===========================1779 & 928 American States Assembly Document Check List ========================
Document Check List
# Status 1779 One Page Declaration
1 Birth Certificate – (Photo copy of Long Form)
2 One Page Declaration – The 1779 Naturalization Act
3 Two Witness Testimonies – Witness Affirmation Form
4 Member Agreement
5 American National Credential Information
6 Militia Participant (John checking on it)
# Status Other Documents
1 Baby Deed/Record of Life (Print in ALL Red & Sign in Red)
2 Prosecutor Letter
3 Fixture Lien (training pending)
4 Names Lien (need more info)
6 Land Patent (need more info)
7 Common Carry Declaration (need more info)
8 #
Lineage Treaty (if available?) (need more info)
9 Business Deed of Reconveyance (Drafted)
10 Passport (ASN) OR Coppermoonshine Process
# Status #928 Method
1 Cover Page for 928
2 Diagram of Fraud (Optional)
3 Deed of: Re-Conveyance or Conveyance (Sign in Red)
4 Certificate of Assumed Name
5 Act of Expatriation (First Middle Last | First M. Last | First Last)
6 Cancellation of All Prior Powers of Attorney
7 DNA Paramount Claim of Life and Estate
8 Foreign Sovereign Immunities Act
9
Two Witness Testimonies - Witness Affirmation Form
10 Declaration of Political Status (Born in / domicile)
11 Notice of Intent - Fee Schedule
12 Voter Cancellation – only if they have registered
13 Military Cancellation – If Veteran, All Branches
*** Click here to Link to Paperwork Training Videos ***
Status IRS Documents
1 Revocation of Election to Pay Taxes: IRS Letter to NY
2 Revocation of Election to pay… IRS Letter to DC
3 Order of Dismissal for Lack of Jurisdiction
4 IRS Response letters
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=================== 1779 & 928 American States Assembly Document Statuses and Summaries ===================

IRS Documents
# Status Document
1 Revocation of Election to Pay Taxes - IRS Letter to NY
2 Revocation of Election to pay Taxes - IRS Letter to DC
3 Order of Dismissal for Lack of Jurisdiction
4 IRS Response letters
Notes & Comments
Sign in Blue Ink - Send Registered Mail, save a copy and mailing receipts. Use
Green Card Return Receipt Requested for your Eternally Done and Over File.
Don’t need to be recorded. Use $1.20 stamp. Sign over stamp in front of the
Post Master, puts you in the UPU global status.
No links for this at this time…
Used if contacted by the IRS after sending letters

# Status
1 Birth Certificate
Initial Documents
Document Notes & Comments
Birth Certificate is an Insurance Indemnity Receipt (Bond) which is required
under the Lieber Code/Hague Conventions. They have to give you a receipt for
property they are stealing. It’s essentially insurance guaranteeing that your
property won't be harmed as a result of their use of it.

One Page Declaration – The 1779 Naturalization Act

# Status Document Notes & Comments
Inputs Required:
Name of the State where you were born
2 One Page Declaration – The 1779 Naturalization Act
State you currently live
Day, month, year
Hand-Print First, Middle, Last© (Print your name followed by © in Blue Ink)
Recording Secretary of the State Assembly as Notarial Witness
2a Form ASN-1-A 1779 Declaration for Americans (if someone elected to fill that office)
Needs to be Notarized & Recorded by Assembly State Coordinator
Add right Thumb Print in Red Ink – touching your name
Ensure you use the correct ANS-1-x form
2b Form ASN-1-N Declaration of Legal Immigrants
For all other documents, you should autograph your name in blue ink. Be sure
to include your copyright symbol after your name. Don’t forget your red
2c Form ASN-1-F Declaration for American Federal Employees thumbprint seal. When editing the templates, be sure to remove the word
Seal from the document.
The autograph should be:

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 One Page Declaration – The 1779 Naturalization Act
# Status Document Notes & Comments
by: First Middle Last© (red thumbprint should touch your autograph)
All Rights Reserved
Without Prejudice
3 Two Witness Testimonies - Witness Affirmation Form Use a passport quality photo with a white background, 2”x2”at least 300 dpi
5 Member Agreement If joining assembly as a citizen
6 American National Credential information 600 x 900 dpi (6x9)
Militia Participant All able-bodied individuals

Other Documents
# Status Document Notes & Comments
Whole Baby Deed one-page document should be printed in red
1 Baby Deed of Land Recording Needs to be Notarized & Recorded with the county
Sign in RED INK - Add right Thumb Print in Red Ink – touching your name
2 Prosecutor Letter Send Registered mail
2a - Attorney General  State Prosecutor Letter
2b - Circuit Clerk: Deborah Nichols  Amendment 11,10,
2c - Deputy Clerk: Darcy Stearns  Your recorded county recorded FSIA MANDATORY NOTICE
2d - New Hampshire Secretary of State  Title 50 Remedy
2e - Grafton County District Attorney? (Can’t find)
4 Fixture Lien Training Posted on Mater Most
5 Names Lien Need to research more on this
6 Land Patent Reference Articles by Anna
7 Common Carry Declaration Fill out form – suggested when you do you 1779
8 Lineage Treaty (if available?) Shows you inherited the American Land and Soil
9 Business Deed of Reconveyance Sign, Notarize & Record, makes your business private
10 Passport (ASN) Link to the Coppermoonshine Process

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 928 Documents
# Status Document Notes & Comments
REQUIRED

1 Cover Page for 928

Optional

2 Diagram of Fraud (optional)

Needs to be Notarized & Recorded with the county

Sign in RED INK - Add right Thumb Print in Red Ink – touching your name
Acknowledgement, Acceptance and
3
Deed of Re-Conveyance or Deed of Conveyance

Needs to be Notarized & Recorded with the county

Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

4 Certificate of Assumed Name

5 Oath Act of Expatriation

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 928 Documents
# Status Document Notes & Comments
Needs to be Notarized & Recorded with the county
Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

5a Oath Act of Expatriation (John William Doe)

Needs to be Notarized & Recorded with the county

Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

5b Oath Act of Expatriation (John W. Doe)

Needs to be Notarized & Recorded with the county

Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

5c Oath Act of Expatriation (John Doe)

Needs to be Notarized & Recorded with the county

Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

6 Cancellation of All Prior Powers of Attorney

Needs to be Notarized & Recorded with the county

7 DNA Paramount Claim of Life and Estate Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

Needs to be Notarized & Recorded with the county

8 Foreign Sovereign Immunities Act (FISA) Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

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 928 Documents
# Status Document Notes & Comments
Needs to be Notarized & Recorded with the county
9 Two Witness Testimonies – Witness Affirmation Form Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

Needs to be Notarized & Recorded with the county

Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name
10 Declaration of Political Status Send Registered Mail w/ green card return receipt form # 3811 to the
Secretary of State for the Corporate United States and to NH Sec State.
Include supporting documents
Needs to be Notarized & Recorded with the county
11 Notice of Intent - Fee Schedule Sign in Blue Ink – Add right Thumb Print in Red Ink – touching your name

Sign in Blue Ink (notarized & recorded?)

12 Voter Registration Cancellation Letter

13 Military Cancellation – If Veteran, All Branches

*** Services for American State National Paperwork - https://www.mystatusselect.com/ ***

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