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Sample at 11 pt.

for UCC-1 (for Electronic filing*):


This is the entry of collateral on behalf of the Creditor/Principal; ____Name___ and of the Debtor; ____NAME____ in the Commercial Chamber under necessity and the following property is hereby registered in the same: All Certificates of Birth Document #55-0000000 as herein liened and claimed at a sum certain $100,000,000.00, ____State____ Driver License #K00-55-00000, SSN/UCC Contract Trust Account-prepaid account Number 555-55-5555; Exemption Identification Number 555555555, Security Agreement No. 66666666666, Power of Attorney No. 777777777, Copyright Notice No. 888888888, Hold Harmless & Indemnity Agreement # 999999999999. Said registration is to secure the rights, title(s) and interest in and of the Root of Title, and the Birth Certificate #55-0000000 as received by the ____STATE____ DEPARTMENT OF HEALTH AND WELFARE (Division of Vital Statistics), DNA, retina scans, fingerprints and all Debentures, Indentures, Accounts, and all the Pledges represented by same included but not limited to the pignus, hypotheca, hereditments, res, the energy and all products derived therefrom, nunc pro tunc, but not limited to all capitalized names: MIKE JOE SIXPACK, MIKE J. SIXPACK, M. J. SIXPACK, MIKE SIXPACK, or Mike Sixpact, or any derivatives thereof as used in commerce, and all contracts, agreements, and signatures and/or endorsements, facsimiles, printed, typed or photocopied of owners name predicated on the Straw-man, Ens legis/Trust described as the debtor and all property is accepted for value and is Exempt from levy. Record owner is not the guarantor or surety to any other account by explicit reservation. Adjustment of this filing is from Public Policy HJR-192 of June 5, 1933 and UCC 1-104 and 10-104. All proceeds, products, accounts, baggage and fixtures and the Orders therefrom are to be released to the Secured Party as the authorized representative of the debtor. Debtor is a commercial transmitting utility and is a trust.

Note; if you do not have Driver License, etc., just eliminate those things from above text! If there is a Bond Number on the back of your SS Card, insert the following after the UCC Contract Trust Account Number; and related Bond Number 0000000000; * For Electronic Filing, reduce text size to 10 point, for cut and paste! Note: If you do not have Power of Attorney, Passport , etc., then remove those items from the above on your filing. Washington UCC Filing web site > www.dol.wa.gov/business/ (3-9-09)

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