COVID19 Estate Letter
COVID19 Estate Letter
Dear ________________ (President, US Attorney, Governor, Public Health Officer, Sheriff, Mayor, etc.)
Your declaration of a State of Emergency for the COVID-19 diagnosis criteria for a series of pneumonia
and influenza related symptoms and the allegations of the existence of a “novel coronavirus” is based on a
series of assumptions that are patently false.
According to the International Committee on Taxonomy of Viruses’ (ICTV) Coronaviridae Study Group
(CSG) publication on March 2, 2020, the preliminary data suggesting that there was sufficient variation to
determine this to be a novel virus vs. a mutation of known coronaviruses, was not based on established
scientific principles but was responsive to the World Health Organization’s prior unfounded declaration
of novelty of both the virus and a new disease;
There could be no independent verification of the epidemiologic models predicting dire infection and
mortality rates as the underlying models and data were not published, and when sought, were reportedly
corrupted so as to make their examination impossible;
In violation of State law, no medical or scientific evidence was provided to establish even causal links
between the SARS CoV-2 and the symptoms of COVID-19, relying instead on foreign government
hearsay and conjecture;
Since 2003, the U.S. Department of Health and Human Services and their subordinate organizations – the
National Institute of Allergy and Infectious Diseases (NIAID) and the Centers for Disease Control and
Prevention (CDC) – maintained a patent preventing any independent organization from testing for the
presence of coronavirus transmissible to humans through 2018 resulting in a complete lack of testing
technologies;
No State official reviewed for accuracy or veracity any of the causal statements made in the Declaration
of Emergency which contain false, misleading, and terror inducing statements;
In violation of well-established legal precedent from Jew Ho v. Williamson, 103 F. 10, 26 (C.C.N.D. Cal.
1900) and subsequent public health law, arbitrary and capricious rules were inflicted upon a part of the
population that were not applied generally, resulting in the unlawful confinement of a healthy population
with no basis in science or fact;
The Governor failed to provide adequate testing to confirm or deny the presence or absence of “a novel
coronavirus” and, based on recent reports from testing of incarcerated persons reported by Reuters, 96%
of prisoners testing positive for coronavirus are asymptomatic, demonstrating a failure to establish even a
statistical link between the virus and the disease;
Neither the Governor nor any public health officer has followed evidence-based, peer-reviewed, clinical
science showing that neither social distancing (of up to 6 feet of separation), nor the wearing of masks has
any clinical effect in a healthy population and that instituting such policies is exclusively for the
inducement of fear and terror in the population;
As result of these and other established facts, your orders and those that follow from these orders issued
in violation of the State Constitution, are illegal and unenforceable. I hereby demand that you
immediately cease and desist in your suspension of my Constitutional rights and those of the common
citizenry.
Sincerely,
_________________________
Sincerely yours,
_____________________
JANE HENRIETTA DOE ESTATE
Office of the Executor/ Executrix/ Administrator
123 Any Address
Any City, State, Zip
Certified Mail No.____________________________
Definitions:
Herein the terms “administration” and “administrators” refers to all parties providing and/or
“mandating” vaccine services and products including Presidents, Secretary Generals,
Congressmen/women, Senators, Military Generals, Governors, Attorney Generals, Mayors,
Sheriff’s, Chief’s of Police, Federal, State and Local Public Servants, Agents of any of the
aforementioned entities, vaccine Manufacturers, Marketers, Lobbyists, Distributors, Hospitals,
Clinics, Physicians, Nurses, Government Agents and Agencies, Healthcare Providers, Elected
Officials, Enforcement Persons, Agencies and Programs, and all other parties bringing
“mandated” vaccines to application or to market in any way.
This is agreement between the parties identified herein who on one hand, will receive
vaccinations or be affected by the consequences of vaccination including the vaccinated party/s
their guardians, representatives and all persons of common interests and, on the other hand, the
administrators and providers of the vaccine/s in all the various capacities. Those parties shall be
identified at the end of this document.
_____________________________________________________________________
Address:____________________________________
Phone:____________________________________
As administrator of this vaccine I hereby agree to and with the following representations,
stipulations, terms, declarations and positions:
1. I am aware and understand that vaccines are not a perfect or fully proven method of
disease control.
3. I am aware that vaccines have not been tested enough to show that they are 100% safe
and effective.
4. I am aware and understand that vaccines can cause death or injury and disease which
seriously and negatively affects the lives of vaccinated individuals, their families and
their communities.
5. I am aware and understand that vaccines, when causing disease and injury, can cause
major costs to individuals, families and communities, which costs are solely the
responsibility and liability of the causing agents which are the administrators and
providers of a harming or ineffective vaccine.
6. I am aware and understand that vaccines cause risk which is the sole responsibility of the
administrators and providers of the vaccine.
7. I am aware and understand that no one may be forced, coerced or compelled to accept
medical treatment or foreign substances inserted into their bodies without full voluntary
consent under full disclosure and that administering a treatment, harmful or otherwise,
without consent of all affected parties is unlawful and unethical.
8. I am aware and understand that vaccinations do, on occasion, cause harm, injury and
disease including the disease they are intended to prevent.
9. I am aware and understand that there are particular dangers and hazards of combining
more than one vaccination in one or sequential administrations and some of those hazards
and dangers are not well understood and have not been fully researched, tested or proven
safe or effective.
10. I understand that individuals have different physiologies and that a vaccination which
may be harmless to one individual may be quite harmful to another individual.
11. I am aware and understand that, prior to administration of any vaccination, administrators
of vaccinations must and shall disclose to all interested parties all known and presumed
risks, hazards, harm and failures of vaccinations and all contents of the proposed
vaccination/s including all trace chemicals, adjuvants, components and contaminants
whether or not administrators consider those elements to be of consequence so that the
recipients of vaccinations can make fully informed decisions with regard to accepting
vaccination.
12. I am aware and understand that administration of vaccinations without full disclosure and
full voluntary consent of all interested parties and imposing risk and hazard in that way
represents criminal violation, malpractice and major liability of the administrators of the
vaccination to the vaccinated party/s should any negative consequences arise.
13. I am aware and understand that any person who attempts to enforce a “mandate” in
forcing or coercing vaccination or any other medical treatment upon any unwilling or
uninformed party, whether or not that “mandate” is provided in law, codes or regulations,
is personally fully liable for any and all harm, loss, damage, negative consequences of the
vaccination upon the vaccinated party and all other interested parties. That liability
extends to all administrators of that “mandate”, all legislators who were involved in the
creation of that “mandate” and all companies and individuals who promoted that
“mandate” through lobbying or other political action and all parties who participate in the
enforcement of the “mandate”.
15. I am aware and understand that I must disclose all risks of vaccination prior to
administration of the vaccine and, because vaccinations do pose risks, I must allow the
recipients, guardians and families to refuse the vaccination at their sole discretion, and
that disclosure of hazards and risks does not absolve me from any responsibility, liability
or accountability for negative consequences of the vaccinations I administer.
16. If a person suffers any disease or injury at any time after vaccination and not before
vaccination and that disease or injury cannot be affirmatively attributed to any particular
cause other than the vaccination, then I agree that it is reasonable to presume that the
injury or disease was or may have been caused by the vaccination and I will so presume
and accept that theory in the absence of compelling evidence to the contrary.
17. If the vaccine recipients, guardians, family members and interested parties of the
vaccinated party should, after the vaccination, submit claims for harm, loss, damages,
injuries or disease which they reasonably suspect to be caused fully or partially by the
vaccination, then the claims must and shall be paid and delivered by the administrators of
the vaccination (above) to the claimant/s without challenge within 30 days from
submission of each claim and any challenge to the claim/s must be made through formal
written process and/or non-binding arbitration. Refusal or obstruction of service of claim
shall not reduce obligations and shall be cause for escalated claim.
18. I am aware and understand that all administrators of vaccinations are responsible for any
emotional distress caused by their vaccinations and are liable for compensation for such
emotional distress caused to the victim/s.
19. Administrators of vaccinations hereby agree that they will allow and facilitate recording,
videotaping, documentation and investigation of all services, processes and facilities
associated with the administration of the vaccine and that administrators of vaccinations
will not refuse or obstruct that information gathering for any reason reasons such as
“privacy,” “security” or “proprietary.”
20. I am aware and understand that any failure or refusal to sign this agreement causes
suspicion of intention to do harm to the vaccinated party and others and to avoid
responsibility for potential harm that may be caused by vaccination, and I am aware and
understand that failure or refusal of signature of this agreement by any administrator of
vaccines is cause for rightful refusal of vaccination by the intended vaccination recipient
with law, code, regulations, contracts and “mandates” notwithstanding.
21. Any threat of consequence for refusal of vaccination/s, such as removal from school,
quarantine, “child endangerment,” criminal prosecution, “civil penalty” etc. is coercion,
is offensive, inappropriate, unlawful and/or violates parental rights. There is no law and
can be no valid law which would rightfully grant authority over any individual to
determine medical treatment for any other party who is in possession of their faculties.
Refusal of vaccination does not in any way imply poor judgment, diminished capacities
or social irresponsibility because there are extensive public records showing harm, injury
and death caused by vaccines.
22. I am / am not (circle one) claiming that I personally have the right and authority to force
medical treatment and vaccinations upon the party (above) whom I intend for vaccination
without his/her consent. If I claim that authority, then I will provide all legal and official
reference which bestows that authority upon me specifically against the intended
recipient of the vaccination. I understand that I must provide evidence of authority to the
satisfaction of all interested parties before the person intended for vaccination may be
vaccinated because the interested parties presume that no such authority exists nor can
exist, and, in many cases, the harm caused by vaccinations cannot be reversed.
23. I understand and agree that the person intended for vaccination is not responsible to
gather signatures on this form. The parties intending to vaccinate must acquire and share
this form, sign it and deliver it to any party intended for vaccination upon request. At
such time as the duly signed forms are delivered to the person intended for vaccination,
those agreement forms will be signed by the person intended for vaccination or by his/her
guardian and one copy will be returned to each administrator of the vaccination/s. If one
of the requested administrators above fails to sign and return the form, all agreements are
void and vaccination is rightfully refused.
24. Refusal to sign this form is indication of deceit, bad faith and hypocrisy on the part of a
vaccine administrator who may recommend vaccination as “safe”, but, at the same time,
deny responsibility for the hazards. If vaccinations are “safe” then refusal or hesitation to
sign this form is firm indication of misrepresentation with the assertion of “safety”.
If this form is refused or not signed by any vaccine administrators listed above, then refusal of
vaccine is forthwith, rightful and refusal must be presumed and honored. Vaccination does pose
risks, therefore administration of vaccine without signature on this agreement by all parties
called for herein or and/or without fully informed consent by all interested parties constitutes
criminal assault, malpractice, intentional harm and violation of rights against the vaccinated
parties and all other parties of common interest by the administrators and providers of the
vaccine whether any harm is caused or not by the vaccination, therefore, without fully informed
consent by all interested parties, major obligations and liabilities arise from non-consensual
vaccination whether or not the vaccination causes physical injury, disease or other damage.
I agree that refusal to sign this form constitutes admission and warning to the prospective
recipient of vaccination that vaccination may cause harm and should be avoided in order to
protect the health and safety of those receiving treatment.
Refusal by any administrator of a vaccine to sign this form is grounds for the intended recipient
of the vaccine and their guardians to refuse vaccination pending the necessary safeguards and
insurance provided by the responsible party/s.
This agreement is separate and distinct from any benefit/s, or “necessities” that may be attributed
to vaccinations and vaccination programs. The public may only protected when to do so does not
violate the rights of an individual.
Any vaccine which is not fully tested and shown, by rigorous testing, trials, certifications and
general administration to be free of risk and which is accepted as such unanimously by the
scientific and medical communities, or which is not being administered and “mandated” by a
licensed physician to a consenting patient may not be administered lawfully or without major
liability and penalty for administering medicine without a license and/or without the consent of
the patient. Non-consensual medication violates the United State Constitution, medical codes of
ethics and a number of international treaties and laws.
NOTICE: A separate agreement must be signed for each individual intended to be vaccinated
and for each separate vaccine even if separate vaccines are “combined” in one treatment.
When the party intended for vaccination is able to confirm and assure the safety and
effectiveness of the offered vaccination, receives insurance or bonding for all possible harm and
damage, receives a complete list of all ingredients, adjuvants and contaminants of the
vaccination, and receives full identification and contacts of all responsible parties (above) the
party intended for vaccination will determine whether it is appropriate, prudent, safe or necessary
to provide consent to be vaccinated.
I understand that the intended vaccine recipient accepts vaccination on the condition that it is
proven safe and effective to all reasonable expectation and insurance is provided to cover all
possible future claims of damage.
By signing this form I declare under penalty of perjury that the above is the Truth, the
Whole Truth and nothing but the Truth and I agree to accept full liability and be
professionally and personally responsible for all harm, hazard and damage and loss caused
by the vaccine and vaccination which I am administering and I waive all defenses. I also
agree that as a contracting Agent of the County, City and State where this Vaccination is
performed that the recipient of this Vaccination will be compensated $100,000,000.00 One
Hundred Million Dollars per Vaccine administered to be paid by Certified Bank Check
and/or Wire Transfer/ Direct Deposit.
Title:____________________________________
Address:____________________________________
Phone:____________________________________
SIGNATURE_____________________________________________
Name: _________________________________________
Title:____________________________________
Address:____________________________________
Phone:____________________________________
SIGNATURE_____________________________________________
____________________________________
Title:____________________________________
Address:____________________________________
Phone:____________________________________
SIGNATURE_____________________________________________
Individual Administering the Vaccination to the Vaccine Recipients (Nurse, Healthcare Provider or
Other, Name:____________________________________
Title:____________________________________
Address:____________________________________
Phone:____________________________________
SIGNATURE_____________________________________________
Elected officials, bureaucrats and enforcement personnel supporting “mandate” of medical treatment
and/or vaccination (attach additional sheets as necessary):
Name:____________________________________
Title:____________________________________
Address:____________________________________
Phone:____________________________________
SIGNATURE_____________________________________________
I hereby refuse any and all vaccinations for cause and the following FACTS:
FACT: many vaccines have been found to contain toxic adjuvants and toxic foreign materials.
FACT: toxic contamination is present in vaccines which are easily preventable with current
technology. This suggests intentional contamination of vaccines with toxic agents.
FACT: many vaccines are not effective and actually cause the ailment they are purported to
mitigate.
FACT: Adjuvants are put into vaccines to “shock” the immune system into extreme response,
and that causes biological “crisis”, stress and damage to the immune system, the blood and the
whole body.
FACT: Vaccine death and injury statistics and information are suppressed by media which
receives billions of dollars in pharma advertising annually.
FACT: Vaccine death and injury statistics and information are suppressed by government in
which pharmaceutical regulatory agencies are largely run and controlled by pharma industry
executives, loyalists and lobbyists.
FACT: Vaccine experiments have caused tens of thousands of cases of polio and other diseases
and injuries in India, Asia, Africa, The Philippines and many other locations.
FACT: Vaccines are so hazardous that the vaccine industry lobbied for, and received immunity
from the harm vaccines are causing.
FACT: Taxpayers and governments have paid billions of dollars to families who's members were
injured or killed by vaccines.
FACT: I do not trust the vaccine industry, government agencies or international agencies which
seem to be acting on behalf of vaccine sales and promotion and suppressing information of
vaccine hazards.
FACT: Under current law all physicians and healthcare workers must have my consent to
administer medicine to me.
FACT: I know that if someone is not a doctor, such as an elected official or public servant, they
may not administer medicine at all, much less “mandate” medical treatments for the general
population.
I know it is possible to mitigate and control all contagious diseases with safer and more effective
means than vaccination.
FACT: It is against my deeply held religious convictions and creed to be vaccinated or have
my children vaccinated let alone be forced to.
FACT: Anyone who claims privilege to inject materials in my body without my consent is my
enemy and is criminal.
FACT: I will treat anyone who threatens to violate my body as a criminal assailant.
No, you may not vaccinate me or my children. If you try, I will exercise my right to self
defense against you and your accomplices to any extent I deem necessary to protect ourselves.
Forced vaccination is not authorized or permitted under Law. If there is a code or statutory
“mandate” for forced medication, it is unconstitutional, unlawful and unenforceable.
FACT: You may not attempt or threaten non-consensual vaccination, and if you do, you will be
dealt with in a manner to restore rule of law, justice and to protect our right to personal physical
security.
FACT: Your ignorance of vaccine hazards and medical rights and your inability to understand the
facts above do not give you any immunity or any license to commit the crime of forced non-
consensual medication.
FACT: You can NOT predict the future physical and side effects of each of those
ingredients.
FACT: You can NOT predict the consequences of combining those ingredients.
FACT: You have NOT offered to personally take full responsibility to pay for any harm
your vaccine causes.
FACT: You do not have the slightest authority or privilege to forcibly administer vaccines.
I hereby waive ANY and ALL benefits and privileges attributed to the creation of the ALL
CAPS NAME HERE ens legis, cestui que trust, Trust, trade-name corporate fiction.
I declare under Penalty of Perjury WITHOUT the UNITED STATES that the above is the
Truth, the Whole Truth and nothing but the Truth to the best of my firsthand knowledge,
OVERSTANDING and deeply held religious convictions and creed.
Important Notes:
DO NOT BE AFRAID. DO NOT LET FEAR ROCK YOU TO SLEEP!
All of these documents should be sent together as a PACK in one envelope via certified mail return
receipt. You can call it your NOVAC PACK.
Draft the above and send to Governor, Mayor, Sheriff and Chief of Police, ACLU, U.S.
Attorney for Your District, Congressman/Woman/Senator/Attorney General with the above
document package:
Important Addresses:
Online Fillable Federal Criminal Complaint – Fill it out online and print it or save it as a PDF.
IRS Form W9 - Fill it out online and print it or save it as a PDF. Tip: You would be the “requester” on
this form. You give it to whomever you need to have them provide and “certify” the SSN/TIN or EIN.