Affidavit of Complaining Victim of a Felony
VIOLATION OF: 42 USC 408 A-8 From: Your full name here
(8) discloses, uses, or compels the disclosure of the social All rights reserved. Also see UCC 1-308
security number of any person in violation of the laws of the In care of postal service address
United States; or
Your mailing address here
(9) conspires to commit any offense described in any of
paragraphs (1) through (4),
City, State and ZIP here
shall be guilty of a felony and upon conviction thereof shall
be fined under title 18 or imprisoned for not more than five
years, or both, ….
To: United States Department of State TO: Federal Bureau of Investigations
601 4th Street NW
Washington, DC 20535
Phone: (202) 278-2000
(1) It is a fact that: That I am natural born State Citizen of the State you were born in here, in its constitutional
capacity, as one of the several states of the Union.
(2) It is a fact that: That I am not a United States citizen or resident, nor have I ever been.
(3) It is a fact that: I retain all of my rights always and forevermore. Also see UCC 1-308.
(4) It is a fact that: The United States Department of State has caused me to disclosed my Social Security
number to them against my will. See… 42 USC 408 A-8
(5) It is a fact that: There is no constitutional law that requires a State Citizen to have a Social Security
number.
(6) It is a fact that: It is a felony to cause me to disclose a Social Security number. See… 42 USC 408 A-8
discloses, uses, or compels the disclosure of the social security number of any person in violation of the
laws of the United States; or (9) conspires to commit any offense described in any of paragraphs (1)
through (4), shall be guilty of a felony and upon conviction thereof shall be fined under title 18 or
imprisoned for not more than five years, or both, ….
(7) It is a fact that: That I have been denied my constitutional right to privacy.
"The State cannot diminish rights of the people." Hertado v. California, 110 U.S. 516
(8) It is a fact: "Where rights secured by the Constitution are involved, there can be no rule making or
legislation which would abrogate them." Miranda v. Arizona, 384 U.S. 436 (1966),
Signed ___________________________________ Date: __________________________
Notary Public
State of _______________________
County of _____________________
Subscribed and sworn before me this ________day of ________________
Affidavit of Complaining Victim of a Felony
In the year ________________.
Signed: _______________________________