FORMS: 4.1 AFFIDAVIT OF FACTS ABOUT SOCIAL SECURITY
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This letter is to be sent to all your elected and appointed representatives as listed at the end of the letter.


AFFIDAVIT

California Republic ] SS
County of Los Angeles ]


I, John Q. Doe the undersigned, hereby affirm and declare that:

I am the white natural born State Citizen making this affidavit; and, if called upon as a witness, I will testify to the following facts, which I believe to be true and accurate to the best of my knowledge and understanding:

There is NO law that would or can require me to participate in the perpetration of a fraud. Nor is there any provision in the Social Security Act that would not allow me, a white natural born State Citizen, to refrain and withdraw from participating in the Social Security System, which is based upon CONSTRUCTIVE FRAUD as evidenced by the following facts.

My intent is to be a common-law State Citizen as established by the Preamble and the Original Constitution of the United States (1797) and the Original Constitution of the California Republic (1849); thus, for the following reasons, I hereby reaffirm my right to rescind, revoke, and make null and void nunc pro tunc, as previously established, the number 123-45-6789.

That the Social Security Administration and the United States Congress, with full knowledge of the following facts, deliberately, willfully and with full intent to do so:


1. Did not reveal the truth that the Social Security Act is a compulsory excise tax under Title II and VIII which only creates a revokable statutory right. (See Hearings before a Subcommittee of the Committee on Ways and Means, House of Representatives, 83rd Congress, First Session, on the Legal Status of OASI benefits, dated November 27, 1953, part 6, pages 906, 932, 963; (This reference incorporates fully and makes part 6 a part of this affidavit.)

2. Did not reveal the truth that the Social Security Act IS NOT insurance and does not go into a separate trust fund, nor does it create any vested rights. Supra page 1014.

3. Did deliberately and willfully withhold the information that, upon obtaining of the Social Security Number, a white natural born State Citizen would have to pay over 50% of his wages, acquired in exchange quid pro quo, for the rest of his working life as an income tax, as instigated and established for the profit of the Federal Reserve Banks.

4. Did not reveal and disclose the truth that, upon obtaining a Social Security Number, a white natural born State Citizen would lose his primary State Citizenship, Privileges and Immunities and become a business entity, under Social Security, and an enfranchised person, under the 14th Amendment, and would lose access to his Constitutional Rights as guaranteed by the Bill of Rights and Amendments 1 through 10; and instead he would become a federal citizen and receive privileges and immunities which are revokable at the pleasure of the Legislature. (See Section 1104 of the Social Security Act, and Article I, Section 7 of the California Constitution, and Amendment 14 of the U.S. Constitution.)

5. Did not reveal and disclose the truth that the Social Security Number would be used for the absolute control of the citizens of the United States under the 14th Amendment, as evidenced by the various orders instituted by the Internal Revenue Service (similar to the Nazi Concentration Camp Number or federal serial number).

6. Have willfully and deliberately utilized Section 1104 of the Social Security Act to deprive over 250 million people of their statutory rights and property, as established by the original Social Security Act.

7. Have, with the utilization of constructive fraud by non-disclosure, deceit, coercion, intimidation, duress and outright lying, defrauded me of my common-law citizenship,inalienable/unalienable rights to life, liberty and property at the instigation of the Federal Reserve Banks for the profit of the Class A Stockholders of the Federal Reserve Banks.

8. Have willfully and deliberately failed to disclose the above information and still continue to state that the Social Security is "voluntary" and "insurance" when, in fact, it is not and, in fact and operation, it is administered as a compulsory excise tax; and thus to compel me to surrender my constitutional State Citizenship and to deprive me of my Privileges and Immunities as a State Citizen, in order to be regulated and to pay an "income tax" for the profit of the Federal Reserve Banks, is outright fraud being instituted by the U.S. Congress, the Department of Health and Human Services, the Internal Revenue Service and the Federal Reserve Banks Inc., with the assistance and approval of the U.S. Attorney General's Office; with the intent to establish the ten (10) planks of the Communist Manifesto within the United States as they are in operation now, and to abolish the intent of the United States Constitution as it was established by our founding Fathers to have a republic, NOT a socialistic Slave State for the enrichment of the Class A Stockholders of the Federal Reserve Banks.

CONSTRUCTIVE NOTICE

This affidavit is also a constructive notice to all concerned agencies, both State and Federal, that I, John Q. Doe, a white natural born common-law State Citizen, now a Citizen of the California Republic, having no known legal franchise that would cloud my position, hereby give notice to all concerned agencies, that failure to refute each and every point by substantive proof, will be considered admissions and confessions and shall establish estoppel by silence and or record. The continued deprivation of my substantive rights, my vested property rights and my property as a Citizen of the California Republic, will cause me further injury and damage, and will have to be remedied by whatever actions deemed necessary and lawful.

Notice to the principals is notice to the agents.

Notice to the agents is notice to the principals.

FURTHER AFFIANT SAITH NOT.

Signed,

<<NAME>>
All rights reserved, UCC 1-207

Subscribed and affirmed this ______ day of _______________, 199_.

Copies:

Speaker of the House
House of Representatives
Washington, D.C.
Postal Code 20505

Attorney General
State of California
P.O. Box 944255
Sacramento, California
Postal Code 94244-2550

Attorney General
Washington, D.C.
Postal Code 20530

Department of Health and Human Services
200 Independence Ave
Washington, D.C.
Postal Code 20201

Commissioner of IRS
1111 Constitution Ave., NW
Washington, D.C.
Postal Code 20224

The Federal Reserve Bank Inc.
20th and Constitution Ave., NW
Washington, D.C.
Postal Code 20551

Secretary of the Treasury
State of California
915 Capitol Mall
Sacramento, California
Postal Code 95814

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