Affidavit of Complaining Victim of a Felony

VIOLATION OF: 42 USC 408 A-8 From: Your full name here
(8) discloses, uses, or compels the disclosure of All rights reserved. Also see UCC 1-308
the social security number of any person in In care of postal service address
violation of the laws of the United States; or Your mailing address here
(9) conspires to commit any offense described City, State and ZIP here
in any of paragraphs (1) through (4),
shall be guilty of a felony and upon conviction
thereof shall be fined under title 18 or
imprisoned for not more than five years, or both,
….
To: United States Department of State TO: Attorney General Sessions
U.S. Department of Justice
950 Pennsylvania Avenue, NW
Washington, DC 20530-0001

(1) It is a fact that: That I was born in The name of the State you were born in here.
(2) It is a fact that: I retain all of my rights always and forevermore. Also see UCC 1-308.
(3) It is a fact that: The United States Department of State has caused me to disclosed my Social Security
number to them against my will. See… 42 USC 408 A-8
(4) It is a fact that: There is no constitutional law that requires anyone to have a Social Security number.
(5) It is a fact that: It is a felony to cause me to disclose a Social Security number. See… 42 USC 408 A-8
discloses, uses, or compels the disclosure of the social security number of any person in violation of the
laws of the United States; or (9) conspires to commit any offense described in any of paragraphs (1)
through (4), shall be guilty of a felony and upon conviction thereof shall be fined under title 18 or
imprisoned for not more than five years, or both, ….
(6) It is a fact that: That I have been denied my constitutional right to privacy.
"The State cannot diminish rights of the people." Hertado v. California, 110 U.S. 516
(7) It is a fact: "Where rights secured by the Constitution are involved, there can be no rule making or
legislation which would abrogate them." Miranda v. Arizona, 384 U.S. 436 (1966),

Signed ___________________________________ Date: __________________________

Notary Public
State of _______________________
County of _____________________
On this the ____ day of ________________, _____________, before me,
____________________________________, the undersigned officer, personally appeared

________________________________________, known to me (or satisfactorily proven) to be the person

whose name is/are subscribed to the within instrument and acknowledged that he/she/they executed the same
for the purposes therein contained. In witness whereof I hereunto set my hand and official seal.

_________________________________
Notary Public

Printed Name: _____________________

My Commission Expires:
 Affidavit of Complaining Victim of a Felony
___________________