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“Pay to Order of the United States of America.

Without Recourse” 1040

1040-V Payment Voucher/Money Order OMB No. 1545-0074

Department of the Treasury


Internal Revenue Service (99)
▶ Please do not staple or attach this voucher to your payment or return. 2011
1 Your social security number (SSN) 2 If a joint return, SSN shown second on your 3 Amount you are Dollars Cents
return paying by check or
money order $US 123,000 .00
563962406
4 Given Name Family name
Print or type

Brett Jones
If a joint return, spouse’s first Given name Spouse’s Family name

Home address (number and street) Apt. no. City, town or post office, state, and ZIP code (If a foreign address, also complete spaces below.)
In Care of General P.O. Box 393 Town of Veguita New Mexico Outside the United States
Foreign country name Foreign province/county Foreign postal code
Minor Outlying Islands North America (Mid) N/A

For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 20975C

For documentation of debt obligation see N.Y.Exec. § 135, N.Y.U.C.C. § 3-508, 3-509, 3-510, 1-202, Arizona
Revised Statutes § 41-313, 47-3503, 47-3505 and 47-1201, and M.G.L. 106 §* 3-503 M.G.L c. 222-1 and M.G.L. c.
107-13, MGL 106, § 1-202, M.G.L. 106 § 3-509, 1-202, 3-510, N.Y.U.C.C. § 3-509, 1-202, 3-510, and debt relief
provisions of § 3-511(4).

It is presented with peaceful intentions expressly for your benefit to provide you with due process and a
good faith opportunity to state a claim.
NO PORTION OF THIS PRESENTMENT IS INTENDED TO HARASS, INTIMIDATE, OFFEND, CONSPIRE,
BLACKMAIL, COERCE, CAUSE ANXIETY, ALARM OR DISTRESS OR IMPEDE ANY PUBLIC
PROCEDURE. ANY AFFIRMATION CONTRARY TO THIS CERTIFIED STATEMENT WILL COMPRISE
A CONFESSION OF FRAUD UPON THE COURT and THE PUBLIC.
THE SEAL OF THE SECRETARY OF STATE IS CONSTITUTIONALLY BACKED BY THE FULL FAITH
AND CREDIT OF THE UNITED STATES. EACH OF THE BONDS WERE AND LAWFULLY PRODUCE BY
THE ADMINISTRATOR, SERVED ON THE PARTIES AS BAILMENTS/SPECIAL DEPOSITS AND BINDING
ON THE PARTIES TO FULFILL OBLIGATIONS.
ORIGINALS ARE
Being submitted via USPS mail which is backed by the full faith and credit of the United States:
18 U.S.C. Sees. 872, 873, 1506, 1512, 1513, 878, 1001, 1346, 371, 1503, 1651 and DR 8.4, 1023, 1025, 1503, 1651 and
1658. M.G.L. c. 233.1 and 233 § 30 eta/and Compton v. State of Alabama, 214 U.S. 1(1909), Fauntleroy v. Lum, 210
U.S. 230 and Christmas v. Russell, 5 WaIl. 290.
Also:
Fair debt collection Practices ACT (FDCPA), 15 U.S.C.§ 1692 et seq., 1978
Title VIII of the Consumer Credit Protection ACT of 1978
THE EMERGENCY ECOMONIC ACT May 12, 1933
The Indentured Trust ACT of 1939
HJR 192, 112 Statutes at Large 48, and P.L. 73.10 of 1933
The Securities Exchange Act of 1934
The Fair Credit reporting Act 1970
Public Law No. 91-508 enacted In 1970
The Bankruptcy ACT of 1933
12 USC 411, P.L. 97.280
UCC 1-103, 1-308,2-221, 2-104, 3-415-419. 3-501 thru 510
TITLE 12—BANKS AND BANKING 12 USC 411 - Sec. 411.
Federal reserve notes, The said notes shall be obligations of the United States and shall be receivable by all and for all public dues. They shall be
... ... ...

redeemed in
lawful money ott demand at the Treasuiy Department of the United States
This is not an attempt to defraud, but an attempt to correct the official leger, if this is not the proper procedure for the collection of the principle of an account
Administered by the executor/grantor/director/Governor, you (the United States Treasury/IRS) are hereby appointed as trustee/fiduciaries, to perfect the process
a form
2848 is attached fur appointment and compliance purposes. Pay to the order of the United States Treasury WITHOUT
RECOURSE the ESTATE Seal. IS AFFIXED ANNEXED THIS ENDORSEMENT. IRS associated form and numberslO40, 1099, 1041, 8832

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