Form
Name
First Name
Last Name
Email
example@example.com
Have you obtained an Authorized or Authenticated Birth Certificate?
Yes
No
If yes, are you willing to provide proof to proceed?
Yes
No
Have you started working on a Trust Account structure or have one completed?
Yes
No
Have you begun the process of securing a $100M Bond?
Yes
No
Which paperwork or phases have you already attempted or completed?
UCC Filings
EIN Applications
Treasury Direct Account Setup
Green Medallion Stamps
Trust Creation
Private Banking Structure
Estate/Name Claim Filings
None Yet
Have you submitted any Treasury Direct Forms? If yes, please list them below.
Have you ever been scammed or misled during this process?
Yes
No
I wish a nukka would!
If yes, briefly explain.
How long have you been working on this sovereignty process?
I'm a newbie just starting out
6-12 months
1 - 3 years
4 -8 years
Way too long to mention!
Have you had an measurable success unlocking or reclaiming anything so far?
Yes
No
If yes, describe briefly:
Are you willing to unlearn what no longer serves you and relearn the process properly with a positive mindset?
Yes
No
Signature
Date
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: