Declaration of Political Status

I the living woman, Jane Marie Dooly (nee Doe), affirm and declare that I have returned to my lawful birthright political status as a Minnesotan, and I claim my exemptions as stated in Federal Code 8 USC 1101 (a) 21.

This I declare and affirm under penalty of perjury under the public law of 
The United States of America.

_________________________________________
by: Jane Marie Dooley (nee Doe) ©
All Rights Reserved
Without Prejudice

Notary Witness and Acknowledgement
Washington State
King County

Today before me, a Commissioned Notary, is the living woman known to me to be Jane Marie Dooley (nee Doe) and she did issue this Declaration of Political Status as shown and she also affirmed her testimony as shown before me this ____day of November in the year 2020, in Witness whereof I set my Signature and Seal:
_________________________________ Public Notary; my commission expires on: ________________.

Rev06202021

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