ACT OF EXPATRIATION
DOMICILE DECLARATION AND ALLEGIANCE
civil flag of the united states
WHEREAS FIRST MIDDLE LAST, LAST, FIRST MIDDLE LAST, FIRST
MIDDLE LAST, and any/all other similarly named vessels in trade or commerce are all
presumed to be “naturalized CITIZENS of the UNITED STATES” under the Diversity Clause
and the Agent / Authorized Representative / Attorney in Fact is of legal age of majority;
WHEREAS such CITIZENSHIP was never desired nor intended nor voluntarily entered into
upon the lawful contractual conditions of full disclosure, FIRST MIDDLE LAST willingly and
purposefully renounces all CITIZENSHIP or other assumed political status or obligation related
to the UNITED STATES as defined as “a federal corporation” [see 28 U.S.C. § 3002 (15)(a)]
and its government doing business variously as the UNITED STATES, the UNITED STATES
OF AMERICA, the DISTRICT OF COLUMBIA MUNICIPAL CORP., et al., etc. The
undersigned hereby declares a permanent domicile upon and repatriates the soil of his birth
known as Birth State and freely affirms his allegiance to the same, organic, and actual state of
the Union [see 8 U.S.C. § 1101 (a)(21)] and does accept and reclaims his true nationality as an
American State National and operates his vessel as an American State Vessel in international and
maritime commerce including all operations under Article X of the Constitution for the united
States of America and Article X of the United States of America, owned and operated by:
First-Middle: Last
c/o 1234 Your Address St.
City/Town, State Republic [Postal Code Exempt – D.M.M. 602, 1.3 (e)(2)]
Respectfully submitted without prejudice,
___________________________________
First-Middle: Last, Attorney in Fact
1
ACKNOWLEDGEMENT / NOTARY
Your County )
) ss.
State Republic )
On this ________day of Month, 2019, before me, the undersigned, a Notary Public in and for
Your County, personally appeared the above-signed, known to me to be the one whose name is
signed on this instrument, and has acknowledged to me that he/she has executed the same.
Notary Name: __________________________________ (notary seal)
Notary Signature: _______________________________
My commission expires:__________________________