Verified Statement Regarding IRS Form W-4 or W-9 (Voluntary Agreements: Non-consent and/or Termination)



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1 1 1 1 Verified Statement Regarding IRS Form W- or W- (Voluntary Agreements: Non-consent and/or Termination) Notice to Agent is Notice to Principal, Notice to Principal is Notice to Agent This document is to be made a permanent record in the files you maintain on me. Date Return Receipt # 1. TO: Hiring entity name ATTN:, title Entity address city, st, zip. FROM: Worker s name mailing location city, state. I am at least years old and competent to testify to the facts stated herein, based on my knowledge.. This verified Statement is in reference to your request for, the renewal of, or replacement of IRS Form W- or W-.. Upon my review of this document, I have determined that I have fully complied with the law, including all applicable federal and/or state statutes and regulations.. I have not freely consented in writing to participate in any federal and/or state personal income tax.. I have not freely consented in writing to participate in any federal and/or tax, program, benefit, or privilege, including but not limited to Social Security, disability, and Medicare.. This is my FORMAL LEGAL NOTICE advising you to cease withholding and deducting amounts from my pay for all municipal corporate taxes, fees and other charges (including non-judicial tax lien, levy or garnishment; social security; government programs and benefits: Medicare, disability 0-0 Preferred Services K Terminate voluntary agreements 0-- Page 1 of - WTP #

1 1 1 1 insurance, etc.) without my voluntary, explicit, knowing, written consent.. I have researched the laws about voluntary withholding certificates, voluntary payroll deduction agreements and the nonconsensual taking from pay. You are encouraged to share this document with your tax professionals (CPA, attorney, accountant, etc.).. I have based my determination on the following findings of fact and conclusions at law: A. Hiring entities are not responsible for misstatements made by its worker, and the entity would not be liable for a tax which should have been withheld [Holmstrom v. PPG Industries, 1 F.Supp, DC WD Pa 1. see also Murray v. City of Charleston U.S. ()]. B. The filing of a withholding certificate (W- or W- or their equivalents) is voluntary See attached CFR 1.0(p)-1(b). In fact, the Code of Federal Regulations clearly states the entity OR the worker may terminate the withholding agreement at any time, by furnishing a signed, written notice to the other. See attached CFR 1.0(p)-1(b)(). C. No law exists which compels a work eligible man or woman to submit a Form W- or W- (or their equivalents) nor to obtain or disclose a social security number as a condition of being hired or keeping one's job. D. The IRS "Questionable W- Program" and their "Lock-In Letter" apply only to those CONSENTING employees of government agencies, federal employees and retirees, military personnel and Department of Defense employees who VOLUNTARILY participated in the withholding program. It is yet another flawed scheme perpetrated against private entities, states and political subdivisions. The IRS (who is without lawful capacity, authority or jurisdiction to enforce this program) instructs entities to send exempt W-'s to the IRS each quarter along with the entity's Form 1 payroll report, or more frequently if the entity so chooses. E. According to the United States Government Accounting Office (USGAO) report dated 0/1/0, it stated in part, "Under current law, the IRS does not have statutory authority to impose a penalty to enforce employer compliance with the reporting 0-0 Preferred Services K Terminate voluntary agreements 0-- Page of - WTP #

1 1 1 1 requirement. The reporting requirement was promulgated in Treasury regulations." F. Most entities mistakenly believe they have a lawful duty to comply with the IRS request for Forms W- and W-, usually resulting from negligent or erroneous information given by their incompetent tax professionals or incompetent IRS employees. The court ruled that an entity is not required to send a Form W- or other employment forms to the IRS, unless the entity is served with an order from a court of competent jurisdiction. See U.S. v. Mobil Oil Co., -1 USTC para., U.S.D.C. ND Tex. Dallas 1 CA. -0-0-G G. Typically, the IRS instructs entities to change the worker s withholding status to Single-0. The IRS clearly violates the law when it instructs the entity to disregard the worker's W- (or its equivalent); the entity violates the law when it alters or dishonors the worker's form or claim [United States v. Malinowski, F. Supp. in ]. H. The Internal Revenue collection process applies only to those CONSENTING employees of government agencies, federal employees and retirees, military personnel and Department of Defense employees who participate in the VOLUNTARY deduction program, see USC 0(p)()(A), 1 CFR.(n)(1) and http://www.irs.gov/irm/part/ch01s0.html Internal Revenue Manual, Part, Chapter 1, Section. (IRM.1..) Private entities, states and political subdivisions are NOT REQUIRED to enter into payroll deduction agreements, see IRM.1... http://www.irs.gov/irm/part/ch1s.html. I. Only consenting federal agency and government employees who have submitted their voluntary, written agreements to participate are subject to withholding and/or deductions. J. The term employee 1 CFR.(h)(1)(i) does NOT include retired personnel, pensioners, annuitants, or similar beneficiaries of the Federal Government, who are NOT performing active civilian service or persons receiving remuneration for services on a contract-fee basis. They are not subject to withholding and have no 0-0 Preferred Services K Terminate voluntary agreements 0-- Page of - WTP #

1 1 1 1 duty to file any form W-, unless they desire to voluntarily enter into agreements. K. Therefore, under Title USC: 1. The IRS has no lawful capacity, authority or jurisdiction to impose or enforce collection of taxes or returns on private entities, states and political subdivisions, and subsequently their workers.. A duly authorized withholding agent has a duty to collect and transmit ONLY when the NONRESIDENT CONSENTS to have amounts withheld or deducted from pay.. Hiring entities engaged in federal revenue taxable activities, events or commodities have a DUTY to collect a federal excise tax and transmit it on a return.. Without its worker's explicit, voluntary, written consent, hiring entities CANNOT lawfully deduct amounts from pay for taxes or garnishment. See attached Form - Payroll Deduction Agreement.. Hiring entities are not required by law to withhold and deduct from its workers' pay for taxes or garnishment levy without an order from a court of competent jurisdiction. Absent such an order it may volunteer to deduct, ONLY upon receipt its worker's signed, voluntarily CONSENT (see Form Payroll Deduction Agreement. L. IRS threats and penalties only apply to consenting government agencies, federal employees and retirees, military personnel and Department of Defense employees which have volunteered to participate in the IRS withholding and deducting programs. M. Without an order from a court of competent jurisdiction, no amounts can be lawfully taken from my pay (for taxes, fees or other charges, including tax liens, levies or garnishments) without my explicit, knowing, voluntary, written consent. 0-0 Preferred Services K Terminate voluntary agreements 0-- Page of - WTP #

CONCLUSION: ALL lawful taking from pay must be consensual. When I do not desire to file a new W-, I may lawfully terminate any existing withholding agreement. I cannot be compelled to participate in any state or federal taxes, program, trust (social security), benefit or privilege, etc. NOTICE: Should you conclude this document is deficient in any way through my inadvertence, mistake or omission, or lack of understanding, please send to me a verified response consisting of findings of fact and conclusions at law used in support of your position. Such verified response must be signed under penalty of perjury and sent to me within ten () days of such finding so that I may have the opportunity amend or correct any deficiency. Enclosures: Internal Revenue Manual.1.. Payroll Deduction Agreements Code of Federal Regulations CFR 1.0(p)-1 IRS Form W-: I DO NOT Consent IRS Form : I DO NOT Consent VERIFICATION 1 1 1 1 state, county }ss. IN WITNESS, WHEREOF, I solemnly affirm, I have read the foregoing, and know its contents to be true to the best of my knowledge, except as to the matters which are therein stated on my information or belief, and as to those matters, I believe them to be true. This instrument is submitted upon good faith effort that is grounded in fact, warranted by existing law for the modification or reversal of existing law and submitted for proper purposes, and not to cause harassment and unnecessary delay or costs, so help me God. See Supremacy Clause (Constitution, Laws and Treaties are all the supreme Law of the Land). Dated, Worker NOTARY JURAT Subscribed and affirmed to before me,, a Notary Public, this day of,, that the above-named man/woman did appear before me and proved to be the man/woman executing this document., Notary Public My commission expires: 0-0 Preferred Services K Terminate voluntary agreements 0-- Page of - WTP #