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The Court.

Declared on this day of , 201

Declarant1 & One of the people2:

Autograph:>

Print:>
Surame First-Middle:

Mail to c/o:

Telephone No:( ) -

Email:

Skype:
National Status:
I am an America national; I’m not a citizen of the United States, i.e. registered voter and
the INTERNATIONAL COVENANT OF CIVIL AND POLITICAL RIGHTS states I have
the right to self-determination.
I add my name to the Grand Jury pool and NSEA International as a member.
I am available, upon appointment, to serve as a Investigator/Researcher: _yes; _no
I am available, upon court appointment to serve as an Environmental Marshall: _yes; _no
I am available upon appointment by the Grand Jury to serve as a General Counsel:_ yes; _no

Witness 1 Autograph:>

Witness 2 Autograph:>

Declarant I.D.#: Page No. 9:3

1
Note: If you are a registered voter, you are NOT an American National, but you are a citizen of the United States
and CANNOT execute this document to serve on the Independent Grand Jury of the people until you have
withdrawn your ‘voter’s registration’ with the UNITED STATES corporation! “A man cannot serve two masters.”
2
Ordained a ruler [judge] over all creatures who walk on the land. Gen. 1:26, Word of God, Public L. 97- 280.
3
Supplement to Page No. 9 is defined by: the last two (2) digits of your birth date; and initials from your name.
Example: You were born in 1957; your name is John A. Smith, your Declarant # would be: 9 – 57 - JAS

9- -

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