Witness Testimony Affirming American State Political Status and Identity

This Witness Testimony verifies the identity of the woman shown
in this photograph to establish their political status as an American 		Place Photo here
State National or American State Citizen, depending on their choice.

Name appearing in this photo: _____________________________ 
Physical Address: _______________________________________
Witness: I, ___________________, know the lawful person shown in the photo above by the name shown, and I know of their family and history, sufficient to know that they were born at the time and place shown on the face of the referenced Birth Certificate.
My relationship to the Declarant is:
___________________________________________________________________
This testimony is true, complete, and correct to the best of my knowledge and I make it under Penalty of Perjury under the Public Law of The United States of America: So affirmed this ____ day of _________ in the year of ______. 

by: _____________________________________

I may be contacted at: ph:________________,  email:_________________, or at this mailing address:____________________________________________________________________
____________________________________________________________________________________
Witness Verification by Public Notary:
Tennessee State
__________ County
Today, I was visited by the Witness whose signature appears above, and they were properly identified to me and they did sign this record in my presence for the purposes described above, in witness whereof I affix my signature and seal this _____ day of ___________ in the year of ______.
Public Notary________________________________

my commission expires:_______________________