Affidavit of Denial of US Citizenship

To: Mike Pompeo dba U.S. SECRETARY OF STATE, and successors and assigns (or
other public official)
§

I, terrill bey, beneficial owner, 1st lien holder of Florence II, Terrill James dba TERRILL
JAMES FLORENCE II, hereby and forever, state, claim and declare I am not nor have I ever
been a U.S. Citizen or U.S. National.

Let it be known by all immigration clerks and the Secretaries of State for now, and forever I am
not and nor will ever be a U. S. Citizen or U. S. National. You have three (3) days to bring forth
your proof that I am.

I declare under penalty of perjury under the laws of the United States of America, the foregoing
is true and correct.

Executed
On____________By:________________________________ Florence II, Terrill James without
the United States

JURAT

A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.

State of Kansas

County of ___________________

Subscribed and sworn to (or affirmed) before me on this ______ day of _____________,
20___, by _________________________________________, proved to me on the basis of
satisfactory evidence to be the person(s) who appeared before me.

Signature___________________________________