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Old 06-25-2008, 02:44 PM
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Default Affidavit: Black Man’s Inter-state Safe Passage Travel Voucher


Affidavit from The Last Book
by
Dr. Kamau Kambon






AFFIDAVIT

BLACK MAN’S INTER-STATE SAFE PASSAGE TRAVEL VOUCHER

Purpose of Affidavit: To eliminate or minimize all potential conflict and/or problems that may arise, as a result of when a Black Man is stopped by police authorities.

Definitions:

Affidavit A sworn statement in writing made especially under oath or on affirmation before an authorized magistrate or officer. (Webster’s New Collegiate Dictionary, p.20)

Notary Public: A public officer who attests or certifies writings (as a deed) to make them authentic and takes affidavits, depositions and protests of negotiable paper. (Webster’s New Collegiate Dictionary, page 778)

The Problem: Every Black Man (18 and older), or every Black teenager, (13 years old to 17 years old) or every Black child (4 years old to 12 years old) in amerika is a possible target for being stopped by a city police officer, state trooper, sheriff, county police officer, undercover officer, or school officer, for no apparent reason or for “looking suspicious” while driving a vehicle or walking.


According to the laws of this country, any official police officer has a right to stop “suspicious persons” who might pose a threat to the welfare of the community. However, statistics show that police officers often mistake upright citizens for “criminals” and this mistaken identity causes great distress for the innocent. In order to stave off and neutralize police officer mistakes, this Black Man’s Inter-State Safe Passage Travel Voucher has been created to assist Black Men, Black Male Teenagers, and Young Black Children.

AFFIDAVIT

All of the following statements contained herein are the full truth and have been attested to before a Notary Public

My full name is _______________ _____________________
. (first name) (last name)

My current home address is
_________________ _______ ________
(street) (city) (zip code)

I am the owner of this vehicle that
I am driving __________
(yes or no)

My registration is up to date and attached to
this Affidavit __________
(yes or no)

My auto insurance is up to date and information
pertaining to the name of my company and my
policy number are attached to this Affidavit
___________
(yes or no)

My inspection sticker and emission standards
are up to date ____________
(yes or no)

All of my taillights, headlights and turn signals,
at the time this Affidavit is being signed by the
Notary Public, are functioning properly as of __________
(date and time)

I am renting the vehicle I am now driving
________
(yes, no or N/A)

I am renting the vehicle I am now driving
from ___________________
Name of company)

Attached to this Affidavit are the rental
agreement and my driver’s license _________
(yes or no)

I am traveling from __________________
(name of place)

and going to _______________
(name destination)

I am stating in this Affidavit that I have
not consumed any drugs, legal or illegal,
or alcohol while now driving, or before
this trip. I am in no way impaired, not
physically, not psychologically nor emotionally
and have full control of all of my faculties.
Attached is a copy of my recent urine
or blood test ___________
(Fill in yes or no above to
indicate the urine or
blood test form is
attached)

I am not carrying any illegal drugs, nor any
guns, nor any hand grenades or any other
type of weapon, concealed or exposed, on
my person or anywhere in this vehicle and
this also is a true statement ____________________
(fill in above with a yes
for a true statement or no
to make this statement
false)

I have no warrants on me ___________________
(yes or no)

By occupation I am a _________________
(fill in and initial)
(e.g., father) (husband)
(teacher) (carpenter)
(brick mason) (student)
Since I have stated everything that is relevant about myself in this Affidavit, which is an official legal document, and am in compliance with all local, state and federal commerce and highway codes/statutes/laws/rules/regulations, you may not search my vehicle. If you do so it will indicate you are engaged in “racial profiling” and have used your authority as a pretext to stop me because you are white and you are violating all federal and state laws regarding my rights and I will have my attorney contact your superiors regarding my lawsuit against you and your agency.

My attorney’s name is ______________________________
My attorney’s address is ____________________________
My attorney’s telephone number is ___________________

I am asking in this Affidavit for you to release me and let me move forward on my trip

Mr. _____________________________________ has come before me and swears that all statements and remarks in this Affidavit are complete, accurate and true. He has not misrepresented himself in this Affidavit. He has a witness to validate his character and the validity of the statements attested to herein.

Signature of Character Witness

_______________________ _________________
First name Last name

Sworn before me
_______________________________--
(Name of Notary Public)

on this day_______________
(Month-day-year)

Notary Seal (in the space provided)

My Notary expires on _____________________________
(Month-day-year)

This document created by Dr. Kamau Kambon for the purpose of combating “racial profiling", "Driving While white people are being white and to eliminate the possibility of any Man being shot or killed by a white police officer who uses his authority as a pretext to practice white domination by terrorizing law abiding Black Men. (June 16-June 27, 2004)

Deeper, this document is designed to minimize all talk between the cop and the Brother-because the talk escalates into "can I search your vehicle"?
* Always keep your license and registration in an envelope, on the dash board-especially at night-you do not want to be fumbling around in your glove compartment looking for your registration-cops use this as a great excuse to kill you-"I thought he had a weapon"
*If stopped at night, turn on your interior light and keep both hands on the steering wheel
*You can also attach the business card of your attorney, as you hand the cop the Affidavit
This document is part of “The Last Book” and may not be duplicated for use without the author's written permission.

919-250-9110
2011 POOLE RD.
RALEIGH, NC 27610
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