24 Violation Warning Form
24 Violation Warning Form
24 Violation Warning Form
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Statement Of Fact (May have attachment) :
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I certify that the foregoing information stated here is true and correct to the best of my ability and entered in
honour. Autograph: __________________________________________ Date: _________________________
18 USC §245: provides that Whoever, whether or not acting under color of law, intimidates or interferes with any person from
participating in or enjoying (the estate, identified as) any benefit, service, privilege, program, facility or activity, provided or
administered by (a person / agent / Officer / Public Servant, operating through an agency, corporation, or association of) the
United States; [or] applying for or enjoying employment or any prerequisite thereof, by any agency of the united states; shall
be fined under this title, or imprisoned not more than one year, or both.
WARNING: You are in violation of Federal Law. Persisting with violating my Liberties with
unconstitutional demands will lead to your personal liability, as well as the company, agency and/ or
association, you are operating through.
You are advised to cease and desist your untoward actions and demands, which are in violation of
the People’s Personal Liberties. You are also advised to seek personal lawful counsel if you do not
understand the law, so that you may govern yourself accordingly.
Notice of Service:
I, ___________________________________________, certify that I personally delivered this Notice to above
named Recipient and address on _______________________ at __________p.m./a.m.
I, ___________________________________________, certify this Notice has been delivered to the above named
recipient via Certified mail Delivery #: _________________________________________ on ______________.
SEND TO: Eric Holder, United States Attorney General, United States Justice Department
950 Pennsylvania Avenue NW, Washington, D.C. 20530 ● email: askdoj@udoj.gov ● Fax: 202 307-6777