Notice of Conditional Acceptance
Re: Infringement Notice

I, a Wo/Man, refer to the attached INFRINGEMENT NOTICE

Number:						dated:

and advise that your offer to assume jurisdiction, and your instrument, have been accepted for the value and consideration upon proof of claim, and return without dishonour within seventy-two [72] hours.

As the Beneficiary of my legal person/corporation/trust, I give you ten [10] days to respond in writing providing proof of claim with evidence as to your legal or lawful jurisdiction over me, failing which you will become liable for any damages I may suffer.

Refer: 
IN THE DISTRICT COURT OF NEW SOUTH WALES CRIMINAL JURISDICTION, District Court Parramatta, Case Number: 2013/00041691

For and on behalf of JOHN HENRY DOE

By:

John-Henry: of the family Doe, Principal Creditor, 
Sui-juris, Unlimited Grantor, Authorised Agent & Representative for
 FIRST MIDDLE SURNAME ens legis and all derivatives thereof,
Possessing Inalienable & Unalienable Rights Reserved and  waiving none ever, in my true, lawful and private capacity as beneficiary of the original inherent jurisdiction.

Consent must be sought in all matters of Privity where mutuality occurs.

ÜCC1-308 Without Prejudice and All Rights Reserved,
UCC1-103 Common Law Rights Reserved.

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Notice of Conditional Acceptance
Re: Infringement Notice

Notory Public / JP
Acknowledgement

For Verification Purposes Only

SUBSCRIBED AND SWORN TO before me ‘First Middle’, of the family “Surname”, known to me or proven to me

be the Living Wo/Man signing this Affidavit on this

 ___________________________ day of

 _________________________________, 2022.

Witness my hand and official seal.

___________________________________         _______________  
NOTORY PUBLIC or JP                                        Date                              

(Seal)

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PROOF OF SERVICE FORM 

Delivery by Australia Post: Proof of Service by Mail. 

I, __________________________________, declare that I am over the age

of eighteen years and not a party to the action. 

On, ________________ , I served the Affidavit by placing a true copy in the Australia Post mail enclosed in a sealed envelope with postage fully prepaid, addressed as follows: 

Enclosed: AFFIDAVIT OF FACTS & FEE PAYMENT SCHEDULE 

Magistrate Geoffrey Graeme Hiatt, BLACKTOWN LOCAL COURT 1 KILDARE rd BLACKTOWN, [2148] NSW.

I declare under penalty of perjury that the foregoing is true and correct and

that this declaration was executed on ______________, Seven Hills, NSW

Signature: _____________________________ Date: __________

Print Name _____________________________________ 

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