AFFIDAVIT OF CERTIFICATE OF NON-RESPONSE And Failure to Contest Acceptance and Agreement Re; Non-Response to Private Conditional Acceptance for Value for Proof of Claim in the Nature of Request for Discovery to Exhaust Private Administrative Remedy
___________________STATE ___________________STA TE ) ) Scilicet County of ________________ )
“Indeed, no more than (affidavits) is necessary to make the prima facie case.” United States v. Kis, 658 F.2 nd, 526, 536 (7 th Cir. 1981); Cert Denied, 50 U.S. L.W. 2169; S. Ct. March 22, 1982
That I, _____________________, a living breathing man (or woman), being first duly sworn, depose and say and declare by my signature that the following facts are true to the best of my knowledge and belief. That I, __________________________, a Third Party herein, certify that a Private Conditional Acceptance Acceptance for Value for Proof(s) of Claim on VOID JUDGMENT in the Nature of Request for Discovery was sent by ______________________________ to __________________________________ via Certified Mail with Return Rece Receip iptt Numb Number er ____ ______ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ __ and and whic which h was was mail mailed ed by the the abov abovee part party y on ____________________. A response as stipulated in the document was to be sent to the undersigned as well, serving as ‘second witness.’ I certify that I have reviewed the original documents of the above party and the mail receipts, green card(s) for the mailing and the above party’s Affidavit of Notice of Default per the above document. Per the above document as mailed, request was made to not only send a RESPONSE of the requested Proof(s) of Claim to the above party but also to the Undersigned, as a independent third party but not a party to the matter matter for the sole purpos purposee to witnes witnesss and certify certify that any such RESPO RESPONS NSE E was was sent sent and receive received d at my address/office for conclusion the above party’s private administrative process. Said RESPONSE RESPONSE was requested within a specific time period with an additional 3 days for return mail. THEREFORE; I certify that __________________________________, refused or failed to RESPOND to the above party’s Private Conditional Acceptance for Value for Proof of Claim on VOID JUDGMENT in the Nature of Request for Evidence/Discovery within the time stipulated, failed to Cure the fault and presumption is made that ______________________________, is in full acceptance and in full agreement to all matters raised in the VOID CAFV therein as fully stipulated in favor of ________________________, as Declarant/injured Declarant/injured party/Principal. Dated this ______ day of ___________________, 2007
__________________________________ ________name_________, Third Third Party Address of Third Party: ____________________________ ____________________________ ____________________________ ACKNOWLEDGEMENT
SUBCRIBED SUBCRIBED TO AND SWORN before me this _____day of ________________, A.D. 2007, a Notary, that ______________________, personally personally appeared appeared and known to me to be the man whose name subscribed subscribed to the within instrument and acknowledged to be the same. _____________________________________ Seal; _____________________________________ Notary Public Public in and for said said State My Commission expires; _______________ 1 – Affidavit of Certificate Certificate of Non-Response
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