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Passport Application Assistance / HISAdvocates, s.s.m. 2973
Harbor Blvd. #475, Costa Mesa, California
Dear HISA Member,
Thank you for your interest in our services in assisting you
with your true state nationality. To begin this processplease
complete and return the following:
Completely read TWICE this page and the Hold Harmless Agreement.
If you then have any questions, call us at530-694-4343.
U.S. Passport Application Assistance with counsel does not
include what the Post office and the Federal U.S.government
charges, mailing charges, passport photo charges, or certified
birth certificate charges.
The assistance on the application will only be completed if you
meet the following criteria. Born within the united States of
America borders Currently not wanted for any felony offense by any
US Federal Agency and are not on parole in any State You desire to
be recognized on your application as a state Citizen as defined in
law That you recognize that you are not giving up any status or
standing as a Citizen of both your state and of
the de jure united States of America (Blacks 6th Def. of United
States 3rd Def) That you are NOT doing this to avoid prosecution or
to get out of paying Federal, State or Local Income
taxes.
Remember you MUST initial EVERY provision showing you understand
the provision. This agreement will notbe accepted unless every box
is initialed. Please look as well for the two separate signature
spots within thefollowing agreement.
Upload the filled in Passport Application and Fully Executed
Hold Harmless Agreement to your original supportrequest here:
https://www.hisadvocates.org/support/topics/the-exodus-program. You
must either pay $500FRNs (Federal Reserve Notes) or by PayPal.
Checks or money Orders will NOT be accepted. If you like, you
cansend the amount in consideration along with your originals via
UPS or FEDEX ONLY. Any delivery other than fromUPS or FEDEX will be
refused. You are responsible for all funds lost by mail; be sure to
register or track thepackages. If you are going to send payment by
PayPal, please make it for $515.00 to:
[email protected] way you might be able to use your
bank card or other means if you like. Once received, we will note
yoursupport ticket as such. VIP members get a $100.00 discount.
Simply deduct that amount from the total. Afterthe first 50
members, the process is going to go up to $795 FRNs.
Preparation:1. Go to the county recorder of where you were born
and get a certified copy of your birth certificate.2. Go to your
local Post Office, pick up and fill out a New Passport Application
(Use this even if you have a
passport already). Or you can go to this website and use this
form:http://www.state.gov/documents/organization/212239.pdf
3. Fill the application out as best as you can. (You do not need
to sign it or use the SSN) We will not use thisapplication for your
final application. This is a worksheet for me and will be returned
to you ordestroyed.
4. Send the signed original copy of the Hold Harmless Agreement
in the mail to:HISAdvocates, s.s.m. Passport Assistance
Department2973 Harbor Blvd #475Costa Mesa, California [92626]
Once we have these documents and confirmation of consideration,
we can begin work on you process.
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We will LOOK FOR THE PAYPAL PAYMENT or CASH. Once consideration
confirmed, we will post considerationamount received to your
support request. We will then call you once the documents and
consideration areaccounted for.
Remember we will NOT be filing anything on your behalf. All
documents will be sent back to you for you to signand file with the
Post Office yourself.
Any questions at all please call us at 530-694-4343. Phone
number only for pre submitted application pertinentquestions.
Notice: All communications including phone calls will be
recorded.
Notice: After you have completed your Passport Application and
Hold Harmless Agreement, all communicationwill be handled through
the HISAdvocates.org portal where you originally submitted your
support ticket request.
INSTRUCTIONS: Please carefully read this Agreement, then:
1) Print your name in the space in the first paragraph of the
Agreement.2) Initial EVERY provision after you fully UNDERSTAND
it.3) On Page 5, print your name, mark [sign] and date this
Agreement.
The Purpose of this HOLD HARMLESS AGREEMENT is not to create a
safety for HISAdvocates, s.s.m and/ orHISAdvocates Directors or
Assigns [hereafter Directors], but to promote an Honesty and
Responsibility for therelationship being created on behalf of the
one receiving the assistance of counsel. Blacks Law Dictionary
definesResponsibility as follows: The state of being answerable for
an obligation, and includes judgment, skill, ability andcapacity.
The obligation to answer for an act done, and to repair or
otherwise make restitution for any injury itmay have caused. It
also defines Assistance of counsel as such: Sixth Amendment to
Federal Constitution,guaranteeing accused in criminal prosecution
assistance of counsel for his defense, means effective assistanceas
distinguished from bad faith, sham, mere pretense or want of
opportunity for conferences and preparation.
________ InitialTHE NEED FOR COUNSEL ASSISTANCE
It is common knowledge that the legal system for the most part,
(courts, attorneys and justices) is broken. Brokenin the sense that
it as a whole is self-serving and no longer committed to upholding
State and FederalConstitutions. It would seem that, many of the
players in this system are NOT interested in securing Liberty
andFreedom by protecting individual Rights, but are committed to
protecting a system that secures position, powerand their own
prosperity. This system is committed to prosecuting non-criminals
and criminals for profit and forlitigating one party against
another regardless as to whether or not there is an injured party.
Truth is an irrelevantidea in a system of mystery-terms and
language that only perpetuates itself, is the arena of the legal
system. It isin this light that the strength of the words
Assistance of Counsel and its meaning in the 6th Amendment of
theConstitution is offered in this Hold Harmless Agreement.
Securing individual Rights with Faith, genuine Integrityand Honesty
that Directors will endeavor to bring to the relationship as they
offer their counsel assistancethrough HISAdvocates, s.s.m.
________ Initial
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P a g e | 3 of 6HOLD HARMLESS/RELEASE AND ARBITRATION
AGREEMENT
For and in consideration of the mutual promises and agreements
set forth below, HISAdvocates, s.s.m.(Hereinafter referred to as
HISA) and HISAdvocates, s.s.m. Directors or Assigns (Hereinafter
referred to asDirectors ) and (Your Full Name below)
____________________________________ (Print Full Given and
Surname) (Hereinafter referred to as I) agreeas follows:
SECTION I: EXCLUSIVE NATURE TO RECEIVE IN COUNSEL ASSISTANCE
1. I acknowledge the exclusive and private nature of this
Counsel Assistance and I disclose that I am NOT a U.S.citizen,
(Federal citizen) nor do I live or work in any federal territory,
possession, location or zone. I am NOT aresident alien nor am I a
federal officer or agent. I acknowledge that I am NOT functioning
in any Trade orBusiness as defined in Title 26 Section 7701(26). I
disclose that I am NOT receiving any privilege or benefitfrom any
State or Federal government.
________ Initial
2. I acknowledge the Private Nature of this service and
copyright of the information I will be provided. I agree NOTto
share the information others without permission and acknowledge the
liability to myself for providing thisinformation to others who may
use it improperly.
________ Initial
SECTION II: CONSENT TO RECEIVE IN COUNSEL ASSISTANCE
3. I acknowledge that I am fully and satisfactorily informed
about counsel assistance offered by HISA andDirectors and that I
freely and willingly am choosing to receive their counsel
assistance at this time.
________ Initial
4. I understand that the counsel assistance may include written
communications, conversations in person as wellas on the telephone,
and I understand that I may freely choose whether or not I will
receive, take and/or act uponsaid counsel assistance. Counsel
assistance is NOT legal advice or counsel and should NOT be
considered as such.
________ Initial
5. I understand that I am personally responsible for all my
actions, including actions that are of a legal nature,and they are
freely taken as my own, regardless of the counsel given and/or
outcome.
________ Initial
6. I understand that the HISA is NOT a law firm and that
Directors are NOT a lawyers, bar attorneys orparalegals. The
counsel assistance is NOT psychotherapy, medical therapy or advice,
neither is it a substitute forany of these.
________ Initial
7. I understand that the counsel assistance may or may not
involve the facilitating of a power of attorneyservice, and if I do
not consent to this, I will tell Directors that I object before or
at the time the signing of such a
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P a g e | 4 of 6document. I further understand that the nature
of dealing with the governing authorities, courts, police,
Federalgovernment, State government and my Rights, Freedoms and
Liberties involves serious issues and I mayexperience, including
but not limited to: deep emotions and possibly emotional stress,
anxiety, tears, physicaldiscomfort, or exhaustion. I will
anticipate this as my responsibility and will expect this to
occur.
________ Initial
8. I do not have any doubts about my mental health and/or
emotional stability with regards to handling the rigorsof the
counsel assistance. I have resolved any such doubts I may have had
about the counsel assistance byconsulting those who are
knowledgeable about legal matters, including but not limited to, a
lawyer, attorney,physician, psychiatrists, psychotherapist, or
psychologist. Such person(s) to my understanding have no
objectionsto my receiving counsel assistance.
________ Initial
9. I understand HISA, their assistants and staff are not my
fiduciaries and I do not expect the counsel assistance tobe
administered with the standard expected of trained legal
professionals. If I feel that I am not getting the properassistance
I expect during the counsel assistance, I promise to inform
Directors immediately.
________ Initial
10. I understand I am free to reject any aspect of the counsel
assistance at any time for any reason. If during thecounsel
assistance I feel I need assistance from anyone, either
professional or otherwise, I take full responsibilityfor rejecting
the counsel assistance and obtaining such professional
assistance.
________ Initial
SECTION III: INSURANCE DISCLAIMER
11. I understand HISA and Directors do not provide any bond or
insurance (neither medical, liability, nor incident)for me during
my participation in the counsel assistance. Thus, if I want
assurance or insurance of any kind, it ismy responsibility to
obtain such assurance or insurance at my own expense.
________ Initial
SECTION IV: RELEASE OF HISA AND DIRECTORS
13. ASSUMPTION OF RISK: I am fully aware that participating in
the counsel assistance may contain risks of legalinjury. I know and
fully understand the scope, nature and extent of the risks involved
in the counsel assistanceand activities contemplated by this
Agreement. I voluntarily and freely choose to incur and assume any
and allsuch risks and dangers.
________ Initial
14. EXEMPTION FROM LIABILITY: I hereby fully and forever
discharge and release HISA and Directors from anyand all liability,
claims, demands, actions, and causes of action whatsoever arising
out of any damages, both in lawand equity, in any way resulting
from legal, personal, physical, psychological or emotional
injuries, distress, ordeath arising from or in any way related to
the counsel assistance. This release from liability includes
loss,damage or injury resulting from the negligence of HISA and
Directors from any other cause or causes.
________ Initial
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15. COVENANT NOT TO SUE: I agree not to institute, initiate, or
assist the prosecution of any suit, claim or actionat law or
equity, or otherwise against HISA or Directors for damages which I
or my heirs, executors,administrators, or assigns hereafter may
have arising from or in any way related to the counsel assistance.
Thisrelease from liability includes loss, damage, or injury
resulting from the negligence of HISA and/or Directors fromany
other cause or causes.
________ Initial
16. INDEMNITY: I agree to indemnify and hold harmless HISA and
Directors from any and all losses, claims,actions, or proceedings
of any kind which may be initiated by me and/or any other person or
organization on mybehalf against HISA and/or Directors. This
indemnification includes reimbursement of all legal costs
andreasonable legal fees incurred by HISA and/or Directors to
defend any such actions.
________ Initial
17. WAIVER OF PUNITIVE DAMAGES: I understand and agree that I am
waiving and forever abandoning anyclaims for punitive or exemplary
damages against HISA and/or Directors. I voluntarily choose to give
up this Right.
________ Initial
18. RELEASE: In consideration of HISA and Directors allowing me
to participate in the counsel assistance,
I,______________________________________[Print Name],
______________________________________[Mark (Signature)] on
behalf of myself, my heirs, executors,administrators, and assigns,
hereby RELEASE according to provisions 1 through 17.
________ Initial
SECTION V: ARBITRATION19. ARBITRATION: I agree that any
controversy claim against HISA or Directors not released herein,
arising out ofor relating to my participation in the counsel
assistance, shall be settled by private arbitration in accordance
withthe rules of the American Arbitration Association, and not by
lawsuit or resort to court process (except as the lawprovides for
judicial review of arbitration proceedings). This shall apply to
all claims including allegations thatthere have been wrongful acts
or omissions by HISA and Directors either intentionally or
otherwise. Thearbitrators decisions may be entered in any court
having competent jurisdiction. By signing this, I am agreeingthat
any issue or claim arising out of my participation in the counsel
assistance shall be decided by neutralprivate arbitration. I am
giving up my Right to a trial by a Jury or Judge.
________ InitialSECTION VI: MISCELLANEOUS
20. GOVERNING LAW: I understand that this Agreement shall be
construed and governed by the laws of the Stateof California,
without the United States (Federal Government) and that it cannot
be modified unless in writing andsigned by both parties.
________ Initial
21. ENTIRE AGREEMENT: I understand that this Agreement contains
all the promises and agreements betweenthe parties with regard to
the release of HISA and Directors and I acknowledge there are no
oral or writtenpromises or agreements outside of this Agreement
regarding the release of HISA and Directors.
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22. BINDING: I hereby expressly recognize that this Agreement is
binding. I have released any and all claimsagainst the indemnified
parties resulting from my participation in the counsel assistance,
including any claimscaused by errors, omissions, and/or negligence
of the indemnified parties.
________ Initial
I HAVE CAREFULLY READ THIS HOLD HARMLESS AGREEMENT AND
UNDERSTAND ITS CONTENTS. I CERTIFY THATI AM 18 YEARS OF AGE OR
OLDER, AND SIGN THIS AGREEMENT OF MY OWN FREE WILL. ALL MONEY
RECEIVEDFROM ME TO HISA IS NON-REFUNDABLE. I RESERVE ALL MY RIGHTS
NOT GIVEN UP AND AGREED UPON IN THISHOLD HARMLESS AGREEMENT. I also
certify agree that;
I was born within the united States of America boarders;I am
currently not wanted for any felony offense by any US Federal
Agency and I am not on parole in any State;That I desire to be
recognized on my U.S. passport application as a state Citizen as
defined in law;I recognize that I am not giving up any status or
standing as a Citizen of both your state and of the de jure
unitedStates of America (Blacks 6th Def. of United States 3rd Def)
;I AM NOT doing this to avoid prosecution or to get out of paying
Federal, State and Local Income taxes.
Given [First Name]:
_________________________________________
Surname [Last Name]:
_________________________________________
Address: ________________________________________
________________________________[_______________]Without
U.S.
Email: ______________________________________
Telephone: ______________________________________
Dated: __________________ Mark [Signed]:
______________________________________________Revision
5-16-2014
