Name of person traveling in their own private property: __________________________________________

Date of traffic stop: _______________

Time of traffic stop: _______________
Location of traffic stop: ______________________________________________________________________
__________________________________________________________________________________________

1) For the record, may I get your name and badge number please?

2) Officer __________________________ Badge/ID # _____________, is there a recording being made of this

encounter?
A. Is that recording comprised of both audio and video? _________
B. b. Are you relatively certain that your recording equipment is functioning properly for the purposes of
making this recording? __________
C. c. Is your body microphone and camera, if any, turned on and functioning properly to the best of your
knowledge? __________

3) Officer _____________ Badge/ID # ________, what is the emergency and how can I help?

4) Officer _____________ Badge/ID # ________, what facts or information are you alleging gave you probable
cause to stop and accost me? _________________________________________________________________

5) Officer _____________ Badge/ID # ________, do you have a properly signed and issued warrant authorizing
you to search me or my property? ____________

A. (IF YES) Officer _____________ Badge/ID # ________, do you currently have that alleged warrant in
your possession, if so I would like to see it please? _________

6) Officer _____________ Badge/ID # ________, do you have a properly signed and issued warrant of arrest
that accurately describes or names me as the person to be arrested? _________
A. (IF YES) Officer _____________ Badge/ID # ________, do you currently have that alleged warrant in
your possession, if so I would like to see it please? _________

7) For the record, I am not “operating” in a “for hire” capacity by engaging in any form of “transportation” or
other commercial use of the highways. Officer _____________ Badge/ID # ________, please acknowledge that
you have been so informed. __________

8) Officer _____________ Badge/ID # ________, am I under custodial arrest? __________

9) If I am not under custodial arrest then am I free to go? _________

10) Officer _____________ Badge/ID # ________, what is the Articulable probable cause that leads you to
believe that I have committed or am about to commit a crime that authorizes you to stop and detain or arrest
me? ____________________________________________________________________________________
11) For the record Officer _____________ Badge/ID # ________, in order to protect my rights and not
waive any by error or accident, I wish to clarify my legal understanding of the situation:

A. You said that I am not free to go, so I must conclude that I am in a custodial arrest and not simply an
investigative detention.
B. Therefore, I am invoking all of my fundamentally protected rights, including my right to remain silent
and my right to assistance of counsel.
C. From this point forward I do not consent to providing you with any information or documents that could
or will be used against me in a court of law or to possibly incriminate me, so please do not ask me to
produce anything and give it to you.
D. From this point forward please do not ask me to answer any questions or to perform any form of test
relating to any matter whatsoever without my attorney present.
E. Officer _____________ Badge/ID # ________, do you intend to harm, injure, or punish me by any
method of assault, arrest and/or incarceration because I have invoked these fundamentally protected
rights? _____________

Understand this, when you refuse to produce the demanded documents or to answer any questions, the officer is going to
begin to get upset and continuously state that “… the law REQUIRES that you produce a driver’s license and other
information on demand of a law enforcement officer.” They are also prone to falsely accusing you of obstructing or
interfering with a public duty/officer or just outright threatening to commit acts of violence against you and/or your
property. DON’T FALL FOR THIS, IT IS A SCARE TACTIC! Invoking and refusing to waive your fundamental rights is
not and cannot be converted into a crime. And if they DO arrest and charge you falsely for interfering/obstructing then
you get to sue the crap out of them. Just remember, when the officer(s) continue to demand that you produce a license,
registration, proof of financial responsibility, or any other information or document(s), despite their threats, repeat the
following ad nauseum:

12) For the record Officer _____________ Badge/ID # ________, no law is valid if it requires me in any way to
waive any fundamentally protected right in order to exercise any other right or alleged privilege. And no law
can convert the free exercise of any right into a crime. I have repeatedly informed you that I choose not to waive
any of my fundamentally protected rights.

13) So, I ask you again Officer _____________ Badge/ID # ________, do you intend to harm, injure, steal my
property, or otherwise punish me for invoking my fundamentally protected rights? _________

WARNING: Be prepared for the officer to do or threaten precisely that, and they usually start by threatening you with
all manner of unpleasantries, including falsified criminal charges. You only need to use sub-item “a” once on the first
officer that threatens you. When s/he/they begin(s) to do so, state the following:

a. Officer _____________ Badge/ID # ________, due to your attitude, demeanor, and your
continuous threats to falsify charges and commit acts of violence against me and my property
while displaying a deadly weapon, I feel physically threatened and in fear for my life. I demand
that you cease and desist and request the immediate presence of a supervisor. I do not consent to
any of your actions, the use of force against me or my property, or to being forced to exit my car
for any purpose, especially so that you may attempt to steal my property and/or assault, injure or
kill me.
14) Officer _____________ Badge/ID # ________, you are fully aware that I have already invoked my
fundamentally protected right to remain silent and my right to assistance of counsel.

Do you intend to continue in your unlawful efforts to violate my rights?

__________________________________________________________________________________________

a. It is my belief that the information you are demanding, may possibly be used against me in a
court of law or in an attempt to incriminate me.
b. b. And if that is so, then, upon the advice of legal counsel I must respectfully decline to provide
you with any information or evidence that possibly can or would be used against me for those
purposes.

15) Officer _____________ Badge/ID # ________, I am asking you again, do you intend to continue to deny
me in my rights and to falsely imprison me or am I free to go? _________

WARNING: Be certain to keep your face as far away from the window opening as possible while sitting normally. Never
exhale or speak directly into the opening or toward the officer(s) face(s). Doing so will almost certainly result in the
following scenario. Read the Do’s and Don’ts to better understand why.

If the officer makes any statement making a direct accusation against you or directed toward escalating the stop to the
status of a DUI or drug bust situation, and they almost certainly will, you MUST be prepared to rebut it INSTANTLY. If
any officer makes ANY statement resembling either of the following, BEWARE and immediately respond accordingly!!
OFFICER: “Sir/Ma’am, I smell alcohol/marijuana and I am going to have to ask you to step out of the vehicle.” or
“Sir/Ma’am, are you aware that you ( allegedly did something ) and I am going to have to ask you to step out of the
vehicle.” (Be sure that s/he IS lying in this case.)

16) YOU: Officer _____________ Badge/ID # ________, your statement is patently false and an outright
lie. Are you now trying to fabricate probable cause by making false statements into the record and false
allegations against me? ___________

a. Even if they threaten to have a canine unit report to the scene or to break out your windows you
must not waive your fundamentally protected rights out of fear. Tell the officer “I do not
consent to being detained for any additional time or other purposes. Am I free to go or are you
going to continue to illegally terrorize, threaten and falsely imprison me beyond the time
needed to conclude this alleged “transportation stop?”
______________________________________________________________________________
_____________________________________________________________________________

Notes:
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