Certified Mail Number: ____________________________________________

Conditional Acceptance for Value No. 07261984-FLC-1/CAFV Page 1 of 1
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Dear Sir or Madam,
RE: CONDITIONAL ACCEPTANCE FOR VALUE (CAFV)-PRIVATE INDEPENDENT ADMINISTRATIVE
PROCESS – ARTICLE 1 REDRESS OF GRIEVANCE UNDER THE NINETH AMENDMENT RESERVATION FOR
THE RESOLUTION AND EQUITABLE SETTLEMENT UNDER NECESSITY. IN THE NATURE OF REQUEST FOR PROOF
OF CLAIM/DISCOVERY.
Case/Associated Number: [CT-22-CF-010219-A] (hereinafter CAN)

NOTICE TO AGENT IS NOTICE TO PRINCIPLE
NOTICE TO PRINCIPLE IS NOTICE TO AGENT

I am in receipt of the judgment/presentment/offer imposed under CAN and I agree to abide by the
stipulations thereof upon your providing PROOF OF CLAIMS in the Nature of Discovery(evidence),
exhausting my private administrative remedy from your office. Therefore, I seek PROOF OF CLAIM in
regard to CAN, and/or that the charging instrument the [Court or other bodies name and number
i.e., "30th Judicial Circuit court"]/actors/agents used was lawful, proper and/or constitutional, so that
I can determine whether the [Court or other bodies name and number i.e. "30th Judicial Circuit
court"]/actors/agents who handled CAN and or others within the same venue of this Action/Office,
and/or the [Court or other bodies name and number i.e., "30th Judicial Circuit Court"] at the time
that CAN was processed/prosecuted, did not commit constitutional impermissible application of the
statute(s), law(s), code(s), Regulation(s) or the like, in the matter.
Therefore, Respondent as you are the current [i.e., Chief Judge, Prosecutor, IRS Field Agent etc…],
and ultimately responsible for my current or past action conducted by the [Court or other bodies
name and number i.e., "30th Judicial Circuit Court"], I am bringing this matter to you in your Official
capacity as the [Court or other bodies name and number i.e., "30th Judicial Circuit Court"] [i.e., Chief
Judge, Prosecutor, IRS Field Agent etc.]
I also request a True and Correct copy of your Oath of Office, surety, performance bond and/or
blanket bond with the name and address of the insurer, the bond number, public and private pledges
or otherwise to indemnify the undersigned as to any injuries and violations against the secured
Right(s), Title(s) or interest(s) of the Undersigned.

Conditional Acceptance for Value No.07261984-FLC-1/CAFV Page 1 of 2
I wish to resolve this matter as soon as possible; however, I can only do so conditioned upon your
providing the following PROOF OF CLAIM as set out below to wit:
1) PROOF OF CLAIM: That the Constitution of the United States and the State of Florida operate upon
the Undersigned.
2) PROOF OF CLAIM: That the undersigned is a “PARTY TO” Named Therein and/or a Signatory to
the “SOCIAL COMPACTS” known as UNITED STATES and Stare of Florida Constitution.

“No Private person has the right to complain by suit in court on the ground of a breach of
Constitution. The Constitution it is true, is a compact, but he is not a party to it. The States are party
to it” PADDLEFORD FAY & CO. V. THE MAYER AND ALDERMAN, CITY OF SAVVANNAH, 14 TH
GA. 438, 520, 211 U.S 78 (1854).”

3) PROOF OF CLAIM: That the undersigned is “NAME THEREIN” any Statute(s), Law(s), Codes(s), and
the like. (See: THE PEOPLE V. HERKIMER, GENTLEMAN, ONE, AND COMPANY, 4 COWEN 345, 1825
N.Y. LEXIS 80).
4) PROOF OF CLAIM: That the United States and State of Florida’s Corporate Statutes, Law, Codes,
and the like, operate upon the Undersigned.
5) PROOF OF CLAIM: Of the “LIABILITY” of the Undersigned to the Statutes, Law, codes, and the like
of the Corporate Government of the United States and the State of Florida.
6) PROOF OF CLAIM: That the Undersigned is a “PARTY TO: Name Therein and/or is a Signatory to
any Valid/Lawful Contract and/or Agreement, duly Notarized along with a copy of the Notary Log to
the Federal Corporate Government and/or any of Sub-Agencies/Corporations, i.e., the State of
Florida, or your agency.
7) PROOF OF CLAIM: That a Corporation such as the United States and the State of Florida, can attain
parity with a sentient, living, breathing, flesh-and-blood man such as the Undersigned.
“There every man is independent of all laws except those prescribed by nature. He is not bound
by any institutions formed by his fellow man without his consent.” CRUDEN V. NEAL, 2 N.C 338,2
S.E. 70 (1796).

8) PROOF OF CLAIM: That the Undersigned is a resident (Belonging To) the State of Florida
Corporation, and/or the Undersigned reside within a faction, a construct of law, an abstraction.

Conditional Acceptance for Value No.1 07261984-FLC-1/CAFV Page 1 of 3
9) PROOF OF CLAIM: That there is a clause within the constitution of the corporate State of Florida,
and/or the corporate United States, that subject a Private Man (Sovereign and Retaining His/her
Jurisdiction and Venue Within Themselves) to the Statutory Jurisdiction thereof.
10) PROOF OF CLAIM: That the United States Federal and the State of Florida Corporations, along
with all Corporate City, County, and Township sub-divisions thereof are not operating under the
National Bankruptcy as declared in 1933, which was a re-iteration of Bankruptcy declared in dating
back to 1861 and prior. (See: SENATE REPORT NUMBER: 93-549, DATED NOVEMBER 19, 1973,93 RD
CONGRESS 1 ST SESSION AT PAGE 1 PAR. 1 AT PAGE 187 & 549; EXECUTIVE ORDER 6073, 6102 6111
& 6260; THE TRADING WITH THE ENEMY ACT, 65 TH CONGRESS, SESSION 1, CHAPTERS 105 & 106,
OCTOBER 6, 1917, AND AS CODIFIED AT 12 U.S.C.A. 95(a); THE 1950 BNAKRUPTCY DECLARATION
AND REORGANIZATION PLAN NUMBER: 26. 5 U.S.C.A. 903, Public Law 94-564, AND THE
LEGISLATIVE HISTORY THEREOF AT PAGE 5967 STATING, IN PART THAT “THAT SECRETARY OF THE
TREASURY WAS APPOINTED AS THE RECIEVER IN THE BANKRUPTCY”).
11) PROOF OF CLAIM: That the United States and the State of Florida are not insolvent and Dissolved
of all Authority and Official Capacity, Acting In Name Only, due to the contrived National Bankruptcy,
also known as National Emergencies and Reorganization. (See: CORGRESSIONAL RECORD VOLUME
33, 1933, CHAPTER 11 REORGENIZATIONS OF THE UNITED STATES; 26 I.R.C. 165(g) (1); WESTFALL V.
BRADLEY 10 OHIO 188; ADAMS V. RICARDSON, 337 S.W. 2D. 911; AND WARD V. SMITH, 7 WALL.
447, AMONG OTHER REFERNCES).
12) PROOF OF CLAIM: That the Government of the 50 states, did not and still do not pledge the Faith
and Credit thereof, I.e., the sweat and blood (assets) of the American flesh=and-blood men and
women, including the Undersigned, as Sureties to aid National Emergency Contrivances, via the
valuable Instruments known as Birth Certificates (See: Any newly issued Birth Certificate whereon it
states: This is a very valuable instrument) as Collateral and that the State of Florida and the United
States Governments being incorporated, did not create a Corporate Designation from the distinctive
application, as written on Birth Certificate in the name of the Undersigned, and thus, make the
Undersigned, as well as all other American flesh-and-blood men and women, a surety and
Accommodation Party for such Corporate Entity, i.e., Ens Legis, Cest Cue Trust, Strawman, Juristic
Person, Federal Employee, as well as numerous other Definitive terms referring to such (See:
CONGRESSIONAL RECORD MEETING OF THE GOVERNOR MAY 1933, AND THE BOOK OF THE
STATES, VOL. 50).

13) PROOF OF CLAIM: That all Crimes/Court Actions are not commercial as in part, within section
72.11 of Title 27 of the Code of Federal Regulations (CFR).

Conditional Acceptance for Value No.07261984-FLC-1/CAFV Page 1 of 2
14) PROOF OF CLAIM: That the [i.e. Chief Judge, Prosecutor, IRS Field Agent etc…], acting on behalf
of [Court or other bodies name and number i.e. “30 th Judicial Circuit Court”], the Corporate State of
SpcState and the United States Federal Corporation, did not know what they were doing under CAN,
was Beyond the Scope of their Corporate Charter, and that they did not have the Authority to violate
the Good Faith, Commercial Law, Contract Law, and Securities Law, in binding the Undersigned to an
Undischargeable contract to Incapacitate him or his rights.

“A contract made by a corporation beyond the scope of its corporate power is Unlawful and VOID.”
MCCORMICK v. MARKET NATIONAL BANK, 165 U.S. 538.

15) PROOF OF CLAIM: That within CAN that the judgment was not “COMMERCIAL PAPER” was not
deposited into a bank or converted into an item of Deposit for the commercial benefit to the [i.e.
Chief Judge, Prosecutor, IRS Field Agent etc…], (Court), County, State of SpcState, the United States,
and/or the World Bank.
16) PROOF OF CLAIM: That the organic/De Jure Constitution for the SpcState Republic, and the
Organic/De Jure Constitution for the United States of America, and the State of SpcState and the
United States are operating under the same.
17) PROOF OF CLAIM: That “ANYONE” including the [i.e. Chief Judge, Prosecutor, IRS Field Agent
etc…] for CAN has filed a “SUPERIOR CLAIM” which is Certified and State Sealed within the Uniform
Commercial Code (UCC) Division, of any Secretary of State, that supersedes the Filing by Secured
Party Creditor, Could be Anyone, i.e. File Number 2012-123-1234-1, which has been duly recorded,
indexed, and Certified and is under State Seal on a national filing form within the UCC Division, of the
Washington Secretary of State Office, thereby “SECURING” all of the assets of the DEBTOR, Could be
Anyone, and any/all derivatives and variations in the spelling of said name, except for Could be
Anyone. This Superior Claim includes “ALL” of the debtor’s Property/Assets, to include any/all things
used to identify the DEBTOR, i.e. Social Security Account Number, C.U.S.I.P./AUTOtris Number,
and/or anything associated with the name of the DEBTOR, also to include without limitations, and
Bonds issued under the DEBTOR’S name including those that were fraudulently created using the
name (property) of the DEBTOR.
18) PROOF OF CLAIM: That there is no such UCC filing, i.e. Private Agreement Number: 01021933-
CBA-SA; Power of Attorney Number: 01021933-CBA-POA; Hold Harmless and Indemnity Agreement
Number: 01021933-CBA-HHIA; Common Law Copyright Notice Number: 01021933-CBA-CLC, Filed
and recorded under State Seal with the State of Washington, Secretary of State Office, wherein a
copy of said documents are the initial documents (the remedy put in place by the Government) to
provide the flesh-and-blood man and woman a way to remedy themselves of the fraud of the
Government, some of which has been disclosed throughout this CAFV, and is the basis of the
Antecedent claim, for per Maxim Law on Fraud, “They had to leave the people a way out, or all cover
of legitimacy.)
19) PROOF OF CLAIM: That there are not over 4 million such UCC filings, related to the Redemption
of the Fraud of the Government, Nationwide.

Conditional Acceptance for Value No.1 07261984-FLC-1/CAFV Page 1 of 3
20) PROOF OF CLAIM: That the [i.e. Chief Judge, Prosecutor, IRS Field Agent etc…] under CAN was
not looking for the Undersigned to “ACCEPT FOR VALUE” or honor the Charging
Instrument/Presentment in accordance with UCC § 3-410, and due to all Court Actions Being
Commercial (U.S.C.A. Title 27) and Statute being a Bond (See: BLACK’S LAW DICTIONARY 4 TH EDITION
REVISED) which is an abbreviation for “STATUTE MERCHANT,” which is:
a. A security for a debt acknowledged to be due;
b. A bond for Commercial Debt (See: J.H. BAKER, AN INTRODUCTION TO ENGLISH LEGAL HISTORY,
354 3 RD EDITION 1990) and that the Complaint Information of Indictment is not a three-party draft,
Commercial Paper, under Article 3 of the UCC, and that the [i.e. Chief Judge, Prosecutor, IRS Field
Agent etc…] is/was Not the Drawer or Marker by their signature, and that the Undersigned, flesh-
and-blood man, though not having such knowledge at the time, was/is not deemed the Surety, and
the COMMERCIAL PRESENTMENT was not made in accordance with UCC § 3-501(1), Presentment is
Necessary to Change Secondary Parties, and because the Undersigned did not know at the time, of
the underlying fraud, and did not Accept the Changes of Presentment, For Value or Honor, that the
Undersigned was not deemed in dishonor;
c. That the Undersigned was not then deemed to be in dishonor for non-acceptance by the [i.e.
Chief Judge, Prosecutor, IRS Field Agent etc…], in accordance with UCC § 3-505(c) and UCC § 3-
501(2), (a) and (b) and that the Undersigned is/was made the fiduciary trustee of the DEBTOR, Ens
Legis, in this fraudulently created capacity, was the Undersigned not made responsible to discharge
the debt of the DEBTOR, Ens Legis by operation of Law, Where as the Undersigned being made the
Principle or Asset Holder on the Private Side of the Accounting Ledger; and
d. That the Undersigned was/is not holding the Exemption necessary, to discharge the debt, based
on the “ANTECEDENT CLAIM,” which has been “REDEEMED” via the UCC filing referenced with
PROOF OF CLAIM 35 of this CAFV.
21) PROOF OF CLAIM: That because the Undersigned did not accept the Charges of Present for Value
or Honor, presented by the [i.e. Chief Judge, Prosecutor, IRS Field Agent etc…] under CAN, thus the
Undersigned being deemed in Dishonor, and the Court/Government not being Able to use the
Undersigned’s Exemption, at the time to pass the debt or Charge, through the Account of the
DEBTOR, Ens Legis, to obtain a discharge, that the Dishonor is/was not sold to the Federal Court as all
State Court Judgments/Dishonor are, and thereafter sold as Stock/Shares, which have a extensive
value per charge.
22) PROOF OF CLAIM: That when a Social Security Account Number is assigned/issued, that a Black
Bond is not issued and when the Undersigned was arrested and there after imprisoned, that this
Bond was not filled out and that this Bond is not called a “BID BOND”, Standard Form 24(SF24) and
that is not prescribed by the General Service Administration (GSA), and that this is not also referred
to as a “PRISON or PENAL BOND”, as well as a “CONTRACT SURETY BOND” that a follow up
“PERFORMANCE BOND” Standard Form 25 (SF25) and “PAYMENT BOND” Standard Form 25A(SF25A)
were not filled out.
23) PROOF OF CLAIM: That everything is not being run under the “LAW MERCHANT” under UCC § 1-
103 (See: ALSO SECTION 1775.04 OF TITLE 17 U.S.C.A. – CORPORATIONS; THE ADMINISTRATIVE
MANUAL OF THE INTERNAL REVENUE SERVICE, WHEREIN UCC § 1-103 IS QUOTED AND PART OF THE

Conditional Acceptance for Value No.07261984-FLC-1/CAFV Page 1 of 2
SPCSTATE REVISED CODE THAT STATES THAT “RULES IF LAW AND EQUITY, INCLUDING THE ‘LAW
MERCHANT’ ARE TO GOVERN”).
24) PROOF OF CLAIM: That the Judgment of Sentence rendered by the judge under CAN is not VOID
from inception and as to why the Undersigned should not be released of all implications thereof
immediately, due to all of the Fraud underlying such judgment, and although the Undersigned could
go about discharging the Fraudulent Monetary Debt, underlying the judgment, i.e. going through all
of the formalities are really unnecessary “When the Facts of Fraud Make The Judgment VOID.”
25) PROOF OF CLAIM: That the Undersigned’s ‘liability,’ or otherwise, will not be established by your
bringing forward and producing the ‘proof’ in respect to the following:
26) PROOF OF CLAIM: That the Undersigned is specifically named in IRS Code and more specifically
IRC 6331 for the tax to be applied. (See THE PEOPLE v. Herkimer, 4 Cow. 345; 1825 N.Y. Lexis 80).
27) PROOF OF CLAIM: That the undersigned is specifically ‘found’ within 26 U.S.C. § 6331(a) and
3401(c) for the purposes of ‘taxation’!
28) PROOF OF CLAIM: That the Undersigned has received notice that the Undersigned is/was
required to keep books and records.
29) PROOF OF CLAIM: That the Undersigned is/was in any manner notified that the Undersigned
is/was the ‘subject’ and/or the ‘object’ of the income tax. (see Long v. Rasmussen, 281 F. 236 at 238
(1922) & Economy Plumbing and Heating v. U.S., 470, F.2 nd 585, at 589 (1972)).
30) PROOF OF CLAIM: That the Undersigned is/was noticed that the tax is only applied to corporate
activity. (see Doyle v. Mitchell Bros., 247 U.S. 179 (1989) and the Corporation Tax Act of 1909)).
31) PROOF OF CLAIM: That the Undersigned has been shown, in light of the above, that the
Undersigned’s livelihood, so-called income, retirement, etc., is considered ‘income’ despite having
the aspect of ‘gain and profit.’ (See South Pacific v. Lowe, 23R F. H41)
32) PROOF OF CLAIM: That the Undersigned has been noticed that the Internal Revenue Service is an
agency of the United States. (see District Court of the District of Idaho Case # 93-405-E-EJU11-19-93).
33) PROOF OF CLAIM: That the Undersigned has been made unaware of any specific contract
(implied or otherwise) with such ‘agency’ not a part of the United States, to have some nexus or
bearing to the ‘internal’ (taxing) affairs of the United States, as to same perceived ‘fair share’ on any
interest payment and the national debt owed by the United States.
34) PROOF OF CLAIM: That the Undersigned has been noticed that the Undersigned is/was a party to
the U.S. Constitution that would establish a nexus to any federal agency for any purpose not
previously disclosed, aside from any secret or implied contracts entered into without full disclosure.
(see Padleford, Fay & Co. v. The Mayor & City of Savannah, 14 Ga. 438 (1854).
35) PROOF OF CLAIM: That the Undersigned has been disclosed of the ‘interest’ the United States
has in me/us, my/our property or same applied to my/our debtor, how it was created (as to any
pledge or hypothecation of my/our property) and/or if the ‘interest’ is merely found or established in
the corporate entity Debtor as identified in the IMF file.

Conditional Acceptance for Value No.1 07261984-FLC-1/CAFV Page 1 of 3
36) PROOF OF CLAIM: That the Undersigned have received any valid determination that has been
made identifying the Undersigned as a “U.S. person” as identified in “Title 26” (Internal Revenue
Code) at Section 7701(a)(30).
37) PROOF OF CLAIM: That the Undersigned has been disclosed of the federal rule, law (with
supporting implementing regulation) and/or any regulation that requires the Undersigned to pay an
income tax.
38) PROOF OF CLAIM: That the Undersigned has been noticed via your Letter of Determination of
the parties as to who the creditor and debtor is, in this matter.
39) PROOF OF CLAIM of title full liability to the IRS Code or any other, and that the tax imposed is
lawfully binding upon the Undersigned in the Undersigned’s private capacity.
40) PROOF OF CLAIM, That the IRS/INTERNAL REVENUE SERVICE was lawfully enacted by an Act of
Congress.
41) PROOF OF CLAIM, That the tax imposed is not laid against any corporate entity in regards to any
presumed corporate activity, but rather upon the Undersigned in the Undersigned’s private capacity
as a flesh and blood man/woman.
42) PROOF OF CLAIM, That the Undersigned is subject to a party to the U.S. Constitution to establish
any nexus to the federal government and to the IRS via any Act of Congress or tax laws passed by
Congress.
43) PROOF OF CLAIM, That the Undersigned are subject to the tax liability via any secret or implied
contract or other agreement or contract, etc.
44) PROOF OF CLAIM, That the IRS/INTERNAL REVENUE SERVICE has delivered a Letter of
Determination of who the parties are in respect to the above account, as to who is the creditor and
who is the debtor.
45) PROOF OF CLAIM, of the federal law or regulation that the Undersigned is required to file in
his/her private capacity.
46) PROOF OF CLAIM, That the name on the IMF file is not an “EO Nominee” or “ENS LEGIS,” for the
purpose of laying any tax upon some perceived corporate activity by an artificial corporate entity.
47) PROOF OF CLAIM, that the Undersigned have consented, agreed, or signed a contract allowing
the Undersigned’s ‘private’ property to be pledged and/or taken in any manner to discharge any tax
debt.
48) PROOF OF CLAIM, That the Undersigned has/have Consented to any ‘Pledge’ of any property for
the benefit of any foreign principal or the federal government.
49) PROOF OF CLAIM, That the Undersigned have been identified as a “U.S. Person” as defined at
Section 7701(n)(30) in Title 26 (Internal Revenue Code) signed under penalty of perjury pursuant to
IRC 6065.
50) PROOF OF CLAIM, That the United States is not bankrupt or insolvent and the Undersigned has
access to lawful money of account to ‘pay’ debts (tax(es)) at law in respect to Article 1, Section X of
the U.S. Constitution as it operates upon the agent of government.

Conditional Acceptance for Value No.07261984-FLC-1/CAFV Page 1 of 2
51) PROOF OF CLAIM, That I have been given or afforded a DUE PROCESS HEARING in respect to any
tax liability or at the hearing that full disclosure was made as to any commercial scheme applied to
me or to some corporate entity (straw-man or Ens legis) as named on your presentments.
52) PROOF OF CLAIM, That the income tax imposed via Title 26 is not laid against a corporate fiction
as Identified in all IRS files, documents, and presentments in capital name spelling similar to the
Undersigned’s name.
53) PROOF OF CLAIM, That the Undersigned’s ‘labor’ is a taxable commodity or an ‘article’ of
commerce via any Congressional exclusive legislative jurisdiction. (See IS V.S.C. § 17).
54) PROOF OF CLAIM, That any ‘labor’ taxed is not laid upon the ‘corporate fiction/entity’ as
identified by the Debtor’s name in all capital letters as appearing on accounts, files (IMF & BMF), and
all communique’s sent by the IRS to the ‘corporate fiction/entity’ in regards to its ‘corporate activity’
as established by the IRS.
55) PROOF OF CLAIM, That the undersigned lives within a ‘Federal Zone’ for the purpose of taxation
as a ‘citizen’ or ‘resident’.
56) PROOF OF CLAIM, That the corporate fiction/entity/Debtor is not the ‘entity’ that effectively
‘lives’ within a Federal Zone and is not the RES – (thing) IDENT, as identified on accounts, files (IMF &
BMF), and all communiques sent by IRS.
57) PROOF OF CLAIM, that the undersigned can be ‘punished’ by the United States Supreme Court as
to such and certain decisions for relying upon any decision may be directed towards the actions or
limitations of government and/or in respect to the ‘rights’ of the undersigned.
58) PROOF OF CLAIM, that the undersigned is a citizen of the United States as defined in 26 C.F.R. §
31, 312(e)-1 that would subject the undersigned to the legislative jurisdiction of the United States.
59) PROOF OF CLAIM, that the undersigned is receiving any ‘compensation’ from the Federal
government as ‘private’ man/woman ‘Citizen’, aka ‘sovereign’ and is not performing in any degree an
occupation of common right.
60) PROOF OF CLAIM, that the undersigned is engaged in a ‘TRADE OR BUSINESS’ which includes the
performance of the functions of a public office. (See 26 U.S.C. § 7701(8)(26)).
61) PROOF OF CLAIM, that the Undersigned’s signature is not the ‘exemption’ which carries the
value upon ‘acceptance for value’ of any tax presentment/liability to cause the ‘exchange’, ‘set-off’,
or otherwise to discharge any said tax liability.
62) PROOF OF CLAIM, that, in light of the National Emergency (Senate report 93-549) and the U.S.
Bankruptcy (by numerous Executive Orders as codified at 12 U.S.C.A. 95a) that the Undersigned
cannot discharge the fine, fee, ‘tax liability’, or debt via the remedy provided by Congress via HJR-
192, by and through acceptance for value, for the benefit of the Republic, as the authorized
representative of the Undersigned’s Corporate Debtor (Ens legis) as identified on the IMF file, tax
presentments and UCC filings with Bill of Exchange or other appropriate commercial paper or
through/by my exemption.
63) PROOF OF CLAIM: That you do not have the duty and obligation to produce and provide the
Undersigned the PROOF OF CLAIM as requested, pursuant to the “Clean Hands Doctrine” and “Good

Conditional Acceptance for Value No.1 07261984-FLC-1/CAFV Page 1 of 3
Faith” dealings with the Undersigned, and because some of the PROOF OF CLAIM relate to Securities
Fraud, which play a part in the Unlawful Incapacitation of the Undersigned, the mandates of the
Sarbanes-Oxley Act of 2002, H.R. 3763, 107 th Congress Second Session, which also apply to you as a
[i.e. Chief Judge, Prosecutor, IRS Field Agent etc…] of the [Court or other bodies name and number
i.e. “30 th Judicial Circuit Court”], and Other involved and which President Bush signed into law to
combat among other things, Accounting and Securities Fraud.

C A V E A T

Please understand that while I want to resolve this matter quickly, I can only do so upon your
“Official” response providing the above PROOF OF CLAIM in the matter as to the action being lawful,
proper and constitutional.
Therefore, nor being a signatory to the FEDERAL CONSTITUTION of the State of SpcState
Corporation, not a party to your “Social Compact”, and not being named in your statutes, and/or
notice of agreement between the State of SpcState or the United States with the Undersigned, the
Undersigned did not and does not understand the nature of the jurisdiction imposed by the State of
SpcState in respect to the judgment received, or the commercial nature of some involving
commercial paper, bonds, etc. created by the Judge or others on request to the above case.
Should you fail to provide the requested PROOF OF CLAIM, you would fail to state a claim
upon which relief can be granted, and you will have stipulated to all the facts as they operate in favor
upon the undersigned, i.e. that the Undersigned is not a signatory, nor party to the social compact
(Constitution) of the State of SpcState Status and Constitution does not operate upon the
Undersigned and that the [i.e. Chief Judge, Prosecutor, IRS Field Agent etc…] for the [Court or other
bodies name and number i.e. “30 th Judicial Circuit Court”] under CAN, committed constitutional
impermissible application of the statute(s)/laws in CAN, and you also agree that injury was done to
the Undersigned, via Misapplication of the Statute(s), Malicious Persecution, Conspiracy, libel,
slander, and Fraud, and you agree that the Undersigned is due damages via tort.
If you fail to respond and/or provide PROOF OF CLAIM to any/all of the forty-six (46) requested
claims contained herein, this will constitute your agreement that any remaining judgment/monetary
penalty may be “Accepted for Value” and Returned for Discharge by Bonds, International Bill of
Exchange, Promissory Note, or any other appropriate commercial paper, to allow the
setoff/adjustment and exchange of Credit/Discharge of CAN, and that 1 Secured Party Creditor,
Could be Anyone, the Authorized Representative, and Attorney-in-Fact for the Defendant/DEBTOR
COULD BE ANYONE, hereby calls for the return of the Bonds (Bid, Payment, & Performance Bonds)
issued by the [Court or other bodies name and number i.e. “30 th Judicial Circuit Court”], under CAN,
and you Respondent, as Chief Judge, agree that I may proceed directly to the U.S. District Court for
the Commercial Vessel, i.e. COULD BE ANYONE, and that I am due reparations and damages via Tort.
Could be Anyone will exercise his right to verify any proof, discovery, evidence or otherwise
(in the nature of his right to challenge jurisdiction at any time), as to the entire matter, per his right
within “The Due Process of Law” and therefore this private process is proper in obtaining such
“evidence” and to challenge any false claims, changes or otherwise.

Conditional Acceptance for Value No.07261984-FLC-1/CAFV Page 1 of 2
Respondent as the Chief Judge for the [Court or other bodies name and number i.e. “30 th
Judicial Circuit Court”], and as such, having superior knowledge of the law necessary to provide the
PROOFS OF CLAIM requested herein by the Undersigned thereby providing evidence that the action
was lawful, proper, constitutional, and there was no misapplication of the Statute(s), Law(s), Code(s),
or the like, and how the Undersigned can lawfully “Pay Debt(s) at Law”, including judgments with
Constitutional money and not be tricked into becoming a Tort Feasor, by the State of SpcState. (See:
ARTICLE 1 SECTION 10 – U.S. CONSTITUTION).
Respondent as the Chief Judge for the [Court or other bodies name and number i.e. “30 th
Judicial Circuit Court”], must reply within Thirty (30) DAYS, providing PROOF OF CLAIM both to the
Undersigned and to the Third-Party witness’ addresses below, and should you go into fault, you will
be given THREE (3) DAYS to cure your fault of non-response. If you fail to cure your fault, you will be
found in default and will have established your default and dishonor of this counter-offer to the
original offer indictment in the record.
The defaulting and dishonoring party will be foreclosed by laches and estoppel from
maintaining or enforcing the original offer in any court or administrative unit and you agree that the
Undersigned may exercise his exclusive remedy as to the stipulated and agreed upon, Misapplication
of the Statute(s)/Law(s)/Code(s) or the like, Malicious Persecution, Conspiracy, libel, slander, and
Fraud, via maritime action and/or Tort.
AS AN AGENT OF THE STATE, THE DEFAULTING OR DISHONORING PARTY, SPEAKS FOR THE
STATE OF SPCSTATE IN THIS MATTER, AND BINDS THE STATE OF SPCSTATE TO ANY/ALL MONETARY
DAMAGES FOR THE INJURIES AS SO STIPULATED BY YOU RESPONDENT, AS THE CHIEF JUDGE FOR THE
[Court or other bodies name and number i.e. “30 th Judicial Circuit Court”], IN/FOR THE STATE OF
SPCSTATE.

Third Party’s Address
_____________________________________________
_____________________________________________
_____________________________________________

A C K N O W L E D G E M E N T

In compliance with Title 28 U.S.C. § 1746(1), and executed WITHOUT THE UNITED STATES, I
affirm under the penalties of perjury, and to the laws of the De Jure United States of America, that
the foregoing is true, correct, and complete to the best of my belief and informed knowledge. And
Further the Deponent Saith Not. I now affix my Signature and Official Seal to the above Document
with EXPLICIT RESERVATION OF ALL MY UNALIENABLE RIGHTS, WITHOUT PREJUDICE TO ANY OF
THOSE RIGHTS, in compliance with UCC § 1-308.

Conditional Acceptance for Value No.1 07261984-FLC-1/CAFV Page 1 of 3
______________________________________________________
Could Be Anyone
Secured Party Creditor
Authorized Representative For And in Behalf Of
COULD BE ANYONE
Without Prejudice

W I T N E S S E S

We the undersigned Witnesses hereby STAND and Attest that Could Be Anyone, signed this
document on this _______ day of ________________________, 202___, of his Own Free Will, as
witnessed by Our Signatures below:

_______________________________________ ______________________________________
First Witness Signature Second Witness Signature
Address: ________________________________ Address: ______________________________
________________________________________ ________________________________

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