Please Fill out these documents to the best of your ability.

If you need help please feel free to contact us at: Address: #337 PMB, 5656 Jonesboro Road, Suite
#111, Lake City, Georgia Republic, [near 30260] Phone: (517) 391-0373, E-Mail: lizard@sovereignfilings.com, Website: www.sovereignfilings.com

Secured Party Creditor Necessary Information for Filing

Please print clearly so your agent can transcribed the information correctly

DEBTORS NAME: ____________________________ Secured Party’s Name: _____________________

DEBTORS Address: ________________________ SPC’s Address: ___________________________
_______________________________________ _______________________________________
_______________________________________ _______________________________________

Birth Date: ___ /___ /______ (mm/dd/yyyy) Name of all Beneficiaries (this is the person or people
you will be acting on behalf of, usually an ideal beneficiary
Social Security No.: _______________________ is a child or your children):
___________________________________________
________________________________________________
E-Mail Address:__________________________
(This is a must! You or your contact must have an e-mail address)
Additional Property to be entered into trust. This can be
tangible and intangible property (Specific and Realistic):
Phone: (____) _____-_______
________________________________________________
Name of Second Trustee, this is a co-trustee that will ________________________________________________
also have access to help manage the trust estate. It is very
Other Authorized Agents Acting on your behalf, this
important to trust this man/woman:
includes “Your Acting Agent” if you are using them to have
_______________________________________ your Notarizations done, or family members or friends you
will allow this information to be discussed with. (Please
Name of Exchanger (this is a person that is to hand the not information will not be released to any party unless
property from the creator to the trustee, theoretically they are listed here!)
speaking): ______________________________________ Name:__________________ Ph: ____________
Name:__________________ Ph: ____________
Address of the Exchanger: _______________________ Name:__________________ Ph: ____________
________________________________________________ Name:__________________ Ph: ____________
________________________________________________ Name:__________________ Ph: ____________

Would you like us to obtain an EIN for the DEBTOR? YES  NO


Additional Documents needed for the Becoming a Secured Party Creditor process:
❶ An original of the “Certificate of Live Birth (Long Form)”
(If you do not have a copy it can be obtained at the Vital Statistics office for the State you were born in.)

The exchanger and witnesses are very minor roles, while the trustees are major rolls that should be taken seriously.
Think very long and hard about who you trust to act as co-trustee. As well the second trustee will have to also be
available when opening an account at a bank when and if you choose to do so.

If referred to SFS who was it by? Name: ______________________________________

Phone or E-mail: _____________________________

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Please Fill out these documents to the best of your ability. If you need help please feel free to contact us at: Address: #337 PMB, 5656 Jonesboro Road, Suite
#111, Lake City, Georgia Republic, [near 30260] Phone: (517) 391-0373, E-Mail: lizard@sovereignfilings.com, Website: www.sovereignfilings.com

POWER OF ATTORNEY BETWEEN PRINCIPAL AND AGENT

The undersigned, a natural man known as (Name here) _______________________________________, as principal, an

inhabitant on the Land in the original jurisdiction of the (State here) _______________ Republic, does hereby designate
Sovereign Filing Solutions as attorney in fact for the principal, to act in the following capacity in behalf of the principal.

1) The attorney in fact shall have the limited power to sign the principal's name to certain documents as if the principal
himself were signing on said documents. The documents, upon which the attorney in fact shall have authority to sign
the principal's name, are limited in scope to the following: Security Agreement, Hold Harmless Agreement, Private
Agreement as well as various "Acceptances for Value" on commercial documents and various necessary filings, and
documents included in the Secured Party Creditor Process.

2) This special power of attorney shall become effective immediately and shall remain in effect until the documents are
prepared or until revoked or terminated as specified in paragraph 3 or extended as specified in paragraph 4.

3) This power of attorney may be revoked, suspended or terminated in writing by principal with written notice to the
designated attorney in fact.

4) This power of attorney may be extended as necessary by written authorization of principal with written notice to the
designated attorney in fact.

5) The designated and acting attorney in fact and all persons dealing with the attorney in fact shall be entitled to rely
upon this power of attorney so long as neither the attorney in fact nor any person with whom he was dealing at the
time of any act taken pursuant to this power of attorney, had received actual knowledge or actual notice of any
revocation, suspension, or termination of the power of attorney by death or otherwise. Any action so taken, unless
otherwise invalid or unenforceable, shall be binding on the heirs, devisees, legatees or personal representatives of
the principal.

6) The estate of the principal shall hold harmless and indemnify the attorney in fact from all liability for acts done in
good faith and not in fraud of the principal.

7) The laws of The State of Michigan shall govern this power of attorney.

This power of attorney is signed on this _______ day of the month _________, AD 201_ to be effective immediately.

Located at: ______________________________ Signature: ________________________________

_______________________________________ Principle
_______________________________________
(This is your address.) Print Name: _______________________________

_______________________________________ _________________________________________
First Witness Signature Second Witness Signature

Print Name: _____________________________ Print Name: _______________________________

Location at:_____________________________ Location at:_______________________________
_______________________________________ _________________________________________
_______________________________________ _________________________________________

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