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[your name]

[your mailing address]


[your city, state fully spelled]
[optional phone number]
[optional e-mail]
In Propria Persona

AT SUPERIOR COURT OF OREGON

COUNTY OF WASHINGTON

[your name], ) CASE NO. [to be assigned]


)
Demandant, ) NOTICE AND DEMAND
)
v. )
)
[his name], )
)
Respondent. )
)
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A MORE PROPERLY STRUCUTRED NOTICE, AS A ONE STEP FINAL NOTICE

REQUIRED ELEMENTSPRO

TO [his name] AND ALL PARTIES ACTING IN CONCERT WITH YOU, PLEASE

TAKE NOTICE OF THE FOLLOWING:

1. You stepped on my toe.

2. Now my toe is broken. I paid $3,000 for medical treatment.

3. You have a duty to not injure me.1

4. You breached that duty.

1 Golden Rule: Do unto others as you would have others do unto you.

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NOTICE AND DEMAND
5. The damages are $3,000.

6. I demand that you, in good faith, pay me the damages within

thirty (30) days from the date you are served with this Notice

and Demand.

7. If you do not pay or otherwise respond within the allotted


time, then by tacit procuration (implied power of attorney) I

will determine for you the facts, your duties, and the damages

you owe to me.

8. If you do not respond as demanded, I will take lawful action

(in personam and in rem) to defend against you, and persons

acting in concert with you, who caused said injuries, to secure

my substantive rights, and to redeem the damages owed to me.

DO NOT THREATEN TO SUE NECESSARILY (NOT BLACKMAIL OR EXTORTION), USE

CARE HERE

9. I have personal knowledge of the foregoing facts and am

competent to testify as to the truth of those facts if called as

a witness. I declare under penalty of perjury that the foregoing

facts are true and correct, and that this affidavit was executed

in _[city]______, Oregon state on November ___ 2014.

x_____________________________________

[type your name]

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NOTICE AND DEMAND
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NOTICE AND DEMAND