other  nonprofit  organization  (specify)  ..,..                                                                                       _
D  Other  (specify)  �

D  Farmers'  cooperative   D  Federal governmenVITilitary
D  REMIC                            D  Indian tribal  governments/enterprises
Group  Exemption Number (GEN) if any  ..,..
9b      If  a corporation,  name  the  state  or foreign  country
(if  applicable)  where  incorporated

10       Reason  for applying  (check  only  one  box)
D  Started new  business  (specify type)   ..,..                                       _

D  Hired  employees  (Check  the  box  and  see  line  13.)
D  Compliance with  IRS withholding  regulations
D  Other  (specify)  �

State                                                   Foreign  country

[2]  Banking  purpose (specify  purpose)  ..,..   asset exchanqe
D  Changed type  of organization  (specify  new  type)   ..,..                                                                        _
D  Purchased  going  business
D  Created a trust (specify type)   ..,..                                                                                                                               _
D  Created a pension  plan  (specify type)  ..,..                                                                                                    _
11       Date business  started  or acquired  (month,  day,  year).  See  instructions.             '-1_2

C_o_s_n�g�m_o_n_h_o

a                                                 o_u_n  n��y�e_a_                                    _
Date you  declared your SS PERSON Dead                                                                   14     Do you  expect  your employment tax  liability to be $1,000
13       Highest  number of employees expected  in  the  next  12  months (enter  -0-  if  none).              or less  in  a full  calendar  year?    D Yes      D No   (If you
Agricultural                   I                                                                        Household            I                                                                                                                                      Other                            expect  to  pay $4,000  or less  in  total wages  in  a full calendar  year,  you  can mark  "Yes.")
15       First  date  wages or annuities  were  paid  (month,  day,  year).  Note.  If  applicant  is  a withholding  agent, enter  date income  will  first  be  paid  to nonresident  alien  (month,  day,  year)   •                                                                                                                                                                           ..,..                                                                        N/A
16       Check  one  box that  best describes the principal  activity  of your  business.
D  Construction     D  Rental  & leasing       D  Transportation & warehousing
D  Real estate     D  Manufacturing       D  Finance  & insurance

D  Health  care & social  assistance D  Accommodation  & food service D  Other (specify)

D  Wholesale-agent/broker
D  Wholesale-other       D  Retail
17       Indicate  principal  line  of merchandise  sold, specific  construction  work done, products  produced,  or services provided.

18       Has the  applicant  entity shown  on line  1    ever  applied  for  and  received  an  EIN?     D Yes       [2]   No
If  "Yes,"  write  previous  EIN here  ..,..
Complete this section  only rf you want to authorize the named  mdwrdual  to receive the entity's  EIN and answer  questions about the completion  of this form
Third           Desrqnee's  name                                                                                                                                                                    Descnee's telephone number (include area code)
Party                                                                                                                                                               (                    )
Designee    Address  and ZIP code                                                                                                                                                          Desqnee'e  fax number  Qnclude a-ea code)
(                    )
Under penalties of  perjury.  I         declare that I         have  examined  this apphcanon, and  to the  best of  ITli  knowledge  and  belief, rt rs true,  correct,  and  complete        Applicant's telephone number (include area cede) Name and title  (type  or print  clearly)  ....     Your Living  Name,     Executor/Fiduciary                                        (                    )
Applicant's  fax number  Qnclude area code)
Sronatu-e  ....                                                                                                                                                                                    Date  ....                                                                     (                  )
For  Privacy Act and  Paperwork  Reduction  Act Notice,  see  separate  instructions.                   Cat.  No.  16055N                 Form    SS-4   (Rev.  1-2009)

BANKERS EIN
Form    SS•4        Application  for  Employer  Identification  Number            OMB  No.  1545-0003 (Rev.  January  2010)               (For  use  by employers, corporations,  partnerships,  trusts, estates,  churches,       EIN
government  agencies,  Indian  tribal entities,  certain individuals,  and  others.)
Department  of the Treasury
Internal  Revenue  Service            ..,..   See separate  instructions  for each line.        ..,..    Keep  a copy  for your records .
1             Legal  name  of entity (or individual) for whom the  EIN is  being  requested
Mr(s)  First Last -  Individual  Banker I CEO

;::

:,;..   2       Trade name of business  (if  different  from  name on line  1)          3       Executor,  administrator,  trustee,  "care  of" name

Q)

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4a     Mailing address  (room,  apt., suite  no. and street,  or P.O. box)     Sa     Street  address  (if  different)  (Do  not enter  a P.O.  box.)
address
a. 4b     City,  state, and ZIP  code  Qf  foreign,  see instructions)                  Sb     City,  state,  and ZIP  code  Qf  foreign,  see instructions)

0

�                 address

Q)

a. 6       County  and state where  principal  business  is  located
>,             county, state
I-
la  Name  of responsible  party                                                                                 7b    SSN, ITIN,  or EIN
FIRST LAST (Trustor)                                                                                                          xxx xx xxxx
Ba	Is this application for a limited  liability company (LLC)  (or                                          8b      If  Ba is  "Yes,"  enter the number  o	f	

Sc	a foreign equivalent)?                                                           D  Yes       IZl   No                LLC members

If  Ba  is  "Yes,"  was the  LLC organized  in  the  United  States?	�
D  Yes	
IZl   No	
9a	Type  of entity (check  only one box).  Caution.  If  Ba  is  "Yes,"  see the instructions  for the correct  box to check.			

D	
Sole proprietor  (SSN) --�--�----•		D	
Estate  (SSN  of decedent)		
O	Partnership		D	Plan  administrator  (TIN)		
D
D	Corporation  (enter form number to be filed)  ..,..
Personal  service  corporation	_	D
D	Trust (TIN of granter) National  Guard            D	
State/local  government	

D  Church  or church-controlled  organization
D  Other nonprofit  organization  (specify)  ..,..                                                                                       _
1Z1     Other  (specify)  �  Private Unicor  orated Bank

D  Farmers'  cooperative   D  Federal  governmenVITilitary
D  REMIC                          D  Indian tribal  governments/enterprises
Group  Exemption  Number (GEN) if any ..,..
9b      If  a corporation,   name the  state  or foreign  country
(if  applicable)  where  incorporated
10       Reason  for  applying  (check  only one box)
D  Started  new business  (specify type)  ..,..                                       _

D  Hired  employees  (Check  the box and see line  13.)
D  Compliance  with  IRS withholding  regulations
D  Other  (specify)  �

State                                                      Foreign  country

D  Banking  purpose  (specify  purpose)  ..,..                                                                                                                   _ D  Changed  type  of organization  (specify  new type)  ..,..                                                                        _ D  Purchased  going  business
D  Created  a trust  (specify type)  ..,..                                                                                                                               _
D  Created  a pension  plan (specify type)  ..,..                                                                                                     _
11       Date business  started  or acquired  (month,  day, year). See instructions.              12

Closing  month  of accounting  year     N/A
July2017
--------------

14
---------------,

If you expect your employment  tax liability to be $1,000
-�---
13       Highest  number of employees expected in  the next  12  months (enter  -0-  if  none).

If  no employees  expected,  skip  line  14.

or less  in  a full calendar year and want to file Form  944
annually instead of Forms 941  quarterly,  check  here. (Your employment  tax liability generally will be $1,000
or less  if you expect to pay $4,000  or less  in total
Agricultural
N/A

Household
I                                                                                                           N/A     I

Other
N/A

wages.)  If you do not check this box,  you must file
Form  941  for every quarter.      [l]
15       First  date wages  or annultles  were  paid (month,  day,  year).  Note.  If  applicant  rs  a withhcldinq agent,  enter  date income  will first  be paid to nonresident  alien (month,  day, year)  •                                                                                                                                                                           ..,..                                                                        N/A
16       Check one box that best describes the principal  activity  of your business.
D  Construction     D  Rental  & leasing       D  Transportation & warehousing
D  Real estate     D  Manufacturing       D  Finance  & insurance

D  Health  care & social  assistance    D  Wholesale-agent/broker
D  Accommodation  & food service   D  Wholesale-other       D  Retail
IZl   Other (specify)    Private Bank of Private Properties
17       Indicate  principal  line  of merchandise  sold,  specific  construction  work  done,  products  produced,  or services  provided.
Private Unincorporate Bank holding Individual Private ESTATE  and Foreign GrantorTRUST  properties
18       Has  the applicant  entity shown  on line  1    ever applied  for and received  an EIN?     D Yes      [l]   No
If  "Yes,"  write  previous  EIN  here ..,..
Complete this section  only rf you want to authorize the named mdwrdual to receive the entity's EIN and answer  questions about the completion of this form
Third           Desrqnee's  name                                                                                                                                                                    Descnee's telephone number (include area code)
Party                                                                                                                                                       (                    )
Designee    Address  and ZIP code                                                                                                                                                          Desqnee'e  fax number  Qnclude area code)
(                    )
Under penalties of  perjury.  I         declare that I         have  examined  this apphcanon, and  to the  best of  ITli  knowledge  and  belief, rt rs true,  correct,  and  complete        Applicant's telephone number (include area cede) Name and title  (type  or print  clearly)  ....     Mr(s)  First Last -  Individual  Banker I CEO                                       (     xxx  )                    xxxxxxx
Applicant's  fax number  Qnclude a-ea code)
Sronatu-e  ....                                                                                                                                                                                    Date  ....                                                                     (                  )
For  Privacy Act and  Paperwork  Reduction  Act  Notice,  see separate  instructions.                  Cat.  No.  16055N                    Form    SS-4   (Rev.  1-2010)

.,   ..               I
Legal name                                         INDIVIDUAL BANKER

"""

buslnets II.                  PATRk:K DEVINE PRIVATE BANK. E &: T Couniy·                                                  KEOKUK
S1a1e1T em!O!y·                                         �
Sla<t date:                                                APRJL 2015

'•         Pflylbl Location                             18'63 208TH AVE
............

SIGOURNEY IA 52591
M1-5-t1-0035
Mil dleded 10                                             PATRICK   DEVINE     I

+

W..h.a.t.your busnesslorganizatlon

OTHER

PRIVATE UNJNCORPORATEO BANK.

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Owns aSS,000.poullda or greater
IY moeo, vehk:le·                   NO

··-··

.lnvolvH gam�agerlng           NO
lnvolvH alcohol. 1obacco or           NO

Flies Fom1 720 (Ouanefty
. Fedlfal Excise Tu Retuml:          NO

NO

Has employees who recelvtl
FormsW-2
Reason for Awfying                       STARTED A NEW BUSINESS

YOUR 9 DIGIT POST ZIP CODE

ST 00000-0000 US

56 F
Form      56-F            Notice Concerning  Fiduciary  Relationship

OMB No.  1545-2159
(Rev.  December  2009)
Department  of the Treasury
Internal  Revenue  Service
l:.ffill    Identification

of Financial  Institution
(Internal  Revenue  Code  sections  6036, 6402, and  6903)

For  IRS  Use Only
Name of person for whom  you are acting  (as shown  on the tax return)

2       Employer  roentrncanon number
FIRST MIDDLE  LAST  ESTATE
3       Address  of fmarcral  mstrtunon  (number,  street,  and room  or sute  no.)
ADDRESS
4        City, state,  and ZIP  code
CITY STATE ZIP

)()(

5       Telephone  no.
I      XXX  I

xxxxxxx

xxx xxx
6        Check the applicable  box for the type  of financial  mstrtunon:     0  Bank
7        Check  here  ..,..    D rt the fmancral  metrtunon rs  msolvent.

D  Thritt
8        Enter the ending  date of the fmancral  mstrtunon's  tax year (mo.,  day,  yr.),
9        Frducrary's name
FIRST MIDDLE  LAST PRIVATE  BANKER/ CEO
11        Address  of ftducrary  (number,  street,  and room  or suite  no.)
c/o ADDRESS  (Non-Resident)

�     date filling out form
10     Contact  person
First Last
12         City or town,  state,  and ZIP code                                                                                                                                     13     Telephone  no.
CITY STATE ZIP
14        Check the applicable  box rf the ftductary  rs  a:
Ill  Receiver         D  Conservator

I      XXX  I                                     xxx xxx
15        Check this box  ..,..D   rt the fmancral  metrtunon rs  or was a member  of a group filing  a consolidated return  and complete  lines  16  to 21   below:  Lines  16 tlYough  21  are to be completed  only rf the fmancral  metrtunon rs  or was a member  of a group filing  a consolidated return.
16        Name of person for whom  you are acting  (as shown  on the tax return)                                                                    17     Employer  roentrncanon number

18        Address  of the common  parent (number,  street,  and room  or suite  no.)

19        City, state,  and ZIP  code

20       Check  here  ..,..    D rt a copy  of this form  has been sent to the common  parent of the group.
21          Enter the tax year(s)  that the financial  mstrtunon  rs  or was  a member  of the consolidated  group  ..,..
l:.ffilll    Authority

22      Evidence of fiduciary  authority.  Check applicable  box(es),  and attach copy  of applicable  orders:
a  D  Appointment  of conservator                                b  D  Replacement  of conservator c   D Appointment  of receiver                                      d  D  Order of insolvency
e  liZl    other evidence of creation of fiduciary  relationship (describe)  � Original  "Letters Patent" for Private  Bank registration
l:.ffillll   Tax Notices

23     All  notices and other written communications with regard  to income,  employment,  and excise taxes of the financial  institution  (listed on line 1) will be addressed  to the fiduciary. Indicate below  if other notices and written communications should  be addressed  to the fiduciary.  Include the type  of tax,  tax periods  or years  involved.
..T.h.i.s.P..r.iv..a.te..B..a.n.k.-..E..S.T.A..T..E..h.a.s..N.O..N..E.-..N..o.n..U..S.U..R.Y...ac..c.o.u.n.t.........................................................................................

l:.ffii,•i   Revocation  or Termination  of Notice
Section  A- Total  Revocation  or Termination

24      Evidence  of termination  or revocation  of fiduciary  authority  (Check  applicable   box(es)):
a   D Certified  copy  of court  order revoking fiduciary  authority  attached.
b   D Copy of certificate of dissolution  or termination  of a business entity attached.
c   D Other evidence  of termination  of fiduciary  relationship  (describe)  ..,...  .•.........•..•..•.........•..•..•.........•..•..•.........•..•....

Please
Sign
Here

I    certify  that  I    have the authority to execute this  notice  concerning  fiduciary  relatronslup  on behalf  of the taxpayer.

Individual  Banker -  Agent
�    Frducrary's signature

Title,  rf applicable                                                  Date

For Paperwork Reduction Act Notice, see back of form.                                   Cat. No.  12784J                                                  Form   56-F (Rev.  12-2009)

TREASURY ACCOUNT

Set up access

FORMS NEEDED

FS FORM 1455
Request Payment Of US Securities

FS FORM 0385
Certificate of Identity

FS FORM 5446
Offline Transaction Request

FS FORM 5179
TD Security Transfer Request

FS FORM 5188 | OMB 1505-0170
Release Of Blocked Funds
To become a private banker is an honor – on behalf of your estate. They will grand you access to your account
Transfer of al you bonds | notes | securities

Designate place for your private banking –they will give you something new

Stepping into a secured security status
You are the POA over the estate and you have the estate names exactly right. When you choose a name, that name will be permanently a name for the rest of your life. So when you have estate name or
entity name or office of representative or office of POA, whatever

name you have has to be inevitably put in your will, declaration of status and classification and with that is a cover sheet with your durable POA to show the parties/entities that are going to assign the POA and the name of that attorney so each and every one of your PWs has to be identical with your entities,

This is a BIG stumbling block for a lot of people.

First thing is write down who are the entities: the BC says John Ellen Doe; caps or no caps it makes no difference it is what is in the Vital Statistics, generally speaking it is the same on SS and DL, like with me it is uniform. It has to be recognized and acknowledged and verified behind the scenes with the UST so some of the supporting evidence
in your paperwork would be a COPY of your birth registration so

there is no doubt that you are one and the same, do not send an original, the same thing for your SS front and back to show that you are one and the same and the same for your DL. Those are the 3 IDs that they require and also down at the bank when they put the medallions on they have to have the same identification.
The first form from the UST: I filled out the 1455, one that Patrick was using, that one was actually included in this paperwork even though
it was in the nature of the OMB, I still included that. This is the request by a fiduciary contributing US Securities.

This form is backing your POA which is another UST form that will be combined with this one acting in the financial fiduciary as to distribute the UST, which in this particular case deals with your series EE which happens to be your vital statistics registration of birth, not one and the same as your SS, that is a different beast.

The paperwork is partly the same as what I took into the local Wells Fargo and I signed each one of them with the UST medallion stamp that was placed upon each of the papers and logged in the bank's records that these papers were authorized and sent to UST to acknowledge a paper trail in the hand of authorized parties that put their seal and signatures on these documents that show that these papers are good to go and that should have no red flags in any capacity as to you to get your private banker's license and accounts as per the paperwork that you are doing.

You cannot do this on other people without a Power Of Attorney (POA) over these issues. You have to announce to UST that you are acting as attorney on behalf of another's estate. This is because of an agreement for compensation to handle their affairs on behalf of them and you will be doing the paperwork for them from now on.
You will not use your identity for public use. This is not a public entity that you are arranging, but a private banker to handle business on behalf of your own estate.

For my purposes I work from probate in the private. I do believe I am correct when I tell you that you are going out on a limb to do it the way these people on the websites are telling you. Stop and think: I am a private man, a living man, not a statute, not a code, I have to treat the parties according to what they are in every communication.

What they are doing basically in their paperwork is not addressing that you have secured an estate and that there is a progress of your status. What they do is they start from a commercial venue and going in to use the accounts without the acknowledgment and the authority with the UST that you are good to go.

FS FORM 1455

Request Payment Of US Securities

I      For official use only: Customer Name

I                 Case Nurrber

1;Jttii1

FS Form  1455  (revised J.Jne 2017)

Request by Fiduciary  for Distribution of
United States Treasury Securities

OMB No  1530-0035

llt  l'\Kl  "' �        (                     RI  '"  �\

IMPORTANT:   Follow instructions in filling out this rorm.  You should be aware that the making or any raise, fictitious,  or rraudulent claim  or statement to the United States is a  crime that is punishable by fine and/or imprisonment.
Print in Ink cr Tvce All  lnrormation

One or more  fiduciaries  (individual  or corporate)  must  use this  form to request  cistribution  of United States  Treasury  Securities  to the person lawfully entitled d.Je to distribution of a trust or an estate or other reasons set out in the instructions.

Part A - Reason  for Distribution

IMle request distribution of the securities and/or related payments for the following reason:

O Distribution  ofan  estate OR trust to person(s) entrtled
O Other reason for distribution:

If a person entitled to paper savingsinbosnedcsti(oSner2iesalEl Ey,oEu, nI, eHeHd, otroHd) owaisntpsu..t .birth registration and 3 lines over it
•  •  .  payment, they must submit  FS Fsoaryms 1I5D2n2 umber that is where your CUSIP number is going in. Your
••.  reissue to themselves, they rrursetgsiusbtmrait iFoSn Fnourmm4b0e0r0 would be someFtohrinfgorfmrosm, gtohetofront of your birth
•  •  .  reissue to a trust, they must subremgitisFtSraFtoiormn..1.8y5o1 u can play with this wstwufwf .btruetasI wfilyl oduirtectht.egoleva. st amount on
this document, they have all these records over there and they can
A person entitled to electronic securities held in TreasuryDlrect must  submit FS Form 5446.
respond when I put in a subpoena in for the accounting since my birth.

Part B - Distribution ot Secllittes
IM/e request that the securities and/or related payments be distributed as follows:

1.  Dlstribi.«e to:

(Name}

(Soaal  Secunty Number or Employer oernncenoo Number)                                                       (Telephone Number)

(Address)

2. Description of securities and/or related payments:

Title or Security                    Issue           Face Amount               Identifying Number                                        Registration
Date

NOTE:  lncividual savings bonds (Series EE,  E,  I, HH, and H) may not be split.  Each savings bond must be distributed,  in its entirety,  to an entitled individ.Jal or entity.  Marketable securtties may be distributed in  full or in  increments of$100.

lfyou want to split a marketable security,  describe the exact amount of the distribution:

FS Form 1455                                          Department ofthe Treasury I  Bureau ofthe Fiscal  Service
Part B - Distribution  of Securities  (Continued)
I/I.Ne  request that the securities and/or  related  payments be distributed  as follows:

1.  Distribute to:
(Name)

(Social  Security Number)                                            OR                                 (Employer Identification  Number)

(Address and Telephone  Number)

2. Description  of securities:

Title  of Security                       Issue             Face Amount               Identifying  Number                                              Registration
Date

NOTE:   Individual savings bonds  (Series  EE.  E.  I.  HH. and HJ  may not be split   Each savings bond  must be distributed,  in  its entirety,  to
an entitled  individual  or entity.   Marketable securities  may be distributed  in full or in  increments of $100.

If you want to split a marketable security,  describe the exact amount of the distribution:

I/I.Ne  request that the securities and/or  related  payments be distributed  as follows:

1.  Distribute to:
(Name)

(Social  Security Number)                                            OR                                 (Employer Identification  Number)

(Address and Telephone  Number)

2. Description  of securities:

Title  of Security                       Issue             Face Amount               Identifying  Number                                              Registration
Date

NOTE:   Individual savings bonds  (Series  EE,  E,  I,  HH, and HJ  may not be split   Each savings bond must be distributed,  in  its entirety,  to an entitled  individual  or entity.   Marketable securities  may be distributed  in full or in  increments of $100.

If you want to split a marketable security,  describe the exact amount of the distribution:

FS Form 1455                                          Department of the Treasury I      Bureau of the  Fiscal  Service                                                             2
Part C - Signatures and Certifications

I/We  certify  under  penalty  of perjury that the  information  provided  herein  is true and correct to the  best of  my/our  knowledge and belief,  and agree to distribution  of the securities  as indicated  in  Part B.  I/We  bind ourselves,  our heirs,  legatees,  successors and  assigns,  jointly  and  severally,  to  hold  the  United  States  harmless  on  account  of the  transaction  requested,  and  to  indemnify unconditionally  and  promptly  repay  the  United  States  in  the  event  of  any  loss  which  results  from  this  request,  including  interest, administrative  costs,  and  penalties.    1/\Ne consent to the  release of  any  information  regarding  this transaction,  including  information contained  in this form,  to any party having  an ownership or entitlement interest in the securities or payments.

You must wait until you are in the presence of a certifying officer to sign this form.

Sign  Here:

(Signature) (Applicant's Title)
(Number and Street,  Rural  Route,  or PO Box)                   (City)                        (State)                  (ZIP Code)

(Daytime  Telephone  Number)                                                                              (E-Mail  Address)

Instructions to Certifying Officer:
1.  Name of person(s) who appeared and date of appearance  MUST be completed.
2.  Medallion stamps  require an original signature.
3.  Person(s)  must sign in your presence.

I     certify that

(Name  of Person Who Appeared)

,     whose  identity is known  or

proven to me,  personally appeared  before me this

day  of

(Month/Year)

at
(City,  State)

,     and signed this form.

(Signature  and Title of Certifying Officer)

(Name  of Financial  Institution)

(OFFICIAL STAMP
OR SEAL)                                                                              (Address)

(City,  State. ZIP Code)

(Telephone)

FS Form 1455                                          Department of the Treasury I      Bureau of the Fiscal Service                                                                3
You must wait until you are in the presence of a certifying officer to sign this form.

Sign  Here:

(Signature)

(Applicant's Title)

(Number and Street, Rural  Route, or PO Box)

(Daytime Telephone  Number)

Instructions to Certifying Officer:
1.  Name of person(s) who appeared and date of appearance  MUST be completed.
2.  Medallion stamps  require an original signature.
3.  Person(s)  must sign in your presence.

(City)                        (State)

(E-Mail Address)

(ZIP Code)

I     GERTI FY that

(Name of Person Who Appeared)

,     whose  identity is known  or

proven  to me,  personally appeared before me this

day of

(Month/Year)

at
(City/State)

,     and signed  this form.

(Signature and Title of Certifying Officer)

(Name of Financial  Institution)

(OFFICIAL STAMP OR SEAL)

(Address)

(Citv.  State, ZIP Code)

(Telephone)

Instructions

Use of Form - One or more fiduciaries  (individual  or corporate)  must use this form to establish  entitlement and request distribution  of United States Treasury  Securities and/or related payments to the person lawfully entitled due to termination of a trust, distribution of an estate,  attainment of majority,  restoration to competency,  or other reason.
If you need  more space for any item,  use a plain sheet of paper or make photocopies of the relevant section,  and attach to the form.

NOTE:   For reissue to the estate,  use  FS Form 4000.   For payment to the estate,  submit FS Form  1522.

Part A - Reason  for Distribution
Mark a box to show the reason  for the distribution.  If you mark "Other," describe the reason,  such as attainment of majority or restoration to competency.
Submit  a  copy  of  all  evidence  that  establishes  your  authority  to  request this  transaction.    For  example,  if  you   are  the administrator or executor of an  estate,  provide  a  certified  copy of your  letters  of appointment,  dated  within  one  year  of submission.  Submit certified  copies of death  certificates for all deceased registrants.
FS Form 1455                                          Department of the Treasury I      Bureau of the Fiscal Service                                                                4
Part B - Distribution  of Securities

Complete  Items 1   through 2.
1.     Enter the name of only one distributee  in  each Part B,  Item  1.  (A separate  Part B must be completed for each distributee.)   Enter the appropriate Social Security Number or Employer Identification  Number.

2.    Describe only the securities and/or checks which the person shown in  Item 1    is to receive:
•       TITLE OF SECURITY - Identify each security by series,  interest rate,  type,  CUSIP,  call and maturity date,  as appropriate .
If describing  a check,  insert the word "check."

•       ISSUE  DATE- Provide the issue date of each security or check .
•       FACE AMOUNT - Provide the face amount (par or denomination)  of each security or check .

•		IDENTIFYING  NUMBER  (if  applicable)  - Provide the  serial  number  of each  security,  the confirmation  number,  or the check number.

•       REGISTRATION - Provide the registration  of each security,  check,  or account;  also provide the account number,  if any .

Examples:

TITLE OF SECURITY                 ISSUE        FACE AMOUNT         IDENTIFYING NUMBER                               REGISTRATION DATE
Paper Marketable Security                                                                                      Serial#
9 1/8 % TREASURY  BOND OF
2004-2009 MATURES 5/15/09
CUSI P 912810CG1

Electronic Marketable Security
CUSI P 912795QW4

5/15/79             $5,000            123

2/5/04              $1,000

JOHN DOE AND JANE DOE SSN 222-22-2222

ACCT# 4800-123-1234
JOHN DOE
SSN 222-22-2222

Electronic Series I Savings Bond
SERIES I                                                                                    1 /1 /02

$100

Confirmat.ion #                                     ACCT# N-111-111-111
12345                                       JOHN DOE

Paper Series EE Savings Bond                                                                   Serial#                                            SSN 222-22-2222
SERIES  EE                                            7/99                 $100              C-123,456, 789-EE                  JOHN DOE
OR JANE DOE

Check                                                                                                           Check#
CHECK                                              7/26/04            $351.02           502123456                               JOHN DOE

If unsure what to provide in each  of the areas,  furnish all identifying infonnation in the space for REGISTRATION.

In  all cases,  we need  an additional form or forms from the distributee.

When  paper savings bonds (Series EE,  E,  I,  HH, or HJ  are distributed,  and the entitled  person wants:

•     Payment,  he or she must submit FS Form 1522
•     Reissue to themselves,  he or she must submit FS Form 4000
•     Reissue to a trust,  he or she must submit FS Form  1851
When  electronic  securities  held  in  a TreasuryDirect account  are distributed,  the entitled  person  must submit  FS Form 5446.    He or she should complete only the appropriate  pages,  as indicated  on the form.

When  distributed to an entitled  person  or entity,  individual  savings bonds  (Series  EE,  E,  I,  HH, and HJ  may not be split   Each bond must be distributed,  in  its entirety,  to an entitled  individual  or entity.   Marketable securities  may be distributed  in  full or in  increments  of $100. To split marketable securities,  describe the exact amount of the distribution.

Our forms may be downloaded  at www.treasurydirect.gov  .

If  an entitled  person wants  payment  of paper  marketable  securities,  not  held  electronically,  the fiduciary  must complete the assignment on the reverse of the security.  The distributee  must complete IRS  Form W-9.

Any interest that is or becomes due  on securities  belonging to the estate of a decedent will be paid to the person to whom the securities are distributed,  unless otherwise  requested.

FS Form 1455                                          Department of the Treasury I      Bureau of the Fiscal Service                                                                5
Part C - Signatures and Certifications

Signatures - The form must be signed  in  ink.  Sign the form in  your fiduciary capacity.   If the  request is on behalf of a corporate fiduciary, the  name  of the  corporation  must  be  given,  followed  by the  signature  and  title  of  an  authorized  officer.    If there  are two  or  more fiduciaries,  all  must join  in  the  request  unless  by  express  statute,  decree  of  court,  or the  terms  of the  instrument  under which  the fiduciaries are acting,  one or more of them may properly execute the request.
Certification  - Each  person  whose  signature  is  required  must  appear  before  and  establish  identification  to  the  satisfaction  of  an authorized  certifying  officer.   The signatures to the form must be signed in the officer's presence.   The certifying  officer must affix the seal or stamp which is used when certifying requests for  payment.   Authorized certifying officers are available  at most financial institutions, including  credit unions.   Certification  by a notary isn't acceptable.   Examples of acceptable  seals and stamps:

• 	The financial  institution's  official  seal or stamp,  including:   Signature Guaranteed  seal  or stamp;  Endorsement Guaranteed  seal or stamp;  Corporate  seal or stamp  (a corporate  resolution  isn't  required);  or Issuing  or paying  agent  seal or stamp  (including name,  location,  and four-digit identification  number or nine-digit routing  number).

•     The seal or stamp of Treasury-recognized Signature Guarantee  Programs or other Treasury-approved Medallion Programs.

Sample certification  for a financial institution:

SIGNATURE  GUARANTEED ABC National  Bank Hillview Branch

Authorized Signature

Acceptable  certification for a brokerage: SIGNATURE  GUARANTEED MEDALLION  GUARANTEED
Generic Brokerage

Authorized Signature

)()()()()()()()

SECURITIES TRANSFER  AGENTS  MEDALLION  PROGRAM

[Bar Code]

Additional Evidence - The Commissioner  of the Fiscal  Service,  as designee  of the Secretary of the Treasury,  reserves the right  in  any particular case to require the submission  of additional  evidence.

Where  To Send - Unless  otherwise  instructed  in  accompanying  correspondence,  send this  form  (without  instruction  pages)  and send the securities,  if any,  to the appropriate address below.   Legal  evidence or documentation  you submit cannot be returned.

•       Series H or Series HH savings bonds - Treasury Retail Securities Site,  PO Box 2186,  Minneapolis,  MN 55480-2186.
•        Definitive  (paper)  savings bonds - Treasury Retail  Securities Site,  PO Box 214,  Minneapolis,  MN 55480-0214.
• 	Book-entry savings bonds and marketable securities  held  in TreasuryDirect - Treasury Retail Securities Site,  PO Box 7015, Minneapolis,  MN 55480-7015.
•        Marketable securities held  in  Legacy Treasury Direct- Treasury Retail Securities Site,  PO Box 9150,  Minneapolis,  MN 55480-
9150.
•        Definitive  (paper)  marketable securities - Bureau  of the Fiscal Service,  PO Box 426,  Parkersburg, WV 26106-0426.

Notice  Under Privacy Act and  Paperwork Reduction Act

The collection  of the information  you are requested to provide on this form is authorized  by 31  U.S.C.  CH. 31  relating to the public debt of the  United  States.   The furnishing of a Social Security  Number,  if  requested,  is  also  required  by Section  6109  of the  Internal  Revenue Code (26 U.S.C.  6109).

The  purpose of  requesting the  information  is to  enable the  Bureau  of the  Fiscal  Service  and  its agents to  issue securities,  process transactions,  make payments, identify owners and their accounts, and provide reports to the  Internal Revenue Service.   Furnishing the information  is voluntary;  however,  without the information,  the Fiscal Service may be unable to process transactions.

Information  concerning  securities  holdings  and transactions  is  considered  confidential  under  Treasury regulations  (31  CFR,  Part 323) and the Privacy Act.   This information  may be disclosed  to a law enforcement agency for investigation  purposes;  courts and counsel for litigation  purposes;  others entitled to distribution  or payment;  agents and contractors to administer the public debt;  agencies or entities for debt collection  or to  obtain  current addresses for  payment;  agencies  through  approved  computer matches;  Congressional  offices  in response to an inquiry  by the individual to whom the record  pertains;  as otherwise authorized  by law or regulation.

We estimate  it will take you about  30 minutes  to complete  this form.    However,  you are not  required  to provide  information  requested unless  a valid  OMB control  number  is  displayed  on the form.   Any comments  or suggestions  regarding  this form should  be sent to the Bureau  of the  Fiscal  Service,  Forms  Management Officer,  Parkersburg,  WV  26106-1328.    DO  NOT  SEND  completed form  to  this address;  send to the appropriate address shown in  "Where To Send"   in the  Instructions.

FS Form 1455                                          Department of the Treasury I      Bureau of the Fiscal Service                                                                6

FS0385

Certificate of Identity
This is a certificate of identity. This is a one-sheet piece of paper, the rest of it is instructions. You can see at the bottom-left it is asking for the financial institution's seal or stamp which is the medallion stamp that gives you the authority with the UST to be recorded on SORN, a registration of your status, classification and who's who of what you are filling out right here all these documents get put on SORN, so that is FS0385 and each one of these documents will require you to have the medallion stamp put on them.
For official  use only:  Customer Name

FS Form  0385  (Revised June 2016)

Certificate  of Identity

Case No.

OMB No.  1530-0026

IMPORTANT:   Follow instructions  in filling  out this form.  You should be aware that the making  of any false, fictitious,  or fraudulent  claim or statement  to the United  States is a crime  under the laws of the United States.   Print in  ink or type all information.

Affidavit

•  I    certify that the  names                                                                                              and refer to the  same  person, whose correct name  is

•   The  names  are  different  because:

•   The  source of my knowledge is:

•  Is there now  or was  there during                                                                                 any other person known to you  by either or any
(Date or Period of Time)
of these names?   D Yes   0No      If  Yes,  please explain:

Signature - A person who is not named on the securities and  who has no interest in the securities must sign this form in the presence of a certifying officer.

Sign  Here:

Instructions to Certifying  Officer:

(Signature)                                                                (Daytime Telephone Number)

(Mailing Address)                                                                                       (E-mail Address)
1.  Name  of person(s) who  appeared and  date  of appearance MUST be completed.
2. Medallion stamps require  an original  signature.
3. Person(s) must  sign  in your presence.

I     CERTIFY that                                                                                                                                                      ,     whose identity(ies)  is/are
(Name[s] of Person[s] Who Appeared)

known or proven to me, personally appeared before me this                                                    day of

(Month/Year)

at                                                                                                   and signed this form.
City, State

(Signature and Title of Certifying Officer) (OFFICIAL STAMP
OR SEAL)                                                                                   (Name of Financial  Institution)

ACCEPTABLE  CERTIFICATIONS                                                                                               (Address) Financial  Institution's Official  Seal or Stamp
(such as Corporate Seal, Signature
Guaranteed Stamp,  or Medallion Stamp).                                                                          (City,  State, ZIP Code) Brokers  must use a Medallion Stamp.

(Notary certification  is  NOT acceptable.)

(Telephone)

FS Form 0385                                            Department of the Treasury  I      Bureau of the Fiscal Service
INSTRUCTIONS

A person who has NO  interest in the securities  must complete and sign this form, confirming the individual's identity.   Unless otherwise instructed  in accompanying correspondence,  mail this form to the Treasury Retail Securities site that requested  it or to the appropriate address below:
•     Series Hor Series  HH savings bonds- Treasury Retail  Securities Site,  PO Box 2186,  Minneapolis,  MN 55480-2186
•     Definitive  (paper)  savings bonds- Treasury  Retail Securities Site,  PO Box 214,  Minneapolis,  MN 55480-0214
• 		Book-entry savings bonds and marketable securities  held in TreasuryDirect  - Treasury Retail Securities Site,  PO Box 7015,  Minneapolis,  MN 55480-7015
• 	Marketable  securities  held  in  Legacy Treasury  Direct - Treasury  Retail  Securities  Site,  PO Box 9150,  Minneapolis, MN 55480-9150
•     Definitive  (paper)  marketable securities - Bureau of the Fiscal Service,  PO Box 426, Parkersburg, WV 26106-0426

CERTIFICATION

Person who signs form - You must sign the form  in  the presence of an officer  authorized  to certify  assignments  or requests for  payment  of  United  States  savings  and  retirement  securities.    Authorized  certifying  officers  are  available  at  financial institutions,  including  credit unions,  in  the United  States.    For complete  lists  of such officers,  see Department  Circulars,  Nos.
300 and 530,  and Public  Debt Series,  Nos.  3-80 and 2-98.

Certifying  officer - The person appearing  before you must establish identification  by positive and reliable  evidence  before  this form is signed,  unless he or she is personally known to you.   You must complete and sign the certification form and affix your organization's seal or stamp.   If you are an employee (rather than an officer) authorized to certify,  insert the words "Authorized Signature" in the space provided for the title.

NOTICE UNDER PRIVACY ACT AND PAPERWORK  REDUCTION ACT

The collection  of the information  you are requested  to provide  on this form  is  authorized  by 31   U.S.C.  CH.   31  relating  to the public  debt of the United  States.   The furnishing  of a Social Security  Number,  if  requested,  is  also required  by Section 6109  of the Internal  Revenue Code (26  USC  6109).

The  purpose  of requesting the  information  is to  enable the  Bureau  of the  Fiscal  Service  and  its  agents to  issue  securities, process transactions,  make payments, identify owners and their accounts, and provide reports to the Internal Revenue Service. Furnishing  the  information  is  voluntary;  however,  without  the  information,  the  Fiscal  Service  may  be  unable  to  process transactions.

Information  concerning securities  holdings  and transactions  is considered confidential  under Treasury  regulations  (31  CFR, Part
323) and the Privacy  Act   This  information  may be disclosed  to a law  enforcement  agency for investigation  purposes;  courts and counsel  for litigation  purposes;  others entitled to distribution  or payment;  agents and contractors  to administer  the public debt; agencies  or entities for debt collection  or to obtain current addresses  for payment; agencies through  approved computer matches;  Congressional  offices  in  response to an inquiry by the individual to whom the record  pertains;  as otherwise authorized by law or regulation.

We estimate that it will take you about 10 minutes to complete this form.   However, you are not required to provide information requested  unless  a valid  OMB control  number  is  displayed  on the form.    Any comments  or suggestions  regarding  this form should be sent to the Bureau of the Fiscal Service, Forms Management Officer, Parkersburg, WV  26106-1328.  DO NOT SEND completed form to this address;  send to the appropriate address in the first paragraph of the Instructions.

FS Form 0385                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                    2

FS 5446

Offline Transaction Request
On transactions requested I did the redemption of the EE which is the birth registration and this is all verified there is a manual that the UST puts out on birth registration and how they are associated with the accounts so I already checked it out. The owner's SS number is the document that allows you to get into both the birth registration and SS, and the transfer of the EE to a new account is like a merger, you are asking them to set up a merger account, Treasury Direct, to
despot these into a private account for your benefit. The next section I checked off too for transfer of a bond, and c1 and c2, and checked off other "merger of unsecured account into secured account"..

On number 3 I checked off legal representative of the estate and the estate name, I also checked off the attorney in fact and the person entitled to judicial proceedings you don't have to check that off. I checked off other and put probate there because they have to know that my foundational paperwork is my launchpad. You are starting halfway through the process, where I start is at the beginning where you are fully authorized with the courts standing in line to have access to these accounts.
At the bottom: "Redeem all of my savings bonds...". The secured account is for the private banker EIN number, you are merging into
the lesser. check off checking. I put the New York FRB banking routing number, bureau of fiscal services. Transfer of securities from one account to another: if they deem that your Treasury Direct for SS is a conflict of interest, they will open a new account for you and by checking all securities it gives them the chance to open up a separate one so they are not in conflict with each other. Just go through the whole form and check off the ones that apply, generally speaking the SS account, you can always go back and clean up any titles of nobility. Your first entry with them just be authorized as the fiduciary and they will license you.
For official use only:
Customer Name

FS Form 5446  (revised  February 2017)

TreasuryDirect® Offline Transaction Request

Case Number

OMB No  1535--0138

'"""�·,          ""'

IM'ORTANT:  Follow Instructions In filling out this form  You should be aware that the making of any false, fictitious,  or fraudulent clalm or statement to the United States Is a crtme that Is Pl9lishable by fine and/or lmprlsorment
PRINT IN INK OR TYPE ALL INFORMATION

Use this form  to request transactions  that involve a TreasuryDirect account and cannot be completed online. If a .

•     Decedent's estate is involved, see the Instructions for examples of when this form may or may not be  used.
•	Change to an Entity Account or Entity Account Manager Is Involved, see the Instructions for additional evidence that may be  required.
Carefully read all of the Instructions before completing this form and complete only the parts of the form that apply to
the transactlon(s) requested. Parts A and F must be completed for ALL transactions.

At a alance ...
If you are the ...                            and are requesting ...                        then complete parts     and atso provide this evidence:
Change or correct account name    A, E-1,  and F Account owner or parent of a      Correct Social Security Number       A,E-1,andF
minor account owner                    Correct date of birth                           A, E-1, and F

Remove hardtack                               A and F

None required.

Account owner or parent of a      Transfer                                              A, C, and F                  If the non-converting coowner or minor account owner and the                                                                                                       beneficiary is deceased, a
security is a restricted,
Edit                                                      A, 0-1,  and F              certified copy of his or her death converted security                                                                                                                          certificate.

Surviv1ng secondary owner or     Redemption                                        A, B, and F
beneficiary, including non-                                                                                                            A certified copy of the

beneficiary

Non-converting coowner or beneficiary	Transfer

Edit registration	A, C, and F

A, 0-1,  and F	

None required.	

Legal  representative or legal guardian formally appointed by	Redemption

Transfer to a TreasuryDirect	A, B, and F	
A certified copy of your letters of appoinbnent, dated 'Mthin one	
the court and still acting	Entity Account, financial	A, C, and F	year of submission.	
	institution, or broker			
			A certified copy of the legal	

due to distribution of an estate	Redemption	A, B, and F	
guardian's letters of appointment	
by a legal representative or			dated within one year of	
restoration to competency  or			submission, certified copies of	
attainment of majority when a			death certificates for all	
legal  guardian  has been
formally appointed	Transfer to person(s) entitled	A, C, and F	deceased registrants, and a
FS Fann 1455 showing	
			distribution.	

converting coowner or                                                                                                                   decedent's death  certificate.

Person entitled to securities                                                                                                          representative's or legal

FS Form 5446                                    Department of the Treasury I  Bureau of the Fiscal Service

TreasuryDirect Account Name: (your full name as on SS card, in ALL CAPS)
TreasuryDirect Account Number: your SSN + add “22” (from checking account/for paying bills);
or + “32” (for wires)
Routing Numbers, derived from your US social security card Letter District: A Boston (1st District) 0110-0001-5
B New York (2nd District) 0210-0120-8
C Philadelphia (3rd District) 0310-0004-0
D Cleveland (4th District) 0410-0001-4
E Richmond (5th District) 0510-0003-3
F Atlanta (6th District) 0610-0014-6
G Chicago (7th District) 0710-0030-1
H St. Louis (8th District) 0810-0004-5
I Minneapolis (9th District) 0910-0008-0
J Kansas City (10th District) 1010-0004-8
K Dallas (11th District) 1110-0003-8
L San Francisco (12th District) 1210-0037-4

Part A

Reset Form

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Account and Transaction  Information

1.    TreasuryDirect Account Information TreasuryDirect Account  Number: TreasuryDirect Account  Name:
Taxpayer Identification  Number (SSN  or EIN):

2.    Transactions Requested  (Check all that apply.)
D Redemption  of EE or I     savings bonds  held  in
T reasu ryDi rect.

D Transfer of an EE or I     savings bond from one TreasuryDirect account to another.   Complete  Part C-1.

D Redeem C of I.

D

Edit the registration  of existing  EE or I     savings bonds  held in TreasuryDirect.

D Change or correct account owner's  name.
D Change or correct Entity Account information.
D Correct account owner's Social Security Number.
D Change or correct Entity Account Manager information.
D Correct account owner's date of birth.

D Transfer of a Treasury bill,  note,  bond,  FRN, or TIPS from one
TreasuryDirect account to another.   Complete  Part C-1.

D

Transfer of a Treasury bill,  note,  bond,  FRN, or TIPS from TreasuryDirect to a financial  institution  or brokerage firm for safekeeping or sale.   Complete Part C-2.
D Remove hardlock.
D Other (specify).

3.    Capacity of Applicant(s)  (Check all that apply.)   (Supporting evidence is often required;  see the Instructions.)
D Individual  Account  Owner
D Entity Account  Manager
D Surviving  secondary owner or beneficiary
D Non-converting coowner or beneficiary
D Legal representative of the estate of �������������������������������
D Legal guardian of the estate of
D Person(s)  entitled as shown  on FS Form  1455
D Parent of a minor account owner
D Attorney-in-fact
D Person(s)  entitled through  judicial  proceedings
D Person(s)  entitled to decedent's estate as shown  on FS Form 5336
D other (specify)  ���������������������������������������-

FS Form 5446                                       Department of the Treasury I      Bureau of the Fiscal Service                                                                3
Part B                                      -

Reset Form
TreasuryDirect Account Name:

TreasuryDirect Account Number:

Redeem  EE or I  Savings Bonds  Held  in  TreasuryDirect

Complete a separate Part B for each separate redemption  request and/or if the number of savings  bonds to be redeemed is  more than can be described  in the space provided.

I  request redemption of the following  EE or I  savings bonds  held  in  TreasuryDirect.

1.    Description of Savinqs Bonds

D Redeem ALL  my savings bonds in the requested TreasuryDirect  account.

D Redeem only the savings bonds listed  by confirmation  number below.

Confirmation  Numbers

D Redeem C of I     to the extent of$

2.  Payee Information

(Name)

OR
(Social Security Number)                                                          (Employer Identification  Number)

3.  Direct Deposit Instructions
I      request that the proceeds from the redemption  be deposited to:

(Depositor's Account No.) Bank Routing  No.:

(Name[s] on the Account)
Type of Account:   D Checking   D Savings

(Financial  Institution's  Name)                                                                   (Phone Number)

FS Form 5446                                         Department of the Treasury I      Bureau of the Fiscal Service                                                                4

Part C-1

- RESET

TreasuryDirect Account Name: TreasuryDirect Account Number:

Transfer Securities from One TreasuryDirect Account to Another

Complete a separate Part C-1 for each separate transfer  request and/or if the number of securities to be transferred  is more than can be described in the space provided.

I  request/consent to transfer as indicated  in  Item 2 the following  securities  held  in  TreasuryDirect.

By submitting  this form,  I       certify  that  I       understand  the securities  described  will be removed  from the originating  account and transferred  to the recipient's  TreasuryDirect  account    I       also understand  the registration  of the transferred  securities will be changed to show the owner of the account receiving the securities as the single owner.

If this is a savings bond transaction,  I     certify that this transfer is either for the purpose of making a gift or is  in  response to a final judgment, court order,  divorce decree, or property settlement  agreement.   (NOTE:   When you buy savings  bonds in TreasuryDirect,  you must hold them for at least five  business days before you can transfer them to other accounts.)

If this  is a marketable security transaction,  I        understand that  all scheduled  reinvestments  related to this  security/these securities will be canceled at the time of the transfer.

NOTES    1.  Series  EE and Series  I        savings bonds   may not  be split    Each  bond must  be transferred  in  its entirety. Marketable securities  may be transferred  in  full or in  increments  of $100.    2.  If  you are requesting  transfer  of savings bonds to a trust,  carefully read and complete  Page 6.

TAX LIABILITY   I      certify that I       understand this transaction may be reported to the Internal Revenue Service and that this transfer may result  in a tax liability.

1.    Description of Securities
D Transfer ALL  securities in the requested TreasuryDirect  account
Confirmation  Number                                                                           Portion to be Transferred
(If neither block is checked, transfer in  FULL will be assumed.)
D Transfer of security in  FULL
OR
D Transfer of security to the extent of$

D Transfer of security in  FULL OR
D Transfer of security to the extent of$

D Transfer of security in  FULL OR
D Transfer of security to the extent of$

D Transfer of security in  FULL OR
D Transfer of security to the extent of$

2.    Transfer Instructions

Transfer      TreasuryDirect Account Number:
security(ies)       TreasuryDirect Account Name:
to:
Taxpayer Identification  Number (SSN or EIN):
D Mark this box if the transfer is between spouses or incident to a divorce.

FS Form 5446                                          Department of the Treasury I      Bureau of the Fiscal Service                                                                5

Part C-1  (continued)

- RESET
3. TAX  LIABILITY NOTICE  (Carefully read before  completing  Item 4.)

Upon the transfer  of savings  bonds to a trust,  you rnust include  in  your gross incorne  any accumulated  interest  on the bonds,  if you have  not already  reported  it,  unless,  under the grantor trust provisions of the Internal  Revenue  Code, you are  treated  as the  owner  of the  portion  of  the  trust  represented  by  any  tax-deferred   accumulated   interest  on the transferred  bonds.   If you are treated as the owner of that portion,  the accumulated  interest continues to be your incorne rather than that of the trust, and therefore, you rnay continue to defer reporting the interest earned each year.  You rnust include the total accumulated  interest  in your gross incorne when the bonds are disposed of or finally  rnature, whichever is earlier.   These rules  apply when bonds being transferred  are Series  I       bonds or Series  EE bonds,  if you are the owner of the portion of the trust represented  by the tax-deferred  accumulated  interest

Generally,  you will  be treated  as the owner of a trust that you have  created to the extent that you retain  certain powers over or interests  in the trust   For example,  you will be treated as the owner of the portion of the trust represented  by any tax-deferred accumulated  interest on the transferred  bonds under the following circumstances:

(1)   You will  be treated  as the owner  of a trust to the  extent that  you  have  an unconditional  power to  revest  in yourself title  to the trust assets.   Thus,  if you can,  at your discretion,  revoke  all or part of the trust so that the bonds will be returned to you, you will be treated  as the owner of the portion of the trust represented by any accumulated  interest on the bonds.

(2)   If the trust instrument provides that the transferred  bonds or the proceeds frorn the redemption or disposition  of those bonds rnust be distributed to you or your spouse,  or held or accumulated  for future distribution  to you or your  spouse,  you  will  be treated  as the  owner  of the  portion  of the trust  represented  by any  accumulated interest  on the bonds.   You will  be treated  as the owner  in  this circumstance  irrespective  of the terrns of the trust

(3)  You  will  be treated  as the  owner  of a trust  to  the  extent  that  you  retain  a  power  to  control  the  beneficial enjoyment  of property transferred  to a trust   Thus,  if you  retain,  under the terrns  of the trust  instrument,  an irnrnediately exercisable  power to determine,  in your sole discretion,  who will receive the bonds or the proceeds frorn the redemption or disposition of the bonds, then you will be treated as the owner of the portion of the trust represented  by any accumulated  interest

The examples  outlined  above are illustrative  only and they are not intended to cover all possible situations  in which you could be treated as the owner of a trust or a portion  of a trust   Furthermore,  events can occur,  such as the renunciation of a retained  power or interest,  which would cause you to cease being treated  as the owner of a trust    If  you are not sure whether  you will  be treated  as the owner  of a trust,  you  rnay request  a letter  ruling  frorn the  Internal  Revenue Service.   A request for a letter ruling should be sent to: Internal  Revenue  Service,  ATTN:   CC: DOM:  CORP:  T,
PO Box 7604,  Ben Franklin  Station,  Washington, DC  20044.

If you have  questions  concerning the information to be submitted  in  connection  with a letter  ruling  request,  you rnay call
202-317-4782.

4. TAX  LIABILITY STATEMENT (This section must be completed.)

You  must  mark  box "a" or "b" to indicate if you are the owner  of the  portion  of the trust represented. (See "TAX  LIABILITY NOTICE" above.)
"lnteresf'  includes  interest earned on EE or I  bonds from the issue date until the date of transfer.

This statement will also apply to all future transactions  requested  by the same owner(s)  or person(s) entitled to the same trust.

For Federal  income tax purposes:
a.    D  I     certify that I     will be treated as owner of the portion of the trust represented  by the tax-deferred  accumulated
interest on the bonds being transferred.   If this box is marked,  the interest will be tax-deferred (interest will not
be reported to the Internal Revenue Service as a result of the transfer).
b.   D  I     certify that I     will not be treated as owner of the portion of the trust represented  by the tax-deferred accumulated  interest on the bonds being transferred.   If this box is marked,  interest will be reported to the
Internal Revenue Service for the taxable year in which the bonds were transferred to the trust.   A 1099-INTwill be generated for the Social Security Number specified.

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                    6

Part C-2

- RESET

TreasuryDirect Account Name: TreasuryDirect Account Number:

Transfer Treasury Bills,  Notes,  Bonds,  FRNs, or TIPS
From TreasuryDirect to a Financial  Institution or Brokerage Firm for Safekeeping  or Sale

Complete a separate Part C-2 for each separate transfer  request and/or if the number of securities to be transferred  is more than can be described in the space provided.

I   request/consent to  transfer out of TreasuryDirect the  following Treasury bills, notes, bonds,   FRNs,  or TIPS, as indicated  in  Item 2.   I      understand that all scheduled  reinvestments  related to this security/these  securities will be canceled at the time of the transfer.

1.    Description of Securities
D Transfer ALL  my securities  in the requested TreasuryDirect  account.

Confirmation  Number                                                     Portion to be Transferred
(If neither block  is checked, transfer in  FULL will  be assumed.I
D Transfer of security in  FULL
OR
D Transfer of security to the extent of$
D Transfer of security in  FULL OR
D Transfer of security to the extent of$
D Transfer of security in  FULL OR
D Transfer of security to the extent of$
D Transfer of security in  FULL OR
D Transfer of security to the extent of$

2.    Transfer to a Financial  Institution  or Brokerage Firm (does  NOT apply to savings bonds)

I      authorize the Treasury Department to remove the securities described on this page from my control within the TreasuryDirect system and transfer them to the financial  institution  or brokerage firm designated  below   I     further understand that this transaction  may be rejected or its  processing delayed, if I      provided  incorrect information  and/or submitted the transaction  immediately prior to a Closed Book Period.   I     certify that I      have the authority to request this transaction.

NOTE:   Failure to provide any of the following information  could delay the transfer.   See instructions  before completing.

Routing  Number:                                            Financial Institution Wire  Name:

Agent or Broker Name:                                                                Agent or Broker Phone Number: Agent or Broker Address:
Special Handling  Instructions:

D Mark this box if the transfer is  between spouses or incident to a divorce.

FS Form 5446                                         Department of the Treasury I      Bureau of the Fiscal Service                                                                7

Part D-1

- RESET

TreasuryDirect Account Name: TreasuryDirect Account Number:

Edit the Registration of Securities  Held in  TreasuryDirect

Complete a separate Part D-1  for each new registration  requested and/or if the total number of securities  being edited is more than can be described in the space provided.

I  request/consent to edit as indicated  in  Item 2 the  registration of the following  securities  held in TreasuryDirect.

1.    Description of Securities
D Edit the registration  of ALL securities  in the requested TreasuryDirect  account.

Issue Date of

CUSIP Number
of Treasury Bills.  Notes.  Bonds.      Confirmation  Number                             Registration
EE and I                                       FRNs. and TIPS

2.    New Registration  Requested

Owner/Primary Owner:

(First  Name  I Middle  Name  or Initial I Last  Name)

Social Security Number:                                                                                              (required)

The following  person is to be named as:    D Secondary  owner
D Beneficiary

Name:

(First  Name  I Middle  Name  or Initial I Last  Name)

Social Security Number:                                                                                              (required)

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                    8

Part D-2

- RESET

TreasuryDirect Account Name: TreasuryDirect Account Number:

Consent to Change the Entity Account Manager of a TreasuryDirect Account

Complete  Part D-2 to consent to a change of Entity Account Manager for a TreasuryDirect  account.

--�-��                                              hereby authorize
(Name  of Entity Account Manager consenting to the  change)

the Bureau of the Fiscal Service,  Parkersburg,  West Virginia,  to remove  my personal information as the Entity

AccountManagerfor                                            �-���
(TreasuryDirect  Entity Account Name)

and change the Entity Account Manager to---��-�-�
(Name  of New  Entity Account Manager)

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                    9

Part E-1

- RESET

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Change or Correct Account  Information
For an Individual TreasuryDirect Account

1.   Change an Individual Account Owner's Name

I     certify that the account owner's  name  has  been legally changed by:

D Marriage        D Divorce            D Adoption          D Naturalization          D Court order

D other (explain)

to
(Furnish  the  New Legal  Name)

2.   Correct an Individual Account Owner's Name

I     certify that the account owner's  name  is  incorrectly shown on the account

The account owner's correct legal  name  is:                                                                                                                                _

3.   Correct an Individual Account Owner's Social  Security Number

I      certify that the account owner's Social Security  Number is  incorrectly shown on the account

The account owner's correct Social Security Number is:

4.   Correct an Individual Account Owner's Date of Birth

I     certify that the date of birth shown for the account owner on the TreasuryDirect  account is  incorrect and that the

account owner's correct date of birth  is:

(Month  I Day /Year)

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                  10

Part E-2

- RESET

TreasuryDirect Account Name: TreasuryDirect Account Number:

Change or Correct the Entity Account Information

1.  Change Entity Account Name

I     certify that the Entity Account name  has changed to:

Provide an explanation for the change:

2. Correct Entity Account Name

I     certify that the Entity Account name  is  incorrectly shown on the account.

3. Correct Entity Account Taxpayer Identification  Number

I     certify that the Entity Account Taxpayer  Identification  Number (EIN  or SSN) is  incorrectly shown on the account. The correct account Taxpayer  Identification  Number is:

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                  11

Part E-2 (continued)

- RESET

TreasuryDirect Account Name: TreasuryDirect Account Number:

Change or Correct the Current Entity Account Manager Information

1.  Change Entity Account Manager's  Name

I     certify that the Entity Account Manager's  name  has been legally changed by:

D Marriage                 D Divorce               D Naturalization              D Court order

D other (explain)

to:

(Furnish  the  New Legal  Name)

2.  Correct Entity Account Manager's  Name

I     certify that the Entity Account Manager's name  is incorrectly shown on the account. The correct Entity Account Manager's  legal  name  is:

(First I Middle I Last)

3. Correct Entity Account Manager's Social Security Number

I     certify that the Entity Account Manager's Social Security Number is incorrectly shown on the account. The correct Entity Account Manager's Social Security Number is:

4. Correct Entity Account  Manager's  Date of Birth

I     certify that the Entity Account Manager's date of birth is  incorrectly shown on the account.

The Entity Account Manager's correct date of birth is:                                                                                               _
(Month  I Day /Year)

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                  12

Part E-3

- RESET

TreasuryDirect Account Name: TreasuryDirect Account Number:

Change  Entity Account Manager  - New Manager  Information

1. Account  Manager Name:

(First  Name I Middle  Name  or Initial I Last  Name I Suffix)

2. Taxpayer Identification  Number:  -----�������������--=--�----•
(Social  Security  Number of New  Entity Account Manager)

3. Date of Birth:

4. Street Address:

(Month  I Day /Year)

5. City:

6. Home  Phone: Work Phone:
Cell  Phone:

-------------� State:

-����� Zip Code:

--------

7. Driver's  License/State  ID Number: Issuing State:
Expiration Date:

8. E-mail Address:

9. Mailing Address (check  one):
D  Use the Entity Address          D  Use the Account Manager Address

In support of the Entity Account Manager change requested above,  evidentiary documentation  must also be provided to explain why the change is  being requested.  For example,  the evidence necessary may include a certified copy of:

•     the trust document,  if a successor trustee will be the new account manager
•     a letter of resignation,  if the current administrator,  legal  representative,  or trustee resigned
•     the new  partnership agreement,  if a member left the partnership or is stepping down as the account manager
•     the corporate resolution or articles of organization,  if the company reorganized or officers  have changed
•     the letters of appointment,  if a new guardian or legal  representative  has  been appointed
•     a death certificate,  if the current Entity Account Manager is deceased

NOTE:  The current Entity Account Manager must complete Parts A and D-2 and sign in  Part F.   If he or she is  unable to sign, please provide evidence as to why-evidence such as a certified copy of a death certificate.

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                  13

Part F

TreasuryDirect Account Name: TreasuryDirect Account Number:
Signatures and Certifications
The undersigned  certify under penalty of perjury that the information  provided  herein is true and correct to the best of our knovvledge  and belief and agree to distribution  of the securities  as indicated.   We bind ourselves,  our heirs,  legatees,  successors  and assigns, jointly  and severally,  to hold the United  States harmless  on account  of the transaction  requested,  to indemnify unconditionally and promptly  repay the United  States in  the event of any loss which  results from this request,  including interest, administrative  costs, and penalties.   We consent  to the release  of any information  regarding  this transaction,  including information  contained  in this application,  to any party having an ownership  or entitlement  interest in  the securities or checks.

•      You must wait until you are in the presence of a certifying officer to sign this form.
•      Certifying officers are available at banks,  trust companies, and credit unions.
•      Certification bv a notarv oublic is NOT acceotable.

Sign  Here:------����------•
(Signature)

(Mailing Address)

Sign  Here:-------���------•
(Signature)

(Mailing Address)

Instructions to Certifying Officer:

1.  Name of person(s) who appeared and date of appearance  MUST be completed.

2. Medallion stamps  require an original  signature.

3. Person(s) must sign  in  your presence.   NOTE:   To certify a second  signature,  use the  next  page.

(E-mail Address)

(Daytime  Phone No.) (E-mail Address)
(Daytime  Phone No.)

I      CERTIFY that   -----------�=========---------, whose identity is  known or was
(Name  of Person Who Appeared)

proven to me, personally appeared before me this                                            _ day of

(Month /Year)

at ---------=���---------,    and signed this form.
(City,  State)

(Signature  and Title of Certifying Officer)

(OFFICIAL STAMP

(Name  of Financial  Institution)
OR SEAL)                                                                                    (Address)

(City,  state, ZIP Code)

(Telephone)

FS Form 5446                                          Department of the Treasury I      Bureau  of the Fiscal  Service                                                            14
I      CERTIFY that                                                                                                                                      ,     whose identity is  known or was
------------�N�a=m==,�P==s=,�w=h�o�A=p=e=a=e�)�-------�

proven to me, personally appeared before me this ---------- day of

(Month  I Year)

at ---------=���---------,  and signed this form.
(City,  State)

(Signature  and Title of Certifying Officer)

(Name  of Financial  Institution)

(OFFICIAL STAMP
OR SEAL)                                                                                   (Address)

(City,  state,  ZIP Code)

(Telephone)

FS Form 5446                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                  15
INSTRUCTIONS

Complete only the parts  of the form that apply to the transaction(s) requested.
Use of  Form - Use this form  to request  transactions  that  involve  a  TreasuryDirect  account  and  cannot  be completed  online.
Complete a separate FS Form 5446 for each TreasuryDirect account number.
If a decedent's estate is  involved, this form may be used  ONLY in the following  cases:
•   A legal  representative  has  been appointed and is still acting and the legal  representative wishes to redeem securities.
The legal  representative  must  use  a  FS  Form  1455  to distribute  the securities  to the persons entitled.   The persons
entitled  may then use this form to request transfer or payment of securities.   In  order to sell unmatured  Treasury  bills, notes,  bonds,  FRNs,  or TIPS,  the security must be transferred to a financial  institution  or brokerage firm.
•	A legal  representative  has  not  been appointed to settle the decedent's estate but the person entitled to the securities wishes to request transfer or payment of securities.  (Use an FS Form 5336 to distribute the securities to the person[s] entitled  if the redemption  value of all  securities owned  by the  decedent does  not exceed  $100,000.   Estates with securities  valued over  $100,000  must  be formally  administered  through  the  court and an administrator,  executor,  or similar representative  appointed.)   In  order to sell unmatured Treasury  bills,  notes,  bonds,  FRNs,  or Tl PS, the security must be transferred to a financial  institution  or brokerage firm.
If a decedent's estate is  involved, this form may NOT  be used  in the following  cases:
•     The decedent's estate was formally administered through the court and has  been closed (use  FS Form 5394).
•	The decedent's  estate  is  being  settled  in  accordance  with  State statute  such  as  Summary Administration, Small Estates Acts,  Texas Muniment of Title,  Louisiana Judgment of Possession,  etc.,  without the  necessity of the court appointing an administrator,  executor,  or similar legal  representative  (use  FS Form 5394).

Part A         Account and Transaction  Information  (Complete this part for ALL  transactions.)
1.  TreasuryDirect Account  Information  - Provide  the  TreasuryDirect   account  number,  account  name,  and  Taxpayer
Identification  Number (Social  Security Number or Employer  Identification  Number).
2. Transactions  Requested - Mark  the appropriate  box to show the type of transaction  requested.   You can mark more than one box,  if multiple transactions  are requested.
3. Capacity of Applicant(s) - Mark the box that best describes the capacity in  which you are acting.   You can check more than one box,  if applicable.   Provide any necessary  evidence, as described below:
If you check this box. .  .                                                                       then you must also provide  this evidence ...
Individual  Account Owner or parent of a minor
account owner,  and the security is a restricted, converted security

Entity Account Manager

Surviving secondary owner or beneficiary including  non-converting coowner or beneficiary

Legal representative

Legal guardian

Person(s) entitled as shown on FS Form 1455

Attorney-in-fact

If the non-converting coowner or beneficiary  is deceased,  a
certified copy of his or her death certificate.

A copy of the evidence that establishes your authority to request the transaction.  If filed with a court,  the evidence  must be under court seal.  For example:  copy of trust,  corporate resolution,  letters of appointment,  death certificate,  etc.,  as applicable.

A certified copy of the decedent's death certificate.

A certified copy of your letters of appointment,  dated within one year of submission.
A certified copy of your letters of appointment,  dated within one year of submission.
A certified copy of the legal  representative's or legal guardian's letters of appointment dated within one year of submission, certified copies of death certificates for all deceased registrants, and a FS Form 1455 showina distribution.
A copy of the power of attorney document,  containing the grantor's signature and witnessed or certified  in accordance with applicable State law.

Person(s) entitled through judicial  proceedings
(The  persons  shown  to  be  entitled  are  making  this  request  in
connection   with  a  legal  proceeding  or  court  order  [such   as  A certified copy of the court approved document authorizing the
divorce  decree,   court-approved property  settlement  agreement,    transaction.
tevy,   money   judgment,    bankruptcy   proceeding]   involving   the
owner/primary owner of the securities in TreasuryDirect.)

FS Form 5446                                 Department  of the Treasury  I     Bureau of the Fiscal  Service                                                               16
Person(s) entitled to decedent's estate as shown on   A certified copy of the decedent's  death certificate and properly
FS Form 5336                                                                  completed FS Form 5336 showing distribution.
A copy of the evidence that establishes your authority to
other                                                                        request the transaction.   If filed with a court,  the evidence must be under court seal.

Part B           Redeem EE or I  Savings Bonds  Held in  TreasuryDirect
1.  Description  of Savings  Bonds - Check either the box to redeem  all savings bonds or the box to redeem  only some of your savings bonds.   If you are redeeming  only some,  list the confirmation  number for each savings bond you are asking us to redeem.   Check the third box if you want to redeem your C of I,  and state the amount you want to redeem.
Important Notices
•     Only original  signatures will be accepted (stamped signatures are not acceptable) .
•     If you are a corporation with a governing  body,  a resolution or a FS Form 1010  must accompany this form .
•     If  any  person  signing  this  form  is  acting  in  a fiduciary  capacity,   failure  to  provide  legal   evidence  may  delay
processing.

This form will  not be accepted with alterations or corrections.
2.  Payee Information  - Furnish the  name  and taxpayer  identification  number  of  the payee.    Furnish the Social Security Number if the payee is an Individual.   If payment is being requested to an estate and the IRS has assigned an Employer Identification  Number,  provide that number.
3. Direct Deposit Instructions - Furnish information on the bank account where the payment is to be direct deposited.   All payments must be made by direct deposit to a designated  bank account.

All  persons  requesting  redemption  must sign in  Part F of the form.    If  payment is  to be deposited to a bank account  in the name  of a different  person,  then that  person or his or her  representative,  who can authorize  such a deposit,  must also sign in  Part F.

Parts C-1  and C-2       Transfer Securities

Part C-1 - Transfer Securities from One TreasuryDirect Account to Another TreasuryDirect Account

1.  Description  of Securities - Check the box to transfer all securities or list the confirmation  number for each security to be transferred.   Series EE and Series  I       savings  bonds  may not  be split.   Each savings  bond must be transferred  in  its entirety.   Marketable  securities may be transferred  in full or in increments of $100.   For each marketable security listed, indicate  whether  you are requesting  transfer  in  full or in  part by checking  the appropriate  box in  the column  next  to the security confirmation  number.   If you don't check either box,  we'll assume transfer in full.

NOTE:    The  amount  to  be transferred  and the  amount  remaining  in  the  CUSIP  must satisfy  both the  minimum  and multiple  holding  requirements for the security.

2.  Transfer Instructions:
•     TreasuryDirect Account  Number - Enter the number  of the account to which the securities  are being transferred.
If  you are the legal  representative  of a decedent's  estate transferring  securities  to the person entitled,  and he/she does not have  a TreasuryDirect  account and does not wish to open one,  show "none"  in  the space for the account number.
•     TreasuryDirect Account  Name - Enter the account name or the name of the person entitled.
•     Taxpayer  Identification  Number - Enter the Taxpayer  Identification  Number  (Social  Security  Number or Employer
Identification  Number)  of the Individual  or Entity entitled.
•     Mark this  Box.   If  you  don't  mark  this  box, we will  assume the transfer  is  neither  between  spouses  nor  incident  to a
divorce.

FS Form 5446                          Department  of the Treasury  I     Bureau of the  Fiscal  Service                                                              17
3.  Tax Liability Notice - Carefully read this section before completing Item 4.

4.   Tax Liability Statement - After reading  the Tax Liability  Notice  in  Item  3,  you must mark box "a" or "b" in  Item  4.   Mark box "a" if you will be treated as the owner of the portion of the trust represented  by the tax-deferred  accumulated  interest on the bonds being transferred.   Mark  box "b" if you will NOT be treated as owner of the portion of the trust represented by the tax-deferred  accumulated  interest on the bonds being transferred.   "Interest"  includes tax-deferred  interest  earned on EE or I      bonds from the issue date until the date of transfer.

Part C-2 - Transfer Treasury Bills,  Notes,  Bonds,  FRNs, or TIPS from TreasuryDirect to a Financial  Institution or
Brokerage Firm for Safekeeping  or Sale

1.   Description  of Securities  - Check the box to transfer all securities  or list the confirmation  number for each security that you are requesting transfer of in whole or in  part   For each security listed,  indicate whether you are requesting transfer in full or in  part by checking the appropriate  box in  the column  next to the security  confirmation  number;  if you don't check either box,  we will assume transfer in full.

If partial transfer  is  requested,  check  the  appropriate  box and specify the  amount  you  are  requesting  be transferred. Enter only the amount  being transferred  (in  $100  increments)  and list the confirmation  number.   NOTE:  The amount to be transferred  and  the  amount  remaining  in  the  CUSIP  must satisfy both  the  minimum and  multiple  holding requirements for the security.

2.  Transfer Instructions - Contact the financial  institution for its book-entry delivery instructions.  Please note: Securities
CANNOT be transferred to a checking  or savings  account.  Provide the following  information:

•     Routing  Number -ABA (identification)  number of the financial  institution  receiving the securities.

•	Financial Institution Wire  Name - The institution's book-entry delivery instructions.  Instructions  include the receiving bank's  name and safekeeping account number OR the receiving  bank's name and the brokerage firm's  name  (these  must be in the approved telegraphic abbreviation  "short" form).

•     Agent or Broker Name, Phone Number, Address.

•	Special  Handling  Instructions - The customer name and account number at the financial  institution for delivery of securities and any other instructions  required  by your financial  institution.

•     Mark this Box.  If you don't mark this box,  we will assume the transfer is neither between spouses nor incident to a
divorce.

Examples:  To a financial institution for safekeeping:

Routing  Number:   XXXXXXXXX Financial  Institution Wire  Name:   ABC BK!TRUST
Special Handling  Instructions:   FURTHER  CREDIT TO JOHN  DOE
TRUST ACCOUNT NUMBER)()()()()()(

To a financial institution for transfer to a brokerage firm:

Routing  Number:   XXXXXXXXX Financial  Institution Wire  Name:   ABC/CUST/BRKG
Special Handling  Instructions:   FURTHER  CREDIT TO JOHN  DOE
BROKERAGE ACCOUNT NUMBER
xxxxxx
Note:  All  scheduled  reinvestments Vvill  be cancelled at the time of transfer.

FS Form 5446                                          Department of the Treasury I      Bureau of the Fiscal Service                                                              18
Parts D-1 and D-2

Edit the Registration  of Securities  Held in TreasuryDirect or Consent to Change the Entity Account
Manager of a TreasurvDirect Account

Part D-1 - Edit the Registration  of Securities  Held in  TreasuryDirect

1.  Description  of Securities - Check the box to edit the registration  of all securities or describe the securities on which you want to edit the registration.
2.  New  Registration  Requested  - Provide the complete  name  and Social  Security  Number  of the owner/primary  owner.
The  account  owner  must be named as the owner/primary owner  in the  registration of the securities held  in  his  or her TreasuryDirect  account.   If a secondary  owner or beneficiary  is to be shown in the registration,  check the appropriate  box and provide the name and Social Security Number of the person to be shown as the secondary owner or beneficiary.

Part D-2 - Consent to Change the Entity Account  Manager of a TreasuryDirect Account

•     Name of the Entity Account Manager consenting to the change - Enter the name of the currently acting Entity
Account Manager.
• 	TreasuryDirect Entity Account  Name- Enter the name of the Entity (i.e.,  trust,  partnership,  corporation,  deceased estate) as it appears on the TreasuryDirect  account.
•     Name of the new Entity Account Manager- Enter the name of the individual who will be acting as the new  Entity
Account Manager.
•     Sign the form in  Part Fin  ink,  in the presence of an authorized certifying officer.
The new  Entity Account  Manager will need to provide his or her personal information  on Part E-3 of FS Form 5446 and join in signing the form in  Part F in the presence of an authorized certifying officer.

Parts E-1,  E-2, and E-3         Chanae or Correct Account Information  or Entitv Account  Manaaer Information

Part E-1 - Change or Correct an Individual Account  Information

The following  information  must be provided by the Individual Account Owner

1.  Change  an  Individual  Account  Owner's  Name  - Complete  this  item  if  the  account  owner's  name  has  changed  by marriage,  divorce,  adoption,  naturalization,  court order,  or some other valid  reason.    Indicate  the  manner  by which the name changed and furnish the account owner's new  legal  name.   Evidence may be required.
2. Correct an Individual  Account Owner's  Name - Complete this item  if an error was made in the account owner's  name when the TreasuryDirect  account was established.   Furnish the account owner's correct legal  name.
3.  Correct  an Individual  Account  Owner's  Social  Security  Number  - Complete  this  item  if  an error was  made  in  the account owner's Social Security Number when the TreasuryDirect  account was established.   Furnish the account owner's correct Social Security Number.
4. Correct an Individual  Account Owner's  Date of Birth - Complete this item  if an error was made in the account owner's date of birth when the TreasuryDirect  account was established.   Furnish the account owner's correct date of birth.

Part E-2 - Change or Correct Entity Account Information

The following  information  must be provided by the Entity Account Manager
1.  Change  Entity Account  Name - Complete  this item  if the name  of the Entity  has  changed.   Provide an explanation  for the name change.
2. Correct Entity Account Name - Complete this item  if the Entity Account name  has been entered incorrectly.

3.  Correct  Taxpayer  Identification  Number  - Complete  this  item  if  the taxpayer  identification  number  for the Entity was entered incorrectly.

Change or Correct Current Entity Account Manager Information

The following  information  must be provided by the Entity Account Manager
1.  Change Entity Account Manager's  Name - Complete this item  if the Entity Account Manager's  name  has changed by

FS Form 5446                              Department  of the Treasury  I     Bureau of the  Fiscal  Service                                                              19
marriage,  divorce,  adoption,  naturalization,  court order,  or some  other valid  reason.    Indicate  the  manner  by which the name changed and furnish the Entity Account Manager's  new legal  name.   Evidence may be required.

2.  Correct  Entity Account  Manager's  Name  - Complete  this  item  if  an error was  made in  the Entity Account  Manager's name when the TreasuryDirect account was established.   Furnish the Entity Account Manager's correct legal  name.

3.  Correct  Entity Account  Manager's  Social Security Number - Complete this  item  if an error was  made in the  Entity Account  Manager's  Social  Security  Number  when  the  TreasuryDirect   account  was  established.    Furnish  the  Entity Account Manager's correct Social Security  Number.

4.  Correct  Entity Account  Manager's  Date  of  Birth  - Complete  this  item  if an error  was  made  in the  Entity  Account Manager's  date of birth  when the TreasuryDirect  account was established.   Furnish the Entity Account  Manager's  correct date of birth.

Part E-3 - Change Entity Account  Manager - New Manager Information

The following  information  must be provided by the new Entity Account Manager

1. Account  Manager Name- Enter the new Entity Account Manager's full name including suffix,  if appropriate.

2. Taxpayer Identification  Number - Enter the new  Entity Account Manager's Social Security  Number.

3. Date of Birth - Enter the new Entity Account Manager's date of birth.

4. Street Address - Enter the new  Entity Account Manager's  home street address.

5. City/State/Zip  Code - Enter the new  Entity Account  Manager's  home address city,  state and zip code.

6. Phone - Enter the home,  work and cell telephone  number for the new Entity Account Manager.

7.  Driver's  License/State   ID  Number  - Enter  the  driver's  license  or state  ID  number,   including  the  issuing  state  and expiration date,  for the new  Entity Account Manager.

8.  E-mail  Address  - Enter  the  e-mail  address  the  new  Entity  Account  Manager  wishes  to  use  to  communicate  with TreasuryDirect.   This  e-mail  address  will  be  used  for  important  messages   from  the  TreasuryDirect   system   and  for communication  from within the TreasuryDirect  account.

9.  Mailing  Address - Indicate  the  mailing address  TreasuryDirect  Customer  Service  should  use  if  it  is  necessary  to mail correspondence  to the new  Entity Account Manager by postal mail.

The new Entity Account  Manager must sign the form in  Part F in the presence of an authorized  certifying officer.

Part F         Signatures and Certifications  (Complete this part for ALL transactions.)
Signatures/Certifications  - Each  applicant   must  appear  before  and  establish  identification  to  the  satisfaction  of  an authorized certifying  officer and sign the application  in the officer's  presence.   The officer must then complete the certification form  provided and imprint the seal or stamp  required in certifying requests.   For certifications within the United States, the certifying  officer  must be authorized to bind his or her  institution  by his or her acts and guarantee  signatures to assignments of securities or certify assignments  of securities.   Certification  by a notary  isn't acceptable.
If you are a parent of a minor account owner,  your signature  certifies  that you are requesting the transaction  on the minor's behalf,  for the minor's  benefit.
Acceptable seals and stamps:
• 		The  financial  institution's  official  seal  or  stamp,   including:    Signature  Guaranteed  seal  or  stamp;   Endorsement Guaranteed seal or stamp;  Corporate seal or stamp (a corporate resolution  isn't  required);  or Issuing or paying  agent seal or stamp (including  name,  location,  and four-digit  identification  number or nine-digit  routing  number).
•     The  seal or stamp  of Treasury-recognized  Signature  Guarantee  Programs  or other Treasury-approved  Medallion
Programs.

FS Form 5446                                   Department  of the Treasury  I      Bureau of the Fiscal  Service                                                                           20
Sample certification  for a financial  institution:

SIGNATURE GUARANTEED ABC National  Bank Hillview Branch

Authorized  Signature

Acceptable certification  for a brokerage:

SIGNATURE GUARANTEED MEDALLION GUARANTEED Generic  Brokerage

Authorized  Signature
xxxxxxxx
SECURITIES TRANSFER AGENTS MEDALLION  PROGRAM

[Bar Code]

Additional  Evidence - The Commissioner  of the Fiscal Service,  as designee  of the Secretary of the Treasury,  reserves the right,  in  any particular case, to require the submission of additional evidence.

Assembly  of Form - Complete and submit only the parts of the form that apply to the transaction(s)  requested.   Parts A and F must  be completed  and  submitted  for  all transactions.    Multiple  copies  of any  part  may  be completed  and  submitted together,  if necessary.   Attach all completed  parts together,  in alphabetical  order.

Where  To Send - Send all completed  parts of the form,  as well as any other forms  and evidence,  to the address  below. Legal evidence or documentation  you submit cannot be returned.

Treasury Retail  Securities Site
PO Box 7015
Minneapolis,  MN 55480-7015

NOTICE UNDER PRIVACY ACT AND PAPERWORK  REDUCTION ACT

The collection of the information you are requested to provide on this form is authorized  by 31  U.S.C.  CH.  31  relating to the public  debt of the United States.   The furnishing  of a Social Security  Number,  if  requested,  is  also required  by Section 6109 of the Internal  Revenue Code (26  USC  6109).

The purpose of requesting  the information  is  to enable  the Bureau of the Fiscal Service and its  agents to issue  securities, process  transactions,  make  payments,  identify owners  and their  accounts,  and  provide  reports to the  Internal  Revenue Service.    Furnishing  the  information  is voluntary;  however,  without  the  information,  the  Fiscal  Service  may  be unable to process transactions.

Information  concerning  securities  holdings  and transactions  is  considered  confidential  under Treasury  regulations  (31  CFR, Part 323) and the Privacy Act   This information  may be disclosed to a law  enforcement  agency for investigation  purposes; courts and counsel for litigation  purposes;  others entitled to distribution  or payment;  agents and contractors to administer the public debt; agencies  or entities for debt collection or to obtain current addresses for payment; agencies through  approved computer  matches;  Congressional   offices  in  response  to  an  inquiry  by the  individual  to  whom  the  record  pertains;  as otherwise authorized  by law or regulation.

We estimate  it will take you about 30 minutes to complete this form.   However, you are not required to provide information requested unless a valid OMB control number is displayed on the form.   Any comments  or suggestions  regarding this form should  be sent to the Bureau of the Fiscal Service,  Forms  Management  Officer,  Parkersburg,  WV 26106-1328.    DO NOT SEND the completed form to this address; send to the address shown in  "Where To Send" in the Instructions.

FS Form 5446                                         Department of the Treasury  I      Bureau of the Fiscal Service                                                                  21
National banks will have a medallion agent, trained by the UST to be authorized to sign this stuff; there should be one agency in every county in one of the banks and they are obligated with no cost. It might be a yellow highlight with a green box and they fill in red in the box, there is no mistaking what they are doing this is high security paperwork, exactly what the counties have been doing all these years by using your SS and on your taxes behind the scenes without you knowing about it, they call it administrative probating of these accounts behind the scenes.

This is so secret but was supposed to be available to all of us to settle debts, they got wise and wanted to pocket as much as they could and made us a bunch of idiots but now there is full disclosure and there is no need to hide it under national security anymore. All of this is real and it is amazing how much had to be done to overthrow all of that.
It is just amazing.

What we have located is that the wire transfer that comes out of your SS is put into the FR and they have a window where they discharge the funds coming out of your SS account as being the bank source. THe banks have a relationship with the county, the county is the ?? and the bank is the trustee, the wire transfer is escrow and the banks are creating an escrow account for 30 years and forcing you to make payments to the same money taken out of the SS account. And guess who the investors are? The county.
This becomes a really bad situation bc/ the trustees in a trust... can foreclose because of missed payments to the investors. What the banks are servicing is they are maintaining and managing the escrow which is the principal amount of money withdrawn from your SS account and use that as a peg of collateral which both bank and county are hypothecating and using as a 3rd party investment out on the open market, it deserves interest and royalty. When they foreclose on you they take your house and set the trap for they next victim, ripping you off from funds taken out of your SS account. They also bond everything, everything in commerce is bonded individually, they have compound bonding all the way up to the investment, when they fail they collect on that, they cannot lose, it is RICO racketeering at its finest, you are the victim that is depositing trillions into their retirement.

FS5179

Legacy Treasury direct security transfer request
It is a very simple form, you are putting your legacy account if you have one otherwise you are setting up the account name which will be the all-caps name and make sure you put estate on it, do not make the mistake of not putting estate on it, what you are doing is welding these into a new entity, you want to seal it, I am not sure if
they are going to destroy the old SS number, it is not terminated until

15 years after your death certificate was issued. You can change the status by sealing it, making it prohibited by any further use by any
3rd party intervener, it has to have your signature with the full disclosure of all terms and conditions with a contract that is notarized by all parties. When you put your all-caps name with estate behind it you are well on your way to at least get the paperwork with the UST done before you do your will or your declaration of status and classification.

With this one here, line 2 securities identification and amounts, I did not have the information I merely checked off the box transfer all securities. And here again internal transfer to another legacy internal account and you don't have that number you need a new number but check that box if that is what you want to do, you can do any or all of this, this is what I determined was the proper way for me.
The next box transfer to online treasury direct, I put that, the old SS account I put there so I could have immediate access to the funds. The account name would be all-upercase estate. At the very bottom
of line 3 first name unsecured SS number, and the new estate number

is the estate EIN. External transfer to financial institution. I would give the old routing number of the bureau of public debt or the NY FRB until the UST issues one of their own preference. At least they are familiar if I was to do an ACH I would use this information. I will not wait for them to issue cards.

And it has space for a treasury medallion stamp at the bottom.

FS Form 5179  (revised June 2016)

*-,-,-,-,-

OMB No.  1530-0042

BUREAU OF THE
Legacy Treasury Direct® Security Transfer Request

� �i�£�t�,�!Y.!£�
SEE INSTRUCTIONS-TYPE OR PRINT IN INK ONLY - NO ALTERATIONS OR CORRECTIONS

1.  Legacy Treasury Direct ACCOUNT  INFORMATION      I                                                                                                                                                                                                                                                                                                                               FOR DEPARTMENT  USE Legacy Treasury  Direct ACCOUNT  NUMBER
ACCOUNT  NAME                                                                                                                                                      DOCUMENT AUTHORITY APPROVED BY
DATE APPROVED

2. SECURITIES IDENTIFICATION AND AMOUNT       I         CHECK THE BOXES WHICH APPLY AND PROVIDE THE INFORMATION  REQUESTED.
D Transfer ALL my securities for the above Legacy Treasury  Direct account.
D Transfer  my securities totaling $                                         from the CUSIPs below.   (Additional forms are required for more than 10 CUS/Ps.)

CUSIP                       AMOUNT                                                                   CUSIP                        AMOUNT

Department  Use                                                                                                                   Department Use
Reference Number                                                                                                      Reference Number
$                                                                                                                    $

$                                                                                                                    $

$                                                                                                                    $

$                                                                                                                    $

D Transfer$                      of my holdings for CUSIP number
(If you are NOT transferring all of your holdings for this CUSIP,  you must also list the specific sub-accounts and amounts to be transferred
below.   This information  is shown on your Legacy Treasury Direct Statement of Account.)
SUB-ACCOUNT                     AMOUNT                    SUB-ACCOUNT                           AMOUNT                    SUB-ACCOUNT                           AMOUNT

$                                                                       $                                                                       $

3. TRANSFER  INSTRUCTIONS  I        CHECK ONE BOX ONLY AND PROVIDE THE INFORMATION  REQUESTED FOR THE TRANSFER.

D INTERNAL TRANSFER  TO ANOTHER  Legacy Treasury Direct ACCOUNT  NUMBER
NOTE:  This must be an existing
Legacy Treasury  Direct ACCOUNT  NUMBER                                                                 account;  new accounts aren't available.

ACCOUNT  NAME
Identify the Legacy Treasury  Direct account to 'Mlich you want your securities transferred.

TAXPAYER  IDENTIFICATION  NUMBER (IF AVAILABLE)

First-Named                                                                                   OR
Owner                           Social  Security Number                                                  Employer  Identification  Number

D TRANSFER  TO AN ESTABLISHED  ONLINE TreasuryDirect ACCOUNT  NUMBER
TreasuryDirect ACCOUNT  NUMBER                                                                                     (May be established at www.treasurydirect.gov.) ACCOUNT  NAME
Identify the
TreasuryDirect account to vVhich you want your securities transferred.

TAXPAYER  IDENTIFICATION  NUMBER (IF AVAILABLE)

First-Named                                                                                   OR
Owner                           Social  Security Number                                                  Employer  Identification  Number

FS Form 5179                                          Department of the Treasury  I      Bureau of the Fiscal Service                                                                1
D  EXTERNAL TRANSFER TO A FINANCIAL  INSTITUTION
NOTE:   Failure to provide  any of the following information  could  delay the transfer.   See  instructions before completing. ROUTING  NUMBER:
FINANCIAL  INSTITUTION WIRE  NAME:

AGENT  or BROKER NAME:                                                                                                                        PHONE  NO. AGENT  or BROKER ADDRESS:
SPECIAL  HANDLING  INSTRUCTIONS:

4. AUTHORIZATION           YOU MUST WAIT UNTIL YOU ARE IN THE PRESENCE OF A CERTIFYING  OFFICER TO SIGN THIS FORM. IF THERE ARE TWO OWNERS JOINED BY THE WORD "AND,"  BOTH MUST SIGN.

I/We submit this transfer request pursuant to the  provisions of Department of the Treasury Circulars,  Public  Debt Series  Nos.  2-86 (31  CFR  Part 357)  and 1-93  (31  CFR  Part 356).

Under  penalties of perjury,  1/v,..e certify that the information  provided  on this form  is true,  correct,  and complete.

Signature                                                                        Title (if appropriate)                                    Telephone  (Daytime) Signature                                                                        Title (if appropriate)
Mailing Address                                                                                                       E-mail  Address

5. CERTIFICATION    I               YOUR  SIGNATURE  MUST  BE CERTIFIED  BY AN AUTHORIZED CERTIFYING OFFICER.
I

Instructions to Certifying Officer:
1.  Name of person(s) who appeared and date/place of appearance  MUST be completed.
2.  Medallion stamps require an original signature.
3.  Person(s) must sign in your presence.

I     certify that                                                                                                                ,     whose  identity(ies)  is/are kn0Vv11  or proven  to me, Name(s) of Person(s) Who Appeared

personally appeared before  me this                                      day of                                                                in the  year
Month                                                                               Year

at                                                                                      ,     and signed  this  request.
City I State

Signature and Title of Certifying Officer

Name of Financial  Institution

ACCEPTABLE CERTIFICATIONS:
Financial  Institution's Official  Seal  or Stamp                                                                               Address
(such  as Corporate Seal,  Signature Guaranteed
Stamp,  or Medallion Stamp).   Brokers  must
use a Medallion  Stamp.                                                                                                            City I state I ZIP Code

Telephone

Certification  by a  Notary  is  NOT  Acceptable.

FS Form 5179                                             Department of the Treasury I      Bureau of the  Fiscal  Service                                                             2
INSTRUCTIONS

PURPOSE
You may use this form to request the transfer of securities from a Legacy Treasury Direct account to:
•      another Legacy Treasury Direct account,  or
•      an on line TreasuryDirect account,  or
•      a designated account at a financial  institution.

IMPORTANT  NOTICES
•      This form must be signed. Only original signatures and forms will be accepted  (stamped  signatures are not acceptable).
• 	Unless all the required  information  is provided  legibly,  there may be a delay in  processing your request.  To avoid delays,  read the instructions carefully and print clearly in  ink only.
•      TRANSFER  REQUESTS WILL  NOT BE ACCEPTED  WITH ALTERATIONS OR CORRECTIONS.
1.  Legacy Treasury Direct ACCOUNT  INFORMATION   I

Print your Legacy Treasury Direct ACCOUNT  NUMBER and the ACCOUNT  NAME  (registration)  as stated on your Legacy Treasury
Direct STATEMENT  OF ACCOUNT
2. SECURITIES  IDENTIFICATION AND AMOUNT    I

Check the boxes which  apply and provide the  information  requested.  ALL REQUIRED  INFORMATION  IS LISTED ON YOUR Legacy
Treasury Direct Statement of Account.

To transfer ALL the securities  in the Legacy Treasury Direct account listed  in  Section  1,  check the first box.

To transfer one or more securities in  your Legacy Treasury Direct account,  check the second box,  enter the total dollar amount of the securities  being transferred,  and list the CUSIP  numbers and amounts.

AMOUNT - The total par for the CUSIP.
CUSIP - The number  (for example,  912795)()()()  that identifies the securities to be transferred  (located  under the heading
"Security" on your Statement of AccounQ.

To transfer a portion  of one security in  your Legacy Treasury Direct account,  check the third box,  enter only the amount being transferred,  and list the CUSIP number.  To transfer security sub-account(s),  enter the sub-account number(s)  and dollar amount(s) to be transferred.  THE AMOUNT  TO BE TRANSFERRED AND THE AMOUNT  REMAINING  IN  THE CUSIP MUST SATISFY  BOTH THE MINIMUM AND MULTIPLE  HOLDING  REQUIREMENTS FOR THE SECURITY.

3. TRANSFER  INSTRUCTIONS  I

(Choose One Option Only)
INTERNAL TRANSFER  TO ANOTHER  Legacy  Treasury Direct ACCOUNT

Check the box to transfer your securities to another Legacy Treasury Direct account number.  The transfer  must be to an existing account;  new accounts aren't available.

•      Legacy Treasury Direct ACCOUNT  NUMBER -  Enter the number of the account to which the securities are being transferred.

•      ACCOUNT  NAME -  Enter the ACCOUNT  NAME  (registration)  as shown on the transferee's Statement of Account

• 	TAXPAYER  IDENTIFICATION  NUMBER -  If available,  enter the TAXPAYER  IDENTIFICATION  NUMBER  used  on the account to which the securities are to be transferred.

TRANSFER  TO AN ONLINE TreasuryDirect ACCOUNT

Check the box to transfer your securities to an on line TreasuryDirect account number.

• 	TreasuryDirect ACCOUNT  NUMBER -  Enter the number of the account to which the securities are being transferred.  If a new account has  not yet been established,  you can establish one at www.treasurydirect.gov.

•      ACCOUNT  NAME -  Enter the ACCOUNT  NAME  (registration)  as shown on the on line TreasuryDirect account

• 	TAXPAYER  IDENTIFICATION  NUMBER -  If available,  enter the TAXPAYER  IDENTIFICATION  NUMBER  used  on the account to which the securities are to be transferred.

EXTERNAL  TRANSFER  TO A FINANCIAL  INSTITUTION

Check the box to transfer your securities to a financial  institution for safekeeping  or sale.  Contact the financial  institution for their "Book• Entry"  delivery instructions.  Please  note:  Securities CANNOT  be transferred to a checking or savings account.  Provide the following  information:

•      ROUTING  NUMBER -  ABA (identification)  number of the financial  institution  receiving the securities.
•	FINANCIAL  INSTITUTION WIRE  NAME -  Provide the financial  institution's "Book-Entry" delivery instructions.  Instructions include the receiving  bank's name and safekeeping  account number OR the receiving  bank's  name and the brokerage firm's
name  (these  must be in the approved telegraphic abbreviation  "short" form).
•     AGENT/BROKER  NAME,  PHONE NUMBER,  ADDRESS
•	SPECIAL  HANDLING  INSTRUCTIONS - The customer  name and account number at the financial  institution for delivery of securities;  any other instructions required  by your financial  institution.

Examples:  To a financial  institution for safekeeping:                  To a financial  institution for transfer to a brokerage firm:

Routing  Number:       )()()()()()()()                                                                        Routing  Number:       )()()()()()()()
Financial  Institution  Wire  Name:       ABC  BK/TRUST                                                                     Financial  Institution  Wire Name:       ABC/CUST/BRKG
Special Handling  Instructions:       FURTHER  CREDIT TO JOHN  DOE                                     Special  Handling  Instructions:       FURTHER  CREDIT TO  JOHN  DOE
TRUST ACCOUNT NUMBER XXXXXX                                                                              BROKERAGE  ACCOUNT NUMBER  XXXXXX
4. AUTHORIZATION      I
Sign the request in the presence of an authorized certifying  officer.  Identification  may be required.  Remember,  if there are two owners joined  by the word "and,"  both  must sign (for example,  John Doe and Mary Doe). In  case there are questions about this transfer,  please provide a mailing address,  daytime telephone  number,  and, if applicable,  e-mail address.
5. CERTIFICATION      I
Certification  of your signature is required.  Acceptable  certifying  officers include authorized  employees  of insured  depository  institutions and corporate central credit unions.  Brokers must use a medallion stamp.  Certification  date and address of financial  institution or broker is required.  Please  note:  Certification  by a notary public  is  NOT acceptable.

Sam pie certification for a financial  institution:                                             Acceptable certification for a brokerage:

SIGNATURE GUARANTEED                                                                                                 SIGNATURE GUARANTEED ABC  National  Bank                                                                                                                         MEDALLION  GUARANTEED
Hillview  Branch                                                                                                                                      Generic  Brokerage

WHERE TO SEND    I

Authorized Signature                                                                                                                               Authorized Signature
xxxxxxxx
SECURITIES TRANSFER AGENTS MEDALLION  PROGRAM [Bar  Godel

If requesting  a transfer to another Legacy Treasury Direct account or to a financial  institution,  mail this form to Treasury Retail
Securities Site,  PO Box 9150,  Minneapolis,  MN 55480-9150.

If requesting  a transfer to an on line TreasuryDirect account,  mail this form to Treasury Retail Securities Site,  PO Box 7015, Minneapolis,  MN 55480-7015.

To ensure timely processing, this form  must be received at least ten  business days  in  advance of:
•    the maturity date of the security
•    an interest payment date for the security

CONTACT    I
Call us toll-free  in the United  States at 844-284-2676.  Outside the U.S.? Call us at 304-480-6464. CONFIRMATION OF THE TRANSFER    I
You will  receive a Legacy Treasury Direct Statement of Account after your securities have  been transferred.  Under certain
circumstances,  there may be a hold  on the account and a statement won't be mailed.
NOTICE  UNDER  THE PRIVACY ACT AND PAPERWORK REDUCTION ACT

The collection oft he information you are  requested  to provide  on this form  is  authorized  by 31 U.S.C. Ch. 31 relating to the public debt of the United  States. The furnishing  of a Social
Security Number.  if requested.  is  also required by Section  6109  of the Internal  Revenue  Code (26 U.S.C. 6109).

The purpose  of requesting  the information  is to enable the Bureau of the Fiscal  Service  and its  agents to issue  securities.  process transactions.  make payments.  identify owners and their accounts.  and provide  reports to the Internal  Revenue Service.  Furnishing the information  is voluntary;  however. without the information. the Fiscal  Service  may be unable to process transactions.

Information  concerning  securities  holdings  and transactions  is  considered  confidential  under Treasury  regulations  (31 CFR. Part 323) and the Privacy Act. This information  may be
disclosed  to a law enforcem en! agency for irNestigation  purposes;  courts and counsel  for litigation  purposes;  others entitled to distribution  or payment;  agents  and contractors to administer the public  debt agencies  or entities for debt collection  or to obtain current  addresses for payment;  agencies through approved  computer matches;  Congressional offices in  response to an inquiry by the individual to whom the record pertains;  as otherwise  authorized  by law  or regulation.

We estimate  ii vv'ill  lake you about  10  minutes to complete  this form.  However. you are not required to provide  information requested  unless a valid  OMB control  number is  displayed  on the form. Any comments  or suggestions  regarding this form  should be sent to the Bureau oft he Fiscal Service.  Forms Management Officer. Parkersburg. WV 26106-1328.  DO NOT SEND completed form to this address;  send  to the appropriate address  shown in "WHERE TO SEND" in the Instructions.

FS Form 5179                                          Department of the Treasury I      Bureau of the Fiscal Service                                                                4

FS 5188
OMB 1505-0170

Release of Blocked Funds
This is the request for you to get licensed up at the Office of Foreign Assets Control (OFAC), they have the address where this form is to be sent which is the same as the other forms, put in the business name as the all-caps name, put your name first/last, street address...

I did put something in the detailed explanation, it was a summary of executable orders which I had at the bottom of my affidavit, in my case it was a testimony, in my case I had orders that I cut and pasted into this blank section on the very bottom and there is more space down below that.

You have to sign this in front of the officer but they don't have to do a medallion, they will assume that it is one and the same under the
bank witness bc/ it is included with the other PW.

In this particular document where it actually says SS or employer's number, what I did is put my SSN and put and/or my private bank number for the estate, so that would be part B right down below the number 1 where it asks for SS or EIN. The reason for this is you are requiring the UST as to withdraw the stocks, bonds from the public and ask them to place that into a special private depository, that is the reason they have to have what you are launching from and what you are going to get to and that is what Patrick taught about getting
the EIN for the private banker, you are going to be closing out the old

SSN and transferring the wealth into the private banker's number.
If you look at line 2 on this form, it says securities: birth registration, ss account, DL, and other titles of nobility, enumerating the accounts without any CUSIPs. You want the private banker authority, not to spend time looking up CUSIPs. I am not trying to cut corners here, but instead of paying a securities broker to look this stuff up and get the CUSIPs, it takes up time and money. The full audit is coming, I do not spend too much time on this document, it allows them to see that you are one and the same as a private attorney, what they are looking for is the SS, BC, DL, titles of nobility.

What you are going to do, is put the principal heir the original birth name hereby appoints the upper/lower case name as attorney in fact. What you are doing is principal heir, use principal heir on behalf of
the all-caps name bc/ congress has already decided that these accounts are considered civilly dead and they cannot act on their
own, principal heir because you are first in line, indisputable in a court of law that you are not one and the same, unless the dead entity is a benefit to you...
Below that is who becomes the assignee of the POA. You have to watch the words, these are very important, so just understand that
the upper and lower case name living entity is swearing into an office on behalf of these accounts, that is the thinking. The office of POA is just that, it is a public office that is recognized by all government entities, and when you are filling that, some of the PW you ought to be doing for probate is swearing into an oath that you will under the original organic laws on the land, anything you want to do, but it has to be on the land that you are swearing that you wil protect the
estate at all costs within the parameters of the original organic laws of

hte united states, that would be a separate piece of paper you would have to do to be combined with any other statutory authorized form you should always have a copy of your generic common law oath attached to it.
Authorities at the bottom I checked off A,B, and C. It gives you an ACH process on this form... "purchases by ACH or any other authorized payment"... "will not be liable for any loss made by your attorney in fact". That gives it to you right there. The second page: signatures. The grantor, "on behalf of" or "authorized personal representative", you do not have to put your name, I would put upper/lower name to match up to your signatures on your will and your probate foundational PW.

Each one has to be qualified as to be uniform to each one of your documents. Then you should put in your email, telephone number, your new EIN that you are authorized to function off of, that new one is replacing the old so it is going to this POA as to your authorization to receive the duties and obligations of the new private banker's EIN that all the other unsecured assets have been merged into.
THAT ENTIT Y EIN, SHOULD IT BE
FOREIGN?

There may be some exceptions of using that like when I created the peoples university that is an international entity. It depends on what you are trying to do, if you are just trying to leave in peace then use a generic private banker number like what Patrick was teaching but in special situations that require you to get a 98- series a foreign trust to completely acknowledge you are not a domestic entity, it just depends on what you want to accomplish, not everyone's paperwork will be the same. Don't go filling in these blanks just because they are blank, some of the stuff does not apply to you on these forms.
INSTRUCTIONS

WHERE A WIRE TRANSFER  HAS  BEEN BLOCKED AT A U.S.  FINANCIAL  INSTITUTION  DUE TO U.S.  GOVERNMENT SANCTIONS,  A PARTY TO THE TRANSFER  MAY APPLY  FOR  RELEASE OF THE FUNDS.
COMPLETE  ALL APPLICABLE SECTIONS.   FAILURE TO PROVIDE ADEQUATE INFORMATION  MAY RESUL TIN  YOUR APPLICATION  BEING RETURNED  WITHOUT ACTION.
ATTACH  COPIES OF ANY DOCUMENTS  RELATED TO THE UNDERLYING  TRANSACTION  (E.G.  INVOICES,  BILLS OF LADING,  PHOTOCOPY OF THE ORIGINAL  PAYMENT  OR TRANSFER  INSTRUCTIONS, COPIES OF GOVERNMENT-ISSUED IDENTIFICATION SUCH AS PASSPORT, TEMPORARY/PERMANENT RESIDENT CARD, BIRTH CERTIFICATE,  OR OTHER  IDENTIFYING  DOCUMENTATION).
ALL DOCUMENTS  MUST BE IN  ENGLISH OR INCLUDE AN ENGLISH TRANSLATION.

MAIL  THE COMPLETED  AND SIGNED APPLICATION,  TOGETHER  WITH ACCOMPANYING  DOCUMENTATION AND TWO ADDITIONAL  COPIES OF THE ENTIRE SUBMISSION,  TO: THE OFFICE OF FOREIGN ASSETS  CONTROL, 1500  PENNSYLVANIA AVENUE,NW-ANNEX, WASHINGTON, D.C. 20220, ATTN:  BLOCKED FUNDS APPLICATION
A COPY OF THIS APPLICATION AND ALL RELATED  DOCUMENTATION  MUST BE RETAINED  BY THE APPLICANT FOR  AT LEAST  FIVE YEARS AFTER  THE DATE OF THE UNDERLYING  TRANSACTION.
UNLESS AUTHORIZED BY OFAC, APPLICATIONS  MADE BY ANY OTHER  METHOD WILL  NOT  BE CONSIDERED.

LICENSES GRANTED  PURSUANT TO THIS APPLICATION ARE SUBJECT TO THE CONDITIONS BELOW LICENSEES SHALL FURNISH AND MAKE AVAILABLE  FOR  INSPECTION  ANY RELEVANT  INFORMATION,  RECORDS OR REPORTS REQUESTED  BY THE SECRETARY  OF THE TREASURY  OR ANY DULY AUTHORIZED OFFICER  OR AGENCY  OF THE SECRETARY.
A SPECIFIC  LICENSE  IS  NOT TRANSFERABLE,  IS  LIMITED TO THE FACTS AND CIRCUMSTANCES SPECIFIC  TO THE APPLICATION,  AND IS SUBJECT  TO THE PROVISIONS OF 31  CFR PART 501,  THE RELEVANT EXECUTIVE ORDER  OR PART OF 31  CFR CHAPTER V PERTAINING TO THE SANCTIONS  PROGRAM  UNDER  WHICH THE TRANSFER  WAS BLOCKED AND ANY REGULATIONS OR RULINGS  ISSUED  PURSUANT THERETO.   A LICENSE  MAY BE REVOKED OR MODIFIED AT ANY TIME AT THE DISCRETION  OF THE SECRETARY  OF THE TREASURY.   IF A SPECIFIC  LICENSE WAS ISSUED AS A RESULT OF WILLFUL  MISREPRESENTATION  ON THE PART OF THE APPLICANT OR HIS AGENT,  IT MAY, AT THE DISCRETION  OF THE SECRETARY  OF THE TREASURY,  BE DECLARED  VOID FROM  THE DATE OF ITS  ISSUANCE,  OR FROM
ANY OTHER  DATE.

A SPECIFIC  LICENSE  1)  DOES NOT  EXCUSE COMPLIANCE WITH  ANY LAW OR REGULATION ADMINISTERED  BY THE OFFICE OF FOREIGN ASSETS  CONTROL  OR ANOTHER  AGENCY  (INCLUDING  REPORTING  REQUIREMENTS APPLICABLE TO THE TRANSACTIONS AND ACTIVITIES THEREIN  LICENSED),  2) DOES NOT  RELEASE THE LICENSEES OR THIRD PARTIES  FROM  CIVIL OR CRIMINAL  LIABILITY  FOR VIOLATION  OF ANY LAW OR REGULATION, AND 3) DOES NOT CONSTITUTE A FINDING OF FACT OR CONCLUSION  OF LAW WITH  RESPECT
TO THE APPLICABILITY OF ANY LAW OR REGULATION.

ATTENTION  IS  DIRECTED  TO 19  U.S.C.  §§ 1592 AND 1595A,  18  U.S.C.  § 545, 18  U.S.C.  § 1001,  50 U.S.C.  APP.§  16, AND SECTION  701 ET SEQ. OF THE RELEVANT PART OF 31  CFR FOR  PROVISIONS  RELATING TO PENALTIES.

FOR YOUR INFORMATION
Remitter - The person  or organization  that  is  sending the funds.
Remitting  Financial  Institution  - Name  of the financial  institution  initiating the transfer on  behalf of the re mitt er.
Intermediary Financial  Institution  -A bank other than  the  remitter's  bank or beneficiary's  bank through  which  the transfer  passes.
Beneficiary  Financial  Institution  - The financial  institution  receiving the funds on behalf of the  beneficiary. Beneficiary - The ultimate  party to be credited  or paid as a result  of a wire transfer.
Hover  Help  - Holding  the  mouse  cursor over the  data  entry  portion  of some fields will  result  in  a pop-up  box containing  information  on entering  data  into the  field  over which  the  mouse  cursor is  placed.  This  help  also exists  for the  headings  of each section.
WARNING!
MAKING  FALSE OR MISLEADING STATEMENTS  ON OR IN  CONNECTION  WITH THIS APPLICATION  MAY CONSTITUTE SERIOUS CRIMINAL AND/OR CIVIL VIOLATIONS OF FEDERAL LAW AND MAY RESULT IN  SUBSTANTIAL  FINES.

PAPERWORK  REDUCTION  ACT  STATEMENT: The paperwork requirement has  been  cleared  under the  Paperwork Reduction  Act of 1985. The Office of Foreign Assets  Control (OFAC)  of the  Department of the Treasury  requires this information  to be furnished  pursuant to 31 CFR  Part 501. The infonnation  collected  will  be used for U.S.  Government to evaluate and process license  applications  submitted by applicants whose  money has been  blocked  pursuant to OFAC  sanctions.  It is the  policy of OFAC  to protect the  confidentiality  of information  in  appropriate  cases pursuant to the  exemptions from disclosure provided  under the  Freedom  of Information Act
and the  Privacy Act. The estimated  burden  associated with this collection  of information  is 30 minutes per respondent.  Comments  concerning the accuracy  of this burden  estimate  and suggestions for reducing this burden  should be  directed  to the  Compliance  Programs  Division,  Office of Foreign  Assets Control,  Department of the Treasury,  1500  Pennsylvania Ave.,  N.W., Washington,  D.C. 20220 and the Office of Management and Budget,  Paperwork  Reduction  Project  OMB  No. 1505-0170, Washington,   D.C. 20503.  An agency  may not conduct or sponsor,  and a person  is not required to respond to, a collection  of information  unless it displays a valid
control number assigned  by OMB.

Mail  this appicafion to:    Licensing Division
Office of Foreign Assets Contra
U.S.  Department of the Treasury
1500 Pennsy1vania Avenue, NW
Washington, D.C. 20220

Form Approved
OMB  No.: 1505-0170
Expiration  Date:  08/31/2012

APPLICATION  FOR THE RELEASE OF BLOCKED  FUNDS
It is strongly recommended that you use the computer to complete this fonn

OMB No. 1505-0170

TYPE OF APPLICATION   New Appllcatlon                             Previous Case Number (if applicable): �������-

1. Blocked Amount:                                         2. Currency Type:                                               3.  Date Blocked (mm/dd/yyyy):

4.  Business Name (if applicable):

APPLICANT/CONTACT INFORMATION

5.  Last Name:                                                                                            6.  First Name:

7. Middle  Name:                                                                   Sa.  Street Address 1:

Sb.  Street Address 2:                                                                                                                                          9.  City:
I""  I "'""" 1��-

e          Area                   Exchan�e         r.lJmber
10. Select Country                                                                        11. Select State                                  12. Postal Code:
113. lnt'I   14. Phone:                                          l                                                                                                                                                                                                                                                                                                          1 15.  lnt'I   16.  Fax:
17.  E-mail Address:                                                                                   18. Principal Place of Business:

19. State or Country Where Business is Incorporated:

20. Transfer Blocked Due to the Following OFAC Sanctions Program:  Select Program

IF  BLOCKING OCCURRED BECAUSE THE NAME OF ANY PARTY TO THE TRANSACTION APPEARS TO MATCH A NAME ON THE SPECIALLY DESIGNATED NATIONALS (SON)  LIST,  PLEASE PROVIDE INFORMATION  RELATED TO THE NAME MATCH (e.g. copy of:  original  payment or transfer instructions, invoices, bills of lading, passport, temporary/permanent  resident card, birth certificate, Employer Identification  Number, passport, national  ID card, incorporation  document or other government-issued identifying documentation).

21. Institution Name:

FINANCIAL INSTITUTION THAT BLOCKED FUNDS

22. Street Address:                                                                                                                      23. City:

24. Select Country                                                                        25.Select State                                  26. Postal Code:

27.  Business Name (if applicable):

REMITTER'S INFORMATION

28.  Last Name:                                                                29.  First  Name:                                                 30. Middle  Name:

31. Street Address:                                                                                                                      32. City:

33. Select Country                                                                        34. Select State                                  35. Postal Code:

36. Institution Name:

REMITTING FINANCIAL INSTITUTION

37. Street Address:                                                                                                                      38. City:

39. Select Country                                                                         40.Select State                                 41. Postal Code:

Page 1   of 3                                         Total Barcode Characters:  342

APPLICATION  FOR THE RELEASE OF BLOCKED FUNDS (cont'd)

INTERMEDIARY FINANCIAL INSTITUTION

42.  Institution Name:

43. Street Address:                                                                                                               44. City

45. Select Country                                                                     46. Select State                                  47. Postal Code:

BENEFICIARY FINANCIAL INSTITUTION

48.  Institution Name:

49. Street Address:                                                                                                               50. City

51. Select Country                                                                     52. Select State                                  53.  Postal  Code:

OMB No. 1505-0170

54.  Business Name (if appicebie)

BENEFICIARY'S INFORMATION

55.  Last  Name:                                                                           56.  First  Name:                                                             57. Middle Name

58. Street Address:                                                                                                               59. City

60. Select Country                                                                      61.Select State                                  62. Postal Code:

63. DETAILED  EXPLANATION OF THE TRANSACTION,  INCLUDING THE PURPOSE OF THE PAYMENT (Additional  space provided on next page.)

Page 2 of 3                                    Total Barcode Characters:    186

APPLICATION  FOR THE RELEASE OF BLOCKED FUNDS (cont'd)

64. DETAILED  EXPLANATION OF THE TRANSACTION (cont'd)

OMB  No. 1505-0170

65. APPLICANT CERTIFICATION:  I, THE UNDERSIGNED,  HEREBY DECLARE THAT, TO THE BEST OF MY KNOWLEDGE.THE INFORMATION PROVIDED ON THIS APPLICATION AND ANY ACCOMPANYING DOCUMENTATION IS TRUTHFUL AND COMPLETE.

66. SIGNATURE:  (please  provide  handwritten  signature on printed application)          67.  DATE        (please provide handwritten  date)

68. SIGNATORY NAME

70. SIGNATORY E-MAIL

69. SIGNATORY TITLE

Total Barcode Characters:   26

Page 3 of 3                                        Total Barcode Characters:   27