Sample at 11 pt.

for UCC-1 (for Electronic filing*):

up-dated 1-15-11

This is the entry of collateral on behalf of the Creditor/Principal; ____Name___ and Executor of the ESTATE/Trust/Debtor; ____NAME____ in the Commercial Chamber under necessity and the following property is hereby registered in the same: All Certificates of Birth Document #000-00-0000, SSN/UCC Contract Trust Account Number 555-55-5555 and corresponding Bond/Account No. A123456789 Exemption Identification Number 555555555, ____State____ Driver License #K00-55-00000, herein liened and claimed at a sum certain $100,000,000.00, Security Agreement No. 66666666666, Power of Attorney No. 777777777, Hold Harmless & Indemnity Agreement # 99999999999, Asseveration of Status # 10101010. Said registration is to secure the rights, title(s) and interest in and of the Root of Title, and the Birth Certificate #000000000 received by the ____STATE____ DEPARTMENT OF HEALTH AND WELFARE (Division of Vital Statistics), DNA, cDNA, cell lines, retina scans, fingerprints and all Debentures, Indentures, Accounts, and all the Pledges represented by same included but not limited to the pignus, hypotheca, hereditments, res, the energy and all products derived therefrom, nunc pro tunc, but not limited to all capitalized names: MIKE JOE SIXPACK, MIKE J. SIXPACK, M. J. SIXPACK, MIKE SIXPACK, or Mike Sixpact, or any derivatives thereof used in commerce, and all contracts, agreements, signatures, endorsements, facsimiles, printed, typed or photocopied of Trusts name predicated on the Straw-man/Ens legis/Entity described as the Debtor and all property is accepted for value and is Exempt from levy. Record owner is not the guarantor or surety to any other account by explicit reservation. This filing is in accord with both public policy and the intent of the national Uniform Commercial Code. All proceeds, products, accounts, baggage and fixtures and the Orders therefrom are to be released to the Secured Party as the authorized representative/Executor of the Debtor. Debtor is a commercial transmitting utility and is a trust.

Items in color: RED Bond/account number appears on back of SS Card. Insert if known and obtainable on back of SS Card! BLUE as seen at the top of your Birth Certificate! Replace what is stated there in the UC-1 ! Note; if you do not have Driver License, etc., eliminate those things from above text! Due to space limitations ( for hard copy production of UCC-1 ), licenses, permits, etc. can be added later via a UCC-3! * For Electronic Filing, reduce text size to 10 point, for cut and paste into web-page box in filing process! Note: If you have US Passport, etc., then add those items to the above on your filing, i.e. : U.S. Passport # 123-45-77777 Washington UCC Filing web site > www.dol.wa.gov/business