Declaration of Political Status

I the living woman, Jane Marie Doe, affirm and declare that I have returned to my lawful birthright political status as a Coloradan 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 Doe ©. 
All Rights Reserved
Without Prejudice

Colorado State Assembly Recording Secretary Witness 
Colorado
El Paso County

I,_______________________________ a Colorado Assembly Recording Secretary, hereby affirm that the Declarant has been positively identified and I have witnessed their autograph of the Declaration of Political Status on March ____2023:    	 	 

Colorado Assembly Recording Secretary___________________________________________