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To: The Honorable Secretary of State State of Arizona 1700 W Washington St Phoenix, AZ 85007 From: [Your Full Name], sui juris c/o [Mailing Location] [City], [State Republic ZIP Exempt] Date: ____________________ Subject: Declaration of State National Status and Respectful Demand for Recognition I, [Your Full Name], a living man and natural-born inhabitant of the [State Republic], hereby issue this Declaration of Status Correction and Political Standing as a matter of public record. This notice is presented in peace, honor, and good faith under Article IV jurisdiction of the Constitution for the United States of America (1787). Attached and incorporated by reference is the recorded Affidavit of Life filed and accepted by the Pima County Recorder’s Office under Instrument No. ___________. This record stands as public evidence of my living status and lawful claim as a State National and original posterity of the land and soil jurisdiction. This declaration is not an application for any benefit, license, or privilege. It is a lawful notice of correction and affirmation of political status made under the law of nations, Lex Mercatoria, and the organic Constitution for the United States of America. Accordingly, I respectfully demand that the Office of the Secretary of State of Arizona recognize this recorded standing and issue, in due course, a State National Identification Record or equivalent notation reflecting this status within State databases and passport documentation, consistent with current administrative procedures for nationals. It is further respectfully demanded that any future issuance of a United States passport, travel document, or identification associated with my name reflect the designation “United States National – Not a U.S. Citizen” in accordance with 22 C.F.R. § 51.7 and related provisions. All rights are reserved under UCC 1-308 and UCC 1-103. This declaration does not waive any lawful remedy or right of due process. All officers and agents are hereby noticed to correct their records accordingly. Executed this _____ day of ____________, 20____, in __________________ County, Arizona Republic. Respectfully submitted in peace and good faith, Signature: ___________________________ Printed Name: _________________________
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