WITNESS SERVICE AFFIRMATION UNDER NOTARY SEAL
Notice to Respondeat Inferior is Notice to Respondeat Superior
In Commerce, everything must be stated in Truth. I, witnessfirst witnessmiddle: house of WitnessLast, a
(wo)man, hereinafter, the "undersigned", do hereby solemnly declare, say, and state: (1) I am competent for
stating the matters set forth herewith; (2) I have personal knowledge about the facts stated herein; (3) Everything
stated in this TRUTH AFFIRMATION is the Truth, the Whole Truth, and nothing but the Truth and all stated is
true, correct, complete, and not misleading. NO THIRD PARTIES ALLOWED.
PLAIN STATEMENT ABOUT THE FACTS: (a) For Resolving a Matter it must be expressed (b) In Commerce
Truth is Sovereign; (c) Truth is expressed in the Form of an Affirmation; (d) An Unrebutted Affirmation stands as
Truth in Commerce; (e) An Unrebutted Affirmation becomes the judgment in Commerce; (f) A Truth
Affirmation, under Commercial Law, can only be satisfied by a Rebuttal about the Truth Affirmation, by
payment, by agreement, by resolution by a grand jury according by the rules for Common Law.
It is hereby verified, that on the date noted below, the undersigned did witness yourfirst yourmiddle:
house of YourLast, hereinafter claimant, come before me with the following documents and assorted papers
issued by claimant otherwise and herein identified as follows:
1. Letter from Debt Collectors, Inc. requesting settlement of Alleged Account: 012345678 for
Alleged Amount: $10,000.00, dated January 7, 2013, 1 leaf;
2. claimant's Offer to Perform Upon Debt Validation, dated January 5, 2013, 2 leaves;
3. Debt Collector Disclosure Statement, to be completed by Debt Collector, 3 leaves;
4. reference copy of this Service Affirmation under Notary Seal (signed original on file);
then place the same documents into a postpaid envelope properly addressed to:
Bob Smith
c/o Chief Financial Officer, Bob Smith
Debt Collectors Inc.
123 Duress Road
DebtCity, DebtState; near [12345]
hereinafter, “Recipient”, and seal the same envelope and entrust it to me for post to Recipient by Registered Mail
Number RE 000 000 000 US, Return Receipt attached for deposit at an official depository under the exclusive
face and custody of the United States Postal Service within the State of YourState.
Dated this ____________________ of the month of ______________________, Two Thousand Thirteen,
(seal)
NOTICE
Using a notary on this document does not constitute any adhesion, nor does it alter my status in any manner. The
purpose for the notary is verification and identification only and not for entrance into any foreign jurisdiction.
JURAT
State of YourState )
) subscribed and affirmed
County of ________________ )
Having witnessed the signing and sealing of the forgoing verified affirmation by the living biological (wo)man
witnessfirst witnessmiddle: house of WitnessLast, I place my hand and seal hereon as an authentic act as a Notary
Public, subscribed and affirmed to me this _________________ day of the month of ___________________ Two
Thousand and Thirteen.
________________________________ __________________________(Seal)
Notary Signature Date
________________________________ __________________________ (Stamp)
Notary Address Notary Commission Expires
Leaf 1 of 1 Witness Service Affirmation Under Notary Seal
