123 Main Street RealMan Street Address BCRegisteredMail# Birth Certificate Bond Registered Mail Number From US Post Office BirthCertificateNumber Birth Certificate Number BirthDate Birth Date BirthDay RealMan Birth Day BirthMonth RealMan Birth Month BirthYear RealMan Birth Year DocumentFilingDate Date Documents Filed (ex. January 1, 2009) DriverLicenseNumber Your Driver's License Number DriverLicenseState State Issuing Your Driver's License he/she Gender of Person Filing his/her Gender of Person Filing JOHN LEE DOE YOUR STRAWMAN NAME John-Lee: Doe RealMan Name man/woman Gender of Person Filing Man/Woman Gender of Person Filing MAN/WOMAN Gender of Person Filing NameInitials Uppercase Initials (Ex. JLD) NotaryCity Identifies Notary's City NotaryCounty Identifies Notary's County NotaryName Identifies Notary's Name NotaryState Identifies Notary's State NotaryStreetAddress Identifies Notary's Street Address NotaryZipCode Identifies Notary's Zip Code RealManCity RealMan City RealManCounty RealMan County RealManState RealMan State RealManZipCode RealMan ZipCode BCRegisteredMail# Birth Certificate Bond Registered Mail Number From US Post Office SS#NoDashes RealMan Social Security Number WithOut Dashes (ex. 123456789) SS#WithDashes STRAWMAN SOCIAL SECURITY NUMBER (ex. 123-45-6789) StateSecretaryName Name of Person Serving as Your State's Secretary of State STRAWMANCITY YOUR STRAWMAN CITY STRAWMANSTATE YOUR STRAWMAN STATE STRAWMANZIPCODE YOUR STRAWMAN ZIPCODE TreasuryAccount# Number on back of Social Security Card UCCFileNumber UCC File Number Assigned By Your Filing State wwww Year expressed in lowercase word (Ex. nine, ten, eleven, etc.) YOURFILINGCOUNTY Your County Where Document's Filed YOURFILINGSTATE Your State Where Document's Filed YYYY Year expressed in 4-digit number (Ex. 2009, 2010, 2011, etc.)