Amended format in compliance with the "national emergency banking relief act as amended March 9, 1933"

Form A-14135 Application and promissory note for Certificate of Discharge OMB No. 1545-2174-A
(June 2010) of Property from Federal Trust/Estate Lien
"The March 9, 1933 act otherwise known as the National emergency banking relief act (as amended) specifies that the credit of the nation shall represent a lien and/or mortgage on all of the homes and of the property of all of the
people of the nation, this would include noncitizen nationals, nationals, American Indians, illegal aliens, immigrants, Cuban Americans, Latin Am.'s, African-Americans, Negroes, blacks, whites, Hispanics, Asians, and any other peo-
ple in the nation as defined in the statute and documented as the intent of the United States Congress. (See: the congressional record of March 9, 1933 pages 78 through 83). This act intentionally and deliberately violated the tak-
ings clause, the due process right to property, the unlawful seizure clause, the Double Jeopardy Clause, as it interfered with my right to pursue happiness and to earn a living without restraint, and I hereby formally object!"

1. Natural [p]erson Information (Individual or Business named on the lien):

Name (Individual name as it appears on lien)

Primary Social Security Number
(last 4 digits only)

Name Continuation (Individual or Business and/or fictitious organization d/b/a) Secondary Social Security Number
(last 4 digits only)

Address (Number, Street, P.O. Box) Employer Identification Number

City State ZIP Code

not necessary for nonmilitary zones
Telephone Number (with area code) Fax Number (with area code)

2. Applicant Information: Check if a natural person (If not the taxpayer, the congressional act is attached by reference)

Name (Relationship to the natural person beneficiary and trustee absolute of the estate/trust) Certificate of live birth registration number:

Address (Number, Street, P.O. Box)

City State ZIP Code

Telephone Number (with area code) Fax Number (with area code)

3. Purchase/Transferee/New Owner Check if also the Applicant

Relationship to taxpayer

(Every person with the power of attorney has

the authority to operate as an attorney of self Attached: Form 8821 or
4. Attorney/Representative Information Yes No
interests as prescribed in law, as no state
may license to practice of law!) Power of Attorney Form 2848
Name (First, Middle Initial, Last) Interest Represented (e.g. estate/trust, etc.)

Address (Number, Street, P.O. Box)

City State ZIP Code

Telephone Number (with area code) Fax Number (with area code)

5. Lender/Finance Company Information - or (Settlement/Escrow Company for applications under Section 6325(b)(3) only)
Company Name Contact Name Contact Phone Number
United States Department of the Treasury Treasury Secretary
Catalog Number 54727S www.irs.gov Form 14135 (Rev. 06-2010)
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6. Monetary Information

Proposed estate value (*not to exceed $100 million USD)

Expected proceeds to be paid to the United States in exchange for

the certificate of discharge (Enter NA if no proceeds are anticipated) $10,000,000
7. Basis for Discharge: Check the box below that best addresses what you would like the United States to consider in
your application for discharge. (The Banking Bct has additional descriptions of the Internal Revenue Code sections listed below.)
6325(b)(1) Value of property remaining attached by the lien(s) is at least double the liability of the federal Trust/Estate
lien(s) plus other encumbrances senior to the lien(s)
6325(b)(2)(A) The United States receives an amount not less than the value of the United States' interest.
(Note: If you are applying under 6325(b)(2)(A) and are the property owner but not the Principal, see also
section 16.)
Pres. proc. By ordering the Pres. to the ongoing emergency and banking activity of the natural person, the bank-
2039
ing institution is authorized to make application for necessities as prescribed in law.
6325(b)(3) Proceeds from property sale held in escrow subject to the liens and claims of the United States.
6325(b)(4) Deposit made or bond furnished in an amount equal to the value of the United States' interest.
(Note: This selection provides a remedy under 7426(a)(4) for return of deposit but is exclusively for a property
owner not named as the Principal on the lien)

8. Description of property (for example, birth certificate, Social Security account, banking accounts, utility accounts, homes, ves-
sels, DNA records, intellectual product, tangible property, personal property, noncommercial property, commercial property, household
goods, consumer goods, credit accounts, etc.):

see: attached list

Address of real property (If this is personal property, list the address where the property is located):
Address (Number, Street, P.O. Box)

City State ZIP Code

FOR REAL ESTATE: a legible copy of the deed or title showing

the legal description is requested Attached NA
FOR Discharge Requests for other assets:
copy of deed(s) or title(s) for property remaining subject to the Attached NA
Federal trust/estate Lien is requested
9. Appraisal and Valuations
Personal APPRAISAL
Affidavit Attached
Appraisal completed by a disinterested third party (commercial valuation)
PLUS ONE OF THE FOLLOWING ADDITIONAL VALUATIONS:
Market valuation of property (real property) Affidavit Attached
Informal valuation of property by disinterested third party Affidavit Attached
Proposed selling price (for property being sold at auction) Affidavit Attached
Other: Affidavit Attached
AND for applications involving valuation information (of the type described above in this section), a party should provide valuation
for property remaining subject to the lien.
Catalog Number 54727S www.irs.gov Form 14135 (Rev. 06-2010)
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10. Copy of Federal trust/estate Lien(s) (Complete if applicant and grantor differ) Attached No
OR list the lien number(s) found near the top right corner on the lien document(s) (if known)

11. Copy of the sales contract/purchase agreement (if available) Attached No

OR
Describe how and when the Trustor and or Administrator will be divested of his/her interest in the property:

12. Copy of title report Attached No

OR
List encumbrances senior to the Federal trust/estate Lien. Include name and address of holder; description of encum-
brance, e.g., mortgage, state lien, etc.; date of agreement; original loan amount and interest rate; amount due at time
of application; and family relationship, if applicable (Attach additional sheets as needed):

13. Copy of proposed closing statement (aka HUD-1) Attached No

OR
Itemize all proposed costs, commissions, and expenses of any transfer or sale associated with property (Attach
additional sheets as needed):

14. Additional information that may have a bearing on this request, such as pending Attached No
litigation, explanations of unusual situations, etc., is attached for consideration
15. Escrow Agreement (I understand that the United States Department of the Treasury had no Attached No
lawful authority to seize all of the gold from the people in the nation as done March 9, 1933 to
current without their willful and lawful consent!)
Escrow agreement must specify type of account, name and depositary for account,
conditions under which payment will be made, cost of escrow, name and address of any
party identified as part of escrow agreement, and signatures of all parties involved including
Advisory Group Manager. Terms for agreement must be reached before discharge approved.

16. NON-WAIVER (This application is made pursuant to the Federal Reserve act as amended March 9, 1933)
under the Federal Reserve act codified at title 12 section 412 of the U.S.C., the application accompanied by promissory note for
the issuance of Federal Reserve notes shall constitute an application accompanied by a tender in the form of collateral security i.e.
promissory note, bill of exchange, etc. and any payment will be treated like a specialdeposit under that section.
I understand that an application and payment made pursuant to the aforementioned provides a judicial branch of gov-
ernment remedy available under the right to petition. In making such an application / payment, I elect not to waive the op-
tion to have the payment treated as an ordinary deposit in exercise my right to request a return of funds and to bring an
action under Civil Rights Act of 1866 and the misprision of felony statute codified at positive law title 18 (4).

Non-Waiver
17. Declaration
I declare that I have examined this application, including any accompanying schedules, exhibits, affidavits, and statements and to
the best of my knowledge and belief it is true, correct and accurate. I further state that I am one "of the people in the nation", as
defined by the United States Congress and the congressional record of intent for March 9, 1933 specifically page 78 through 83".

Signature/Title Date

Signature/Title Date

Catalog Number 54727S www.irs.gov Form 14135 (Rev. 06-2010)