JONN HENRY DOE,

PETITIONER, V STATE OF INDIANA COUNTY OF MARION CITY OF INDIANAPOLIS, RESPONDANT,

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THE MARION SUPERIOR COURT, CRIMINAL DIVISION, COURT XXX

Case No.: 49XXX-XXXX-XX-XXXXXX AND ALL ASSOCIATED CASE NO. WITH THIS MATTER

AFFIDAVIT OF FACT AND SURENDER OF THE ALLEDGE DEFENDANT/LEGAL PERSON/LEGAL ENTITY JONN HENRY DOE

Petitioner John Henry of the family Doe; as a self aware living man hereby (affirm) that I am not JONN HENRY DOE, it is a fictitious entity I declare that I am John Henry of the family Doe a Sovereign living and breathing man and not the LEGAL ENTITY/LEGAL FICTION/LEGAL PERSON JONN HENRY DOE. I John Henry of
the family Doe

the living man on the land herby surrender the LEGAL

ENTITY JONN DOE, JONN H DOE and or JONN HENRY DOE by way of a CERTIFIED COPY of CERTIFICATE OF BIRTH CERTIFICATE NO/FILE NO. XXXXXXX, XXXXXXXX and or XXXXXXXXX to this court in order to satisfy this matter, as well as satisfy the warrant for JONN HENRY DOE which a certified copy is hereby attached.

Petitioner John Henry of the family Doe hereby demands that the COURT and or Presiding JUDGE remove any so called warrant for the living man John Henry of the family Doe. The Foregoing Instrument is being executed under the hand and seal of the self aware living man and is my free-will act and Deed. So help me God.
Respectfully Submitted: Self aware living man by Special appearance.

Indiana State Marion County

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ACKNOWLEDGEMENT

On this _______day of ____________ 2012, before me the below signed Notary appeared before me: John Henry of the family Doe; to me known to be the living man who executed the foregoing instrument and acknowledged before me that he executed the same as his freewill act and deed. Notary Name: ____________________________ Notary Signature: __________________________ Date:__________ Commission Expires: ___________________

NOTARY SEAL