As the Supreme Being is my witness, I, the Freeman-on-the-Land commonly known as Upper-Case of the family Lower, hereby affirm that, to the very best of my knowledge, the entirety of the foregoing is true, correct and not misleading, on the ____ day of the month of ___________, in the year known as two thousand and ____ AD.
By:_________________________________________
Freeman Upper-Case of the family Lower
WITHOUT PREJUDICE – WITHOUT RECOURSE – NON-ASSUMPSIT
All Rights Reserved – Errors & Omissions Excepted
Executed in the presence of:
Notary Public: Notary Seal:
Signature:____________________________
Directions for response
All interested, concerned and affected parties wishing to dispute the claims made herein or to make their own counterclaims must respond appropriately within TEN (10) DAYS of service of notice of this action. Responses must be under oath or attestation, and received at the Notary Public’s office no later than ten days from the date of original service. Failure to deliver an appropriate response will secure forevermore the rights claimed herein, establishing permanent and irrevocable estoppel by acquiescence.
