PPPP: Wave 1

Data Profile Name:

Affidavit for Non-Corporate Status Date? (write it out, example: December 21, 2012) [required]

What is your Living Being Appellation? (upper/lower, e.g. ":John-David:Smith" (recommended), or "John David Smith" if you prefer) [required]

What is the Street info for your Living Being Address? [required]

What is the City for your Living Being Address? [required]

What is the State for your Living Being Address? (write it out long-form, e.g. New York) [required]

What is the Postal Code for your Living Being Address? [required]

Document ID Suffix? (can use anything; example YYYYNNNN where YYYY is the current year and NNNN is your favorite number; optionally add your initials; whatever you put, we'll put ANCS- before it and that will be the document ID of your affidavit) [required]

Affidavit Action Corporate Entites? Enter a (long) list of all-caps corporate entities and office holders associated with the action for which you are filing the affidavit, each followed by a semicolon. If you are not "in a case" right now, so to speak, then congratulations, and you need not include any specific judges. Example: UNITED STATES; STATE OF NEW YORK; STATE OF NEW YORK UNIFIED COURT SYSTEM; (STATE OF NEW YORK UNIFIED COURT SYSTEM CHIEF JUDGE) JONATHAN LIPPMAN; (STATE OF NEW YORK UNIFIED COURT SYSTEM CHIEF ADMINISTRATIVE JUDGE) ANN PFAU; (STATE OF NEW YORK UNIFIED COURT SYSTEM INSPECTOR GENERAL) SHERRILL SPATZ; STATE OF NEW YORK COUNTY OF TOMPKINS; (TOMPKINS COUNTY ADMINISTRATOR) JOSEPH MAREANE; (TOMPKINS COUNTY SHERIFF) KEN LANSING; CITY OF ITHACA; (CITY OF ITHACA MAYOR) CAROLYN K PETERSON; (TOWN OF ITHACA SUPERVISOR) HERB ENGMAN; ITHACA CITY COURT; (ITHACA CITY JUSTICE) JUDITH A ROSSITER; (ITHACA CITY JUSTICE) JAMES M KERRIGAN; (ITHACA CITY CHIEF CLERK) RONNA J COLLINS; TOMPKINS COUNTY DISTRICT ATTORNEY'S OFFICE; (TOMKINS COUNTY DISTRICT ATTORNEY) GWEN WILKINSON; (TOMPKINS COUNTY ASSISTANT DISTRICT ATTORNEY) BRAD RUDIN; (CITY PROSECUTOR) ROBERT A. SARACHAN; ITHACA POLICE DEPARTMENT; (ITHACA POLICE DEPARTMENT CHIEF) EDWARD VALLELY (ITHACA POLICE DEPARTMENT AGENT) ROBERT J DUPAY; (ITHACA POLICE DEPARTMENT AGENT) KYLE L PAOLANGELI; [required]

Straw man corporate entities? Enter a list of all-caps variations on your "STRAW NAME", all of which are not you, each followed by a semicolon, example: JOHN D SMITH; JOHN SMITH; JOHN DAVID SMITH; [required]