JOHN HENRY DOE, Estate

Executor Office.
Nation New York
C/O 123 Cedar Drive
Smalltown, New York
Near [11011]

TITLE FOR HEAD GUY AT AGENCY Todays Date

Attention: HEAD OFFICEHOLDER INDIV. NAME
ADDRESS OF SUPERVISING DEP./CHIEF JUDGE/ATTNY/ETC

To: TITLE FOR HEAD GUY AT AGENCY

From: Executor Office JOHN HENRY DOE, Estate

Regarding: Unauthorized administration of JOHN HENRY DOE, Estate

[Tax Number 123-45-6789]

Enclosed you will find abandoned paperwork which appears to erroneously allege that [NAME OF
INDIVIDUAL WHO CONTACTED YOU & ID NUMBER IF ANY], TITLE OF INDIVIDUAL WHO WROTE U, of the
author(s) who signed the paperwork being returned, who by his/her unwarranted acts, fraudulently claim
authority from this Executor Office to administrate for JOHN HENRY DOE, Estate. That false claim is hereby
adjourned.

I require you will forthwith return and transmit the specific written delegation of authority to represent that
authorization to administrate [act as trustee] that JOHN HENRY DOE Estate has been warranted, together with
a certified copy of your oath for the office of TITLE FOR HEAD GUY AT AGENCY, accompanied by a certified
copy of your Bar Bond, [NAME OF INDIVIDUAL WHO CONTACTED YOU & ID NUMBER IF ANY], TITLE OF
INDIVIDUAL WHO WROTE U, and a detailed list of all bonds, sureties, indemnification, insurance and Court
Registry Investment System (CRIS), CUSIP numbers, and full accounting relating in any way to your or any
related actors personal or professional involvement, as referenced above, through the unwarranted
presentation of the arrogated paperwork intrusion upon the JOHN HENRY DOE, Estate.

Govern yourself accordingly,

By: executor _________________________

Executor Office
JOHN HENRY DOE, Estate
Nation New York
C/O 123 Cedar Drive
Smalltown, New York
Near [11011]
Certified Document:

The Office of Chief Counsel

Attention: HEAD OFFICEHOLDER INDIV. NAME
ADDRESS OF SUPERVISING DEP./CHIEF JUDGE/ATTNY/ETC
by Registered Mail Restricted Delivery #: _________________________________

NAME OF INDIVIDUAL WHO CONTACTED YOU & ID NUMBER IF ANY

D/B/A: ENTIRE ENTITY THEY REPRESENT
ADDRESS of Individual who contacted you
by Registered Mail Restricted Delivery #: _________________________________

STATE OF ____________ )
) Scilcet JURAT
COUNTY OF __________)

Subscribed and sworn before me, a Notary Public, this ______ day of __________ 20__, upon satisfactory
evidence to the identify of the affiant subscribed and sworn above.

___________________________________________ (Seal)
NOTARY PUBLIC
My Commission expires:
KEY
YOUR TRUST/ESTATE NAME = JOHN HENRY DOE =
NATION = New York =
CITY = Smalltown =
ZIP = 11011 =

NAME OF INDIVIDUAL WHO CONTACTED YOU & ID NUMBER IF ANY =

TITLE OF INDIVIDUAL WHO WROTE U =
ADDRESS of Individual who contacted you =

TITLE FOR HEAD GUY AT AGENCY = The Office of Chief Counsel =

HEAD OFFICEHOLDER INDIV. NAME =
ADDRESS OF SUPERVISING DEP./CHIEF JUDGE/ATTNY/ETC =

ENTIRE ENTITY THEY REPRESENT =