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Declaration of Natural Birth

State of Your State Your County County ) ) )

SS

Verification by Declaration in support of Declaration of Natural Birth. I, First Middle, House of the family of Last, having personal knowledge, of lawful age of Majority, of Competent mind, having Returned no longer presumed dead, and Found living, with Wife's First Middle by Covenant of Divine Consummation, am

Alive and have brought forth four (4) Alive flesh and blood sons as heirs to the Last Family-Birthright, (number of children) (sons or daughters) states under oath the following facts:
1 First Middle, is the Alive flesh and blood son/daughter born to Father'First Middle and Mother'First Middle, House of Last Family. 2. First Middle, is the birth name given to the Alive flesh and blood son/daughter of FFirst Middle and MFirst Middle, House of Last family. 3. First Middle, the Alive flesh and blood son/daughter of FFirst Middle and MFirst Middle, House of Last family, was born Alive in Birth City, Birth State state. Dated this 29th day of May 2012 being effective Nunc Pro Tunc, from the 25th day of February 1983 (birth date you turned 18) Respectfully submitted,

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ seal First Middle: Last


! Address no abbreviations City,State spelled out, [zipcode-9998]

Deuteronomy 19:14
so at the mouth of two or more witnesses so shall the matter be established.

Witness: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Witness: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
NOTICE TO PRINCIPAL IS NOTICE TO AGENT ~ NOTICE TO AGENT IS NOTICE TO PRINCIPAL

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