[exampleonly;substituterelevantcircumstancesparticulartoyou intextbelow] [ENTERLETTERHEAD]

UCC DEMAND SUMMONSCOURT

[currentdate] [nameof judge] [addressof judge]

[NAMEOF GOVERNOR] [GOVERNOR]

[STATE]

[streetaddress]

[city,state,zipcode]

[NAMEOF SECRETARYOF STATE] [SECRETARYOF STATE]

[STATE]

[streetaddress]

[city,state,zipcode]

[NAMEOFATTORNEYGENERAL] [ATTORNEYGENERAL]

[STATE]

[streetaddress]

[city,state,zipcode]

cc:[Plaintiff'sAttorney]andSeeAnnexA, restatedandincorporatedhereasifsetforthinfull

Reference:Alleged[entercase# andname]

DearMr./Ms.[lastnameof judge]andMr./Ms./Mssrs.[lastnamesof otheraddressees]:

I receivedadocumentthatpurportstobeasummonstothe[enternameof court]in[city],[state or province].

As thelawfulownerof theprivatelandandbuildinglocatednear[enteryour address],I willbe happytocomplywiththispurportedsummonsassoon asI receivethefollowingdocuments fromyou, towit:

THEPURPORTEDSUMMONS IS REJECTEDWITHOUTDISHONORAND PURSUANT TOPUBLICPOLICYUCC3-501, andanyandallall“STATEOF . . .”andInternational equivalents.Pursuanttosaidpublicpolicy,I demandthatyou produce:

1. your identification,publicpolicyUCC3-501, all“STATEOF . . .”andInternational equivalents,sworn by wet-inksignaturesignedunderthepenaltyof perjuryunderthelawsof [country]and[stateor province]thattheforegoingistrueandaccuratecopyof your identificationregisteredwiththeappropriatepublicandgovernmentoffices;

2. your employeeidentificationnumber,publicpolicyUCC3-501, all“STATEOF . . .”and Internationalequivalents,sworn by wet-inksignaturesignedunderthepenaltyof perjury underthelawsof [country]and[stateor province]thattheforegoingistrueandaccurate copyof your employeeidentificationregisteredwiththeappropriatepublicandgovernment offices;

3. your oath,sworn by wet-inksignaturesignedunderthepenaltyof perjuryunderthelawsof the[country]and[stateor province]thattheforegoingistrueandaccuratecopyof the originalrecordedwiththeappropriatepublicandgovernmentoffices;

4. your bond, sworn by wet-inksignaturesignedunderthepenaltyof perjuryunderthelawsof [country]and[stateor province]thattheforegoingistrueandaccuratecopyof theoriginal bond recordedwiththeappropriatepublicandgovernmentoffices;

5. theaccommodationagreement,publicpolicyUCC3-419, all“STATEOF . . .”and Internationalequivalents,authorizingyou torepresentandpresenton behalfof [STATEOR PROVINCE]OF [NAMEOF STATEORPROVINCE],inclusiveof anydepartmentor office thereof,sworn by wet-inksignaturesignedunderthepenaltyof perjuryunderthelaws of the[country]and[stateor province]thattheforegoingistrueandaccuratecopyof the originalrecordedwiththeappropriatepublicandgovernmentoffices;

6. thestatute,implementingregulation,stateandFederalRegistervolumeandpagenumber wherearequirementhasbeenpublishedthatstatesI mustcomplywiththesummonswithout myconsent;

7. I denythat any suchstatute,implementingregulation,stateand FederalRegisterexists;

8. thestatuteandimplementingregulationthatstatesor authorizesyour jurisdictionoverme, myprivatelandandmypropertywithoutmyconsent;

9. I denythat any suchstatuteand implementregulationexists;

10. anoriginalaccommodationagreement,publicpolicyUCC3-419, all“STATEOF . . .”and Internationalequivalents,madeknowingly,willinglyandintentionally,signedby mywet-ink signaturesignedunderthepenaltyof perjuryunderthelawsof [country]and[stateor province]thattheforegoingistrueandaccurate;

11. I denygivingknowing,willing,and intentionalwrittenconsentto [nameof stateor province],orany [stateorprovince]of [nameof country]grantingauthorityoverme, my privatelandand property,orauthorityto representmeand presenton my behalf, signedby my wet-inksignaturesignedunderthepenaltyof perjuryunderthelawsof [country]and [stateorprovince]that theforegoingistrueand accurate;

12. Myprincipleof lawisalignedwithcommonlawand protectedundertheUNITED STATESCONSTITUTION,Article4, Section3, Clause1, governedand insuredby publicpolicyUCC 1-103, and all“STATEOF. . .” and Internationalequivalents;

13. Identifyyourprincipleof law,publicpolicyUCC 1-103, all“STATEOF. . .” and Internationalequivalents,that abrogatesmy rightsdulyreservedand protectedas statedherein,signedand sworn by wet-inksignaturesignedunderthepenaltyof perjury underthelawsof [country]and[stateor province]thattheforegoingistrueandaccurate;

14. I denythat you canproducetheproofand documentsas demandedin#1-13 above;

15. I denythat the[StateorProvince]of [namestateorprovince],throughany of its agencies,canproducetheproofand documentsas demandedin#1-14 above;

16. I DEMANDTHATYOUPRODUCETHEPROOFand DOCUMENTSAS DEMANDEDIN #1-15ABOVE,SEPARATELYPOINTBYPOINT,WITH SPECIFICITYAND PARTICULARITY;

17. NOTICE:YOURFAILURETOPRODUCETHEPROOFAND DOCUMENTATION AS DEMANDEDIN #1-16ABOVERENDERSTHEABOVEALLEGATIONSAND YOURINABILITYORUNWILLINGNESSTOPRODUCEASTRUTH,ASA MATTEROFLAW,MATTEROFFACTANDASAMATTEROFPUBLICPOLICY, RESULTINGINTHEISSUANCEOFACERTIFICATEOFDISHONOR PURSUANTTOPUBLICPOLICYUCC 3-505.

IFYOUAREUNWILLINGORINCAPABLEOF PRODUCINGTHEPROOFAND DOCUMENTATIONAS DEMANDEDIN #1-16ABOVE,THENYOUAREORDEREDTO:

A. CEASEAND DESISTPERMANENTLYFROM CONTACTINGMEDIRECTLYAND INDIRECTLYBYANYMEANSOF COMMUNICATION;YOUAREHEREBY ORDEREDTOCEASEAND DESISTPERMANENTLYFROMALLACTSAND INACTIONSTHATARECONSIDEREDBYAREASONABLEMAN TOBE HARASSMENTUNDERANYLAWAND JURISDICTIONAGAINSTMYSELF,MY FRIENDS,MYFAMILY,MYEMPLOYEES,MYWORKASSOCIATES,MY AGENTS,AND MYPRIVATELANDAND PROPERTY;

Byyour failuretoCEASEAND DESIST,andtoproduceproof of your identification,standing, authorityandjurisdictionasdemandedin#1-16 above,you aredeemed“uncooperative”butyou areknowingly,willinglyandintentionallyacceptingfullliabilityandresponsibility,tobe perfectedasdue,owingandcollectible,pursuanttotheprocessasnoticedandstatedin# 17 above,inclusiveof anyandalldamagesincurredby meduetoyour actionsandin-actions,by truebill,dulysecured,invoicingprincipleamount,costs,expenses,lostprofits,interest,and triple damagesaccumulatingandaccruing,NUNCPROTUNC.

NOTICETOPRINCIPALIS NOTICETOAGENT; NOTICETOAGENTIS NOTICETOPRINCIPAL

Dulysworn astrueandcorrect,executedon this dayof , 2013, withallrights reservedwithoutprejudice,UCC1-308, andanyandall“Stateof . . .”andinternational equivalents(“UCC1-308”):

UCC1-308 [Name] c/o[your address(near[your zip])

PUBLICNOTARY

STATEOF)

COUNTYOF)

)ss

On [DATE], didpersonallyappearbeforeme,alicensedpublic notaryfor theSTATEOF , anddidproducesatisfactoryevidenceof identificationthathe/sheisthepersonwhosesignatureandinitialsareaffixedtothisinstrument. Furthermore,he/shedidswearunderthepenaltiesof perjuryunder[nameof country],without [nameof stateor province],thathedidaffixhis/hersignaturetothisinstrumentknowingly, willinglyandintentionally.

namedate

my commission expires

[seal]