HireLyrics Form Employment Agreement Retain             Roxanne Grinage Legal Administrative Assistant                    ...
My name is Roxanne Grinage. I am the owner and manager of an eleven plus years PennsylvaniaSecretary of State and U.S. Dep...
□      I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, LitigationReferral Five Years Duration 75/...
FEDERAL CRIME VICTIM DISCLOSUREChild’s Full Name Date of Birth given to me by God          Child’s Date of Birth and last ...
Form   COL Violation Warning Denial of Rights Under Color of LawViolation Warning—18 U.S.C. §242; 18 U.S.C. §245; 42 U.S.C...
AUTHORIZATION FOR RELEASE OF INFORMATIONMedical Records, Department of Health and Human Services, All Registries, Hospital...
REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATIONNOTICE IS HEREBY GIVEN THAT THE BELOW CHECKED AGENCY, ORGANIZATION O...
HireLyrics Client Data Sheet  PRINT FILL-IN WITH A RESPONSE EVERY SINGLE BLANK MANDATORY RETURNED with Notarized          ...
UNCLAIMED PROPERTY      (Print Complete as much as you know Mandatory Completed and Returned.)Write your mothers full name...
AGREEMENT IS MADE THIS DAY BETWEENI, (full name including middle name or initial) ________________________________________...
75/25/10 per transaction complies with U.S. states statutes and Internal Revenue Service BusinessRegistration and Tax Repo...
optimizes risk of records mismanagement, disallows measurement of individual accountability such thatrampant abuses are li...
IN WITNESS WHEREOF, the parties by their OWN HAND authorized representatives have executed thisEmployment Agreement as of ...
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01-02-2011 HireLyrics Form of Employment Agreement 13 Pages Required Completed Signed and Signed in Presence of Notary Public Mandatory to Retain Roxanne Grinage Legal Administrative Assistant Project Manager

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01-02-2011 HireLyrics Form of Employment Agreement 13 Pages Required Completed Signed and Signed in Presence of Notary Public Mandatory to Retain Roxanne Grinage Legal Administrative Assistant Project Manager

  1. 1. HireLyrics Form Employment Agreement Retain Roxanne Grinage Legal Administrative Assistant Project Manager www.HireLyrics.org www.HireLyrics.com HIRELYRICS™ CLIENTS SERVICES AND WAYS TO PAY O P T I O N 2 HOW EVERYONE GETS OPERATING COSTS PAID AND MATRIX GROWTH EARNINGS WHEN HIREL YRICS™ ASSEMBLES & MANAGES 3RD PARTY CONSULTANT PROFESSIONAL SERVICE TEAMS TO ACCOMMODATE HIREL YRICS™ CLIENT ACCOUNT BY REFERRAL. paid to each HireLyrics paid to each HireLyricsProfessional Assembled 3rd Party Assembled 3rdService Professional Member Team Litigation Referral Party MAXIMUM TWO Team Member MAXIMUM TWO who has signed Service REFERRALS referral LET HIRELYRICS™ ASSEMBLE & REFERRALS consultant who has signed contract with MANAGE A TEAM OF 3RD PARTY referral consultant contract with Roxanne Grinage regarding PROFESSIONAL SERVICE REFERRALS Roxanne HireLyrics Client Account specific Grinage regarding HireLyrics Client HireLyrics Service remitted every time there is to enable Independent Creators and specific HireLyrics Client Split of Distribution Revenue Account Marketing Careers Federal Crime Victim Claimants with U.S. ECONOMY ENRICHING remitted everyClient HireLyrics time there is Distribution Revenue Split of Earnings. Received HireLyrics Client Received Share Share MARKETING CAREERS ECOMMERCE Contributions in Litigation Education Earnings.2.5% Entertainment Technology Science Medicine Healthcare Social Services, Reduction of Stores eCommerce Grassroots Voter Clout Mobilization, Family Societal and Environmental Expenses Preservation Public Safety and Community paid to each HireLyrics Assembled Development. 3rd Party Professional Service Team Member MAXIMUM TWO PROFESSIONAL SERVICES who submit Client Account Statements, paid to each HireLyrics Assembled 3rd billing and cost reports every Party Professional Service calendar month for duration of PERTAINS TO EARNINGS RECEIVED BY A PERSON WHO HAS APPLIED TO BE AUTHORIZED AS A HIRELYRICS CLIENT BY Team Memberservices rendered to professional MAXIMUM TWO SUBMITTING MANDATORY IDENTITY DOCUMENTS AND FULLY EXECUTED NOTARIZED FORM OF HIRELYRICS AGREEMENT WHO PROFESSIONAL SERVICES Roxanne Grinage. who IS IN POSSESSION OF ROXANNE GRINAGE’S WITNESSED ACCEPTANCE AND AGREED SIGNATURE. EARNINGS SUBJECT TO submits Client Account REVENUE SPLIT DISTRIBUTION ARE ANY EARNINGS RECEIVED FROM ANY MARKET BY A HIRELYRICS CLIENT AFTER THE Statements, billing and cost EFFECTIVE DATE OF A HIRELYRICS FORM OF EMPLOYMENT AGREEMENT. FOR EXAMPLE, IF ROXANNE GRINAGE HAS reports every month due first AUTHORIZED ADVANCEMENT OF COSTS OR PERFORMED ANY ADMINISTRATIVE DOCUMENT PRODUCTION SECRETARIAL OR week of month to Roxanne PROJECT MANAGER FUNCTION ON THE HIRELYRICS CLIENT ACCOUNT AFTER EFFECTIVE DATE AND HIRELYRICS CLIENT Grinage for duration of RECEIVES EARNINGS FROM ANY MARKET THEY WERE NOT RECEIVING EARNINGS FROM PRIOR TO BECOMING AUTHORIZED Employment Agreement. AS A HIRELYRICS CLIENT INCLUDING RECOVERY OF ROYALTIES OR SETTLEMENT(S) FROM A LAWSUIT OR ANY CONTEST WINNINGS, INHERITANCE(S), OR OTHER WINDFALL INJECTION OF FUNDING, DISTRIBUTION OF REVENUE SHARED IS TRANSACTED WITHIN SEVENTY-TWO HOURS UNLESS CLIENT EXERCISES BUY OUT OPTION, PRESENTS TO ROXANNE GRINAGE WRITTEN REVISIONS WHICH SHE ACKNOWELDGES APPROVAL BY SIGNING OR CLIENT IS TERMINATED FOR CAUSE. Roxanne Grinage HireLyrics Administrative Services U.S. Citizens Public Docket Database PO Box 22225 Philadelphia Pa 19136 Tel. (267) 444-0594 Fax. (215) 405-2939 email: birthwright@HireLyrics.com Page 1 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  2. 2. My name is Roxanne Grinage. I am the owner and manager of an eleven plus years PennsylvaniaSecretary of State and U.S. Department of Treasury registered invention of business method, HireLyricsAdministrative Services, whose practice models demonstrate “The answer to missed educationalopportunities, oppressive contracts, un-accountability horror stories, racism, poverty and hate-basedideas festering into terrorism is the responsible development of entities that standardize access andstandardize services.”HireLyrics is Born To Serve the previously unmeasured un-accommodatedWorldwide Population of Disadvantaged Creators© of original creative work products. HireLyrics Form of Employment Agreement□ I/We choose Option One Pro Se Document Production - Roxanne Grinage is nota lawyer. Roxanne Grinage is not an attorney and cannot represent any person in a court process.Roxanne Grinage can only provide court and claims processes compliant pro se document and exhibitproduction that the independent creator, federal crime victim of official corruption fraud civil rightsAmerican victim who becomes a HireLyrics Client within a form of HireLyrics Professional ServicesAgreement that the American claimant files on their own behalf pro se. Roxanne Grinage commits tomonitoring court calendar, performing docket analysis and seeking the assistance of respected thirdparty professional services that could include lawyers and law firms but are more likely to be veteranexperienced legal secretaries, paralegals, lawsuit coordinators, private investigators, retired or offduty police officers, security firms and any combination of independent creators HireLyrics clientsand collaborators spanning every demographic currently known to HireLyrics Standard Access toLegal Administrative Assistant Services regardless of who you know or what you have. [See Ways To Pay Option 2 Practice Model Graphic Next Page.] Page 2 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  3. 3. □ I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, LitigationReferral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earningsreceived from any market where earnings were not received prior to Effective Date of HireLyricsForm of Employment Agreement. HIRELYRICS™ CLIENTS SERVICES AND WAYS TO PAY O P T I O N 2 HOW EVERYONE GETS OPERATING COSTS PAID AND MATRIX GROWTH EARNINGS WHEN HIRELYRICS™ ASSEMBLES & MANAGES 3RD PARTY CONSULTANT PROFESSIONAL SERVICE TEAMS TO ACCOMMODATE HIRELYRICS™ CLIENT ACCOUNT BY REFERRAL. paid to each HireLyrics paid to each HireLyricsProfessional Assembled 3rd Party Assembled 3rdService Professional Member Team Litigation Referral Party MAXIMUM TWO REFERRALS Team Member MAXIMUM TWO who has signed Service referral LET HIRELYRICS™ ASSEMBLE & REFERRALS consultant who has signed contract with MANAGE A TEAM OF 3RD PARTY referral consultant contract with Roxanne Grinage regarding PROFESSIONAL SERVICE REFERRALS Roxanne HireLyrics Client Account specific Grinage regarding HireLyrics Client HireLyrics Service remitted every time there is to enable Independent Creators and specific HireLyrics Client Split of Distribution Revenue Account Marketing Careers Federal Crime Victim Claimants with U.S. ECONOMY ENRICHING remitted everyClient HireLyrics time there is Distribution Revenue Split of Earnings. Received HireLyrics Client Received Share Share MARKETING CAREERS ECOMMERCE Contributions in Litigation Education Earnings.2.5% Entertainment Technology Science Medicine Healthcare Social Services, Reduction of Stores eCommerce Grassroots Voter Clout Mobilization, Family Societal and Environmental Expenses Preservation Public Safety and Community paid to each HireLyrics Assembled Development. 3rd Party Professional Service Team Member MAXIMUM TWO PROFESSIONAL SERVICES who submit Client Account Assembled paid to each HireLyrics Statements, 3 rd billing and cost reports every Party Professional Service calendar month for duration of PERTAINS TO EARNINGS RECEIVED BY A PERSON WHO HAS APPLIED TO BE AUTHORIZED AS A HIRELYRICS CLIENT BY Team Memberservices rendered to professional MAXIMUM TWO SUBMITTING MANDATORY IDENTITY DOCUMENTS AND FULLY EXECUTED NOTARIZED FORM OF HIRELYRICS AGREEMENT WHO PROFESSIONAL SERVICES who Roxanne Grinage. IS IN POSSESSION OF ROXANNE GRINAGE’S WITNESSED ACCEPTANCE AND AGREED SIGNATURE. EARNINGS SUBJECT TO submits Client Account REVENUE SPLIT DISTRIBUTION ARE ANY EARNINGS RECEIVED FROM ANY MARKET BY A HIRELYRICS CLIENT AFTER THE Statements, billing and cost EFFECTIVE DATE OF A HIRELYRICS FORM OF EMPLOYMENT AGREEMENT. FOR EXAMPLE, IF ROXANNE GRINAGE HAS reports every month due first AUTHORIZED ADVANCEMENT OF COSTS OR PERFORMED ANY ADMINISTRATIVE DOCUMENT PRODUCTION SECRETARIAL OR week of month to Roxanne PROJECT MANAGER FUNCTION ON THE HIRELYRICS CLIENT ACCOUNT AFTER EFFECTIVE DATE AND HIRELYRICS CLIENT Grinage for duration of RECEIVES EARNINGS FROM ANY MARKET THEY WERE NOT RECEIVING EARNINGS FROM PRIOR TO BECOMING AUTHORIZED Employment Agreement. AS A HIRELYRICS CLIENT INCLUDING RECOVERY OF ROYALTIES OR SETTLEMENT(S) FROM A LAWSUIT OR ANY CONTEST WINNINGS, INHERITANCE(S), OR OTHER WINDFALL INJECTION OF FUNDING, DISTRIBUTION OF REVENUE SHARED IS TRANSACTED WITHIN SEVENTY-TWO HOURS UNLESS CLIENT EXERCISES BUY OUT OPTION, PRESENTS TO ROXANNE GRINAGE WRITTEN REVISIONS WHICH SHE ACKNOWELDGES APPROVAL BY SIGNING OR CLIENT IS TERMINATED FOR CAUSE.I am a Disadvantaged Creator who has greater vested interest than does any state agencyemployee or billing contractor in my U.S. Economy enriching original work contributionsincluding my family’s persons, heritage, health, freedoms, education and U.S. economyenriching careers contributions. I believe I am disadvantaged for fairly entering and competingin those market places which would empower me to guard rights of ownership to my civil stateand U.S. Constitutional rights to due process so that I might preserve my civil rights to havesome say into how my contributions of heritage, health education careers and vested interestconsume disseminated transported and billed for throughout industry buyers and consumers ofLitigation, Education, Technology, Engineering, Military/Defense, Healthcare, Space Travel,Architecture Engineering and Bioengineering, Science, Addiction Recovery, CommunityDevelopment, Entertainment, Media, Advertising, Commerce, Mentorship, EnvironmentalProduction, Medicine, Healthcare, Business Start Up and Development, and Public Safety, etc. Page 3 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  4. 4. FEDERAL CRIME VICTIM DISCLOSUREChild’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSN You do not have to fill this in if you are not a CPS Corruption in Government kidnap for profit victim.Child’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSNChild’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSNChild’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSNFor those claimants who died.Estate of ____________________________________________________________________________(Date of Birth and Date of Death) Send copy of Death Certificate and Names of Hospitals and Coroners.Estate of ____________________________________________________________________________(Date of Birth and Date of Death) Send copy of Death Certificate and Names of Hospitals and Coroners.I certify I am a Federal Crime Victim* as defined by United States Department of Justice as set forth in 18 U.S.C. §3771: * ACCORDING TO THE ACT, A VICTIM IS “A PERSON DIRECTLY AND PROXIMATELY HARMED AS ARESULT OF THE COMMISSION OF A FEDERAL OFFENSE OR AN OFFENSE IN THE DISTRICT OF COLUMBIA. INTHE CASE OF A CRIME VICTIM WHO IS UNDER 18 YEARS OF AGE, INCOMPETENT, INCAPACITATED, ORDECEASED, THE LEGAL GUARDIANS OF THE CRIME VICTIM OR REPRESENTATIVES OF THE CRIME VICTIM’SESTATE, FAMILY MEMBERS, OR ANY OTHER PERSONS APPOINTED SUITABLE BY THE COURT, MAY ASSUMETHE CRIME VICTIM’S RIGHT UNDER THIS CHAPTER, BUT IN NO EVENT SHALL THE DEFENDANT BE NAMEDAS SUCH GUARDIAN OR REPRESENTATIVE.”I, certify that I have acted lawfully responsibly and respectfully throughout all corruption poisoned processes andvenues and continue to act lawfully as a proud resident of United States, committed to leveraging individualaccountability forbidding abuse of immunity language in 1983 Civil Rights Act which is being used by criminallybehaving official corruption fraud civil rights assailants to perpetrate felony crimes upon working class student andimpoverished families to perpetrate a Child Slaughter U.S. Economy Fraud Court and Education Reform State ofEmergency in my state and our nation.I, certify I have caused the foregoing to be transmitted by electronic mail or facsimile or postage prepaid first classmail or by certified mail return receipt requested or by priority mail by authorizing Roxanne Grinage, HireLyricsAdministrative Services U.S. Citizens (controlled) Public Docket Database or formation pending Federal CrimeVictim Voters Safe Haven DHS Abused Runaways as indicated on various Certified Service Distribution Listsmanaged and published by HireLyrics Administrative Services in satisfaction of my state’s Rules for Service, CivilRules of Procedure and as Crime Victim Compensation Claimant, Recovery Act Fraud and Waste WhistleblowerTransmittal, President Executive Office, United States Attorney General and Special Prosecutors, LegislativeCommittees, Funding Source Decision Makers, Intervention Investigations and Audit Requests.I am a resident of ______________________(state) and lawful guardian of above named real flesh and blood naturalpersons for whom god saw fit to bless me with and in whom I have a greater vested interest in the heritage healtheducation religious freedoms whereabouts future U.S. economy enriching careers contributions than does anycorporate entity, state agency employees and contractors or other professional practitioner._____________________________________________________ Date signed:___________________________Signature Federal Crime Victim Witness_____________________________________________________Print Name Federal Crime Victim Witness Page 4 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  5. 5. Form COL Violation Warning Denial of Rights Under Color of LawViolation Warning—18 U.S.C. §242; 18 U.S.C. §245; 42 U.S.C. §1983I certify that the forgoing information stated here is true and correct.Legal Notice and Warning - Federal law provides that it is a crime to violate the Rights of acitizen under the color-of-law. You can be arrested for this crime and you can also be heldpersonally liable for civil damages.Attempting to cause a person to do something by telling that person that such action is required by law,when it is not required by law, may be a felony.18 USC §242 provides that whoever, under color of any law, statute, ordinance, regulation, or custom,willfully subjects any person in any State, Territory, Commonwealth, Possession, or District to thedeprivation of any rights, privileges, or immunities secured or protected by the Constitution or laws of theUnited States shall be fined under this title or imprisoned not more than one year, or both.18 USC §245 provided that Whoever, whether or not acting under color of law, intimidates or interfereswith any person from participating in or enjoying any benefit, service, privilege, program, facility, or activityprovided or administered by the United States; [or] applying for or enjoying employment, or any perquisitethereof, by any agency of the United States; shall be fined under this title, or imprisoned not more thanone year, or both.42 USC §1983 provides that every person who, under color of any statute, ordinance, regulation, custom,or usage, of any State or Territory or the District of Columbia, subjects, or causes to be subjected, anycitizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights,privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in anaction at law, suit in equity, or other proper proceeding for redress.Warning, you may be in violation of Federal Law and persisting with your demand may lead to your arrestand/or civil damages! Also understand that the law provides that you can be held personally responsibleand liable, as well as your company or agency. You are advised to CEASE AND DESIST withyour demand and to seek personal legal counsel if you do not understand the law.Notice of Service: I CERTIFY I AUTHORIZED HIRELYRICS ADMINISTRATIVE SERVICES LEGAL ADMINISTRATIVEASSISTANTS MANAGED BY ROXANNE GRINAGE TO CERTIFY SERVICE OF THIS NOTICE IN ACCORDANCE WITHEVIDENCE GATHERED DEPOSITIONS AND EXPERT WITNESS TESTIMONY VERIFIED._________________________________________________________________________________Sign and Print Your Name with Full Address including city, state and postal zip code [SIGN AND PUT YOUR ADDRESS ABOVE AND DO NOT WRITE BELOW THIS LINE]I, certify that I, Roxanne Grinage, HireLyrics Administrative Services, U.S. Citizens Public Docket Databasecaused this Form COL Legal Notice and Warning Violation of Rights Under Color of Law to be served byelectronic, facsimile, or first class mail postage prepaid to attached certified service distribution namedrecipients at their official addresses of public record. Returned Affidavit Proof of Service is Null and Void if notpresented with attached Roxanne Grinage HireLyrics Administrative Service verified Certified ServiceDistribution List. Date:Roxanne Grinage HireLyrics Administrative Services U.S. Citizens Public Docket Database Page 5 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  6. 6. AUTHORIZATION FOR RELEASE OF INFORMATIONMedical Records, Department of Health and Human Services, All Registries, Hospital, Healthcare Providers, Social Worker, CaseWorkers, Police Reports, Detective Case Notes, Investigations and Findings, Attorney Client Files about me and or my family who isshown to be injured by way of Official Corruption Fraud Civil Rights Violations.Name:___________________________________________________________________Telephone Number for Verification: ____________________________________________SSN:___________________________ DOB:____________ Email: ______________________Other Names Under Which Records Might Be Filed:______________________________________________________________________________Person Court Agency Organization or Professional Practitioner Releasing the Information:X Department of Health and Human Services, Commissioner’s office _________________________________________________________________Name and AddressX Child Abuse Registry __ Other Registry __________________________X DHS or DHSS CPS or CWS OCS CYS contractor residential facility name and address ___________________________________________________________X Hospital or Physician Medical Records maintained by Records Custodian(s) at _____________________________________________________________ (Healthcare provider name and address) _____________________________________________________________ (Healthcare provider name and address)X CPS DHS OCS CYS CWS Social Workers Case Workers Foster Adoption Evaluator Employees or Contractors known to have records which impact litigation, investigations and audits concerning personal injuries suffered by my family. _____________________________________________________________________________ Name and Address of Office they work(ed) in at the time records were created. ____________________________________________________________________________ Name and Address of Office they work(ed) in at the time records were created.X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if known______________________________________________________________________X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if known______________________________________________________________________Description of Information to Be Released. (If substance abuse information is to be released from a federally assisted substanceabuse treatment center, than this information must be included in thedescription)._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________The purpose of the release of this information is: litigation discovery, crime victim compensation claims processesI hereby authorize the use of disclosure of my health care and/or client files and/or other information as described above to,ROXANNE GRINAGE, HIRELRYICS ADMINISTRATIVE SERVICES, PO BOX 22225, PHILADELPHIA, PA, 19136, FAX: 215-405-2939, TOLL FREE TEL (888) 589-1110, TELEPHONE 215-395-6985, EMAIL ROXANNEGRINAGE@YAHOO.COM WEBSITECONTACT FORMS WWW.HIRELYRICS.ORG. This authorization remains effective for as long as I am a HireLyrics AdministrativeServices client for whom Roxanne Grinage provides records management among other legal executive assistant professionalservices on behalf of me and my family. Signature Printed Name Mailing Address including city state and zip codeSTATE OF ______________ )COUNTY OR DISTRICT )________________________ )Subscribed and sworn to or affirmed before me at (city), (state) On (date).(NOTARY SEAL) Clerk of Court, Notary Public or other person authorized to administer oaths. ______________________________________________________________________ My commission expires: Page 6 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  7. 7. REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATIONNOTICE IS HEREBY GIVEN THAT THE BELOW CHECKED AGENCY, ORGANIZATION ORPROFESSIONAL PRACTITIONER MAY HAVE BECOME A CONFLICT OF INTEREST PARTY INPENDING OR ONGOING LITIGATION. ANY RELEASES SIGNED BY UNDERSIGNED EITHERWILLINGLY OR UNDER DURESS DURING ANY SPAN OF PERIOD OF TIME ARE HEREBYREVOKED.Name:___________________________________________________________________Telephone Number for Verification: ____________________________________________SSN:___________________________ DOB:____________ Email: ______________________Other Names Under Which Records Might Be Filed:_______________________________________________________________________________________________________Person Court Agency Organization or Professional Practitioner Releasing the Information:X Department of Health and Human Services, Commissioner’s office _________________________________________________________________Name and AddressX Child Abuse Registry __ Other Registry __________________________X DHS or DHSS CPS or CWS OCS CYS contractor residential facility name and address ___________________________________________________________X Hospital or Physician Medical Records maintained by Records Custodian(s) at _____________________________________________________________ (Healthcare provider name and address) _____________________________________________________________ (Healthcare provider name and address)X CPS DHS OCS CYS CWS Social Workers Case Workers Foster Adoption Evaluator Employees or Contractors known to have records which impact litigation, investigations and audits concerning personal injuries suffered by my family. _____________________________________________________________________________ Name and Address of Office they work(ed) in at the time records were created. ____________________________________________________________________________ Name and Address of Office they work(ed) in at the time records were created.X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if known______________________________________________________________________X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if known______________________________________________________________________Description of Information to Be Released or for which Authorization to Release is Revoked. (If substance abuse information is tobe released from a federally assisted substance abuse treatment center, than this information must be included in thedescription)._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________THE PURPOSE OF THE REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATION: litigation discovery, crimevictim compensation claims processesAll inquiries pertaining to records about my family’s health, heritage, identity, custody, finances, healthcare, etc. are to be directed tothe Legal Administration Services Assistant service we have hired for this purpose. I hereby authorize the use of disclosure of myhealth care and/or client files and/or other information as described above to, ROXANNE GRINAGE, HIRELRYICSADMINISTRATIVE SERVICES, PO BOX 22225, PHILADELPHIA, PA, 19136, FAX: 215-405-2939, TOLL FREE TEL (888) 589-1110, TELEPHONE 215-395-6985, EMAIL ROXANNEGRINAGE@YAHOO.COM WEBSITE CONTACT FORMSWWW.HIRELYRICS.ORG. This authorization and/or revocation of authorization for release of information remains effective for aslong as I am a HireLyrics Administrative Services client for whom Roxanne Grinage provides records management among otherlegal executive assistant professional services on behalf of me and my family. Signature Printed Name Mailing Address including city state and zip codeSTATE OF ______________ )COUNTY OR DISTRICT )________________________ )Subscribed and sworn to or affirmed before me at (city), (state) On (date). (NOTARY SEAL) Clerk of Court, Notary Public or other person authorized to administer oaths. ______________________________________________________________________ My commission expires: Page 7 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  8. 8. HireLyrics Client Data Sheet PRINT FILL-IN WITH A RESPONSE EVERY SINGLE BLANK MANDATORY RETURNED with Notarized Signed Pages and Photocopies of Identity Documents.HireLyrics Client’s choice of Authorized Representative does not have to provide the information onthis Client Data Sheet.Write Your Full Name the way it appears on your Birth CertificateWrite your name exactly as it appears on your social security cardWrite your name exactly as it appears on your State Identification Card or Driver License.Write your name exactly as it appears on your Student I.D. CardWrite your name exactly as it appears on any “benefit” payments you receive Pension Welfare SSI SSD.Write you name exactly as it appears on pay stubs from jobs you worked.Write your name exactly the way it appears on income taxes you filed or on IRS Notices.Write ALSO KNOWN AS VERSIONS OF YOUR NAME.Write your social security number, Bar Attorney ID. PTIN or CAF or Federal State or Criminal Justice or LaborUnion Issued Identifying Numbers. PLEASE PROVIDE COPIES WITHIN 72 HOURS OF SUBMITTING THIS FORM OF HIRELYRICS EMPLOYMENT AGREEENT OF THE FOLLOWING IDENTITY DOCUMENTS (Mandatory Returned within 72 Hours)PROOF OF MARRIAGE IF A SPOUSE SIGNS WITH YOU. Okay to show proof living at same address utility bill,joint bank account, affidavits, family reunion rosters and family trees, baptismal records, dated greeting cardsor correspondence addressed to both of you whether you were married in a civil ceremony or not.DIVORCE PETITIONS SEPARATION AGREEMENTS OR DECREES if you don’t want your spouse to show up andclaim rights to your HireLyrics Client Account that you don’t want them to have according to your state’slaws. Your written Affidavit of Truth stating date you and your spouse union is dissolved is acceptabletestimony.A copy of a tax return you filed and/or any recent lien or penalty notices you are receiving from IRS.Eviction or Foreclosure Notices.Child Support, Student Loan, Welfare, Food Stamp Lien or IRS or State Tax Penalties Lien Notices.Notices Letters Petitions Motions or Decisions in Domestic Relations Matters where a relative no matter whatage was taken against your will by a State Court with the participation of a State Agency or one or anycombination of State Agency contractors, Hospital, Nursing Home, Foster Home, Group Home, etc., if you havediscussed with Roxanne Grinage.A List of Hospitals and Doctors where you know records exist that prove your children disabled or elderlyloved ones were over medicated, neglected, abused or otherwise injured by malpractice neglect or recordsmis-management, if you have discussed with Roxanne Grinage. Page 8 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  9. 9. UNCLAIMED PROPERTY (Print Complete as much as you know Mandatory Completed and Returned.)Write your mothers full name and your father’s full name and your grandparents on your mother’s side andyour grandparents on your father’s side full name. State Treasurers Unclaimed Property claims rules requireyou prove relationship to claim unclaimed property of a relative who does not have a surviving spouse. Seehttp://missingmoney.com___________________________________________ ___________________________________________Your Mother’s full name Deceased?____ Your Father’s Full Name Deceased? _______________________________________________ ___________________________________________Your Mother’s mother’s full name Deceased?____ Your Father’s Full Name Deceased? _______________________________________________ ____________________________________________Your Mother’s father’s full name Deceased?___ Your Father’s Father’s Full Name Deceased?__ HireLyrics Client Authorized Representative (Mandatory Returned Completed)I APPOINT THE FOLLOWING AUTHORIZED REPRESENTATIVE TO SPEAK TO ROXANNE GRINAGE OR A HIRELYRICSADMINISTRATIVE SERVICES STAFF MEMBER ABOUT MY HIRELYRICS CLIENT ACCOUNT ON MY BEHALF IN THE EVENTI AM UNABLE OR UNAVAILABLE TO SPEAK FOR MYSELF.Authorized Representative Full Name.Address including town, city, State and zip codeEvery telephone number to reach Authorized Representative_____________________________________________________________________________________________Every email address or Facebook I.D. for your authorized representative____________________________________________________________________________________________What is your relationship? Why do you trust them to act as your Representative Authorized to interact withRoxanne Grinage or HireLyrics staff regarding your HireLyrics Administrative Services Account? Long timefriend, heir or next of kin, served in military together or had some other shared life experience which birthedcamaraderie. PHOTOCOPY PROOF OF IDENTITY DOCUMENTS ONTO SEPARATE PAGE (MANDATORY RETURNED)  STATE ISSUED PHOTO I.D. CARD OR DRIVER’S LICENSE.  STUDENT I.D. CARD  A clear readable copy of all SOCIAL SECURITY CARDS ever issued to you.  BIRTH CERTIFICATE.  VOTER REGISTRATION CARD OR CHECK HERE IF YOU ARE NOT REGISTERED TO VOTE ______  MEDICAL INSURANCE or LABOR UNION MEMBERSHIP CARDS. Page 9 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  10. 10. AGREEMENT IS MADE THIS DAY BETWEENI, (full name including middle name or initial) ________________________________________________________,____________________________________________________________________________________________mailing address with town, city, state and zip code____________________________________________________________________________________________,telephone numbers_______________________________________________________________, email address, website face book id______________________________________________________________________ having read understand andagree. and/or [One or Two People with the same purpose can enter into this HireLyrics Form of Employment AgreementI, (full name including middle name or initial) ________________________________________________________,____________________________________________________________________________________________mailing address with town, city, state and zip code____________________________________________________________________________________________,telephone numbers_______________________________________________________________, email address, website face book id______________________________________________________________________ having read understand andagree). and Roxanne Grinage dba HireLyrics Administrative Services having a U.S.Postal Service Business registered Post Office Box 22225, Philadelphia Pa 19136; Pennsylvania Departmentof State Corporation Bureau assigned 04/27/2001 Business Entity Filing Number 3002198 MicrofilmNumber: 2001033 and a U.S. Department of Treasury Internal Revenue Service 07/18/2000 assigned FEINTax I.D. Number shown on statements and invoices; and Roxanne Grinage and HireLyrics.org dba U.S. CitizensPublic Docket Database having a Pennsylvania Department of State Corporation Bureau assigned02/16/2010 Business Entity Filing Number 3935315, and HireLyrics™ having a Commonwealth ofPennsylvania Department of Revenue Bureau of Business Trust Fund Taxes Registration Division assigned03/02/2004 Business Tax Acct I.D.: shown on sales receipts and Certificate of Registration WholesalerCertificate posted where event and convention bulk order promotional items are produced and shipped; andRoxanne Grinage Manager of HireLyrics having earned Pennsylvania Department of General Services Bureauof Minority and Women Business Enterprise assigned 08/26/2005 Certificate No. 070831HirelyricsPennsylvania Department of General Services, Minority Women Business Enterprise Certified Expert 2003-2007 for “presenting documentation” that HireLyrics is “providing products and/or services” in nineadministrative support practice areas: PADGS Code 96159 Legal Services: Evidence Gathering, Depositionsand Expert Witness Testimony; PADGS Code 91885 Personnel Employment Consulting (Human Resources);PADGS Code 95238 Employee Assistance Programs; PADGS Code 95239 Employment Generating Activities;PADGS Code 94682 Tax Services Including Tax Advisory Services; PADGS Code 96225 Copywriting Services;PADGS Code 95238 Employee Development Consulting; PADGS Code 96220 Career Consulting; PADGS Code91725 Image Consulting; and Roxanne Grinage was FBI approved (now expired) Top Security Clearancewhile working for Honeywell Information Systems McLean, Virginia, and Roxanne Grinage’s Internal RevenueService PTIN CAF numbers assigned fingerprints taken and on record at Internal Revenue Service Center,(Roosevelt Blvd.), Philadelphia Pa 19255, AGREE IN GOOD-FAITH AND GOOD-WILL to enter into a lawful business relationshiphereafter referred to as HireLyrics Form of Employment Agreement Option 1 Pro Se DocumentProduction or Option 2 Includes Pro Se Document Production plus Marketing Careersecommerce and Litigation Referral HireLyrics Managed Referral Team Percentage Share Page 10 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  11. 11. 75/25/10 per transaction complies with U.S. states statutes and Internal Revenue Service BusinessRegistration and Tax Reporting Laws and is a further demonstration of Wharton Small BusinessAdministration 2001 nominated Philadelphia 100, HireLyrics invention in business method practice modelsimultaneously coordinated four divisions: Marketing Careers Label Stores, five departments: Overview &Rationale (The Gate Keeper), Client Accounts (HireLyrics Gear Package), Claims Intake (HireLyrics EvidencePackage), Tax Prep & Tax Amendments, and Operations (Security Facilities Personnel Equipment EventTechnology). HireLyrics Form of Employment Agreement Option 1 Pro Se Document Production or Option 2Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation ReferralHireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction is an administrativesolutions tool developed by Roxanne Grinage to enable fair access to retain Legal Administrative Assistant,Public Relations and Project Manager consultant professional services for a financially devastated populationof claimants whose 1,078 and growing Federal Crime Victims are verified by Roxanne Grinage’s performanceof legal administrative claims intake assessment identify similarly situated classes of claims, spanning everyprofession, industry, economy, U.S. jurisdictions measurable demographics:  Federal Crime Victim Voters created by acts of Official Corruption Fraud Civil Rights Violations  Independent Creators of U.S. Economy Enriching Careers Contributions  American Families Self Employed Small Business Owners or other Malpractice Pro Se Claimant.HireLyrics Form of Employment Agreement Option 1 Pro Se Document Production or Option 2Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation ReferralHireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction COMPLIES WITHNEW FEDERAL LAWS AND CONGRESSIONAL ACTS. (1) The Federal Courts Jurisdiction and Venue Clarification Act of 2011, H. R. 394, P.L 112-63 (the"Act") (December 7, 2011), contains significant changes to the removal statute, 28 U.S.C. § 1441, and willaffect nearly every new case filed or removed next year invoking the courts’ diversity jurisdiction. The Act,and its numerous changes, take effect on January 6, 2012. The law will apply to all new state and federallawsuits commenced on or after that date. Congress addressed several areas of statutory confusion anddisagreement among various courts. The Act makes a variety of other changes to supplemental jurisdictioninvolving unrelated state claims, suits between aliens, and residency of non-resident aliens and foreigncorporations for venue purposes. Judges, federal practitioners and students of civil procedure will also notethe law’s reorganization of the jurisdictional statutes found in Title 28 of the U.S. Code, which have beengraciously simplified for clarity. See Appendix A. (2) The National Defense Authorization Act for Fiscal Year 2012 as reported to senate including FeinsteinAmendment Section. 1031. (U.S. Citizens can be imprisoned without trial) ─ An original bill to authorizeappropriations for fiscal year 2012 for military activities of the Department of Defense, for militaryconstruction, and for defense activities of the Department of Energy, to prescribe military personnelstrengths for such fiscal year, and for other purposes, as introduced and AFFIRMATION OF AUTHORITY OFTHE ARMED FORCES OF THE UNITED STATES TO DETAIN COVERED PERSONS PURSUANT TO THEAUTHORIZATION FOR USE OF MILITARY FORCE.Roxanne Grinage Quality of Life Impacts for Americans Commentary: “Detention under the law of warwithout trial until the end of the hostilities authorized by the Authorization for Use of Military Force Page 11 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  12. 12. optimizes risk of records mismanagement, disallows measurement of individual accountability such thatrampant abuses are likely to threaten survival of America as a populated sovereign nation and certainlythrust a former world power into the dark ages of despotism.” – respectfully Roxanne Grinage. See AppendixB. NDAA Feinstein Amendment Section. 1031http://en.wikipedia.org/wiki/National_Defense_Authorization_Act and 926 pageshttp://www.gpo.gov/fdsys/pkg/BILLS-112s1867es/pdf/BILLS-112s1867es.pdfI UNDERSTAND IF I AM A PROFESSIONAL SERVICE DESIRING REFERRAL OR OUTSOURCE OF HIRELYRICS CLIENTS BY WAY OFOPTION 2 WITHIN THIS HIRELYRICS FORM OF CONTRACT THAT THIS FORM OF EMPLOYMENT AGREEMENT DOES NOT APPLYTO ME BUT RATHER ROXANNE GRINAGE IS WAITING FOR ME TO INDICATE MY INTEREST IN RECEIVING HIRELYRICS CLIENTREFERRALS BY ME SUGGESTING MY FORM OF CONSULTANT AGREEMENT OR ASKING ROXANNE GRINAGE TO PROPOSEREFERRAL BY WRITTEN CONSULTANT AGREEMENT SO THAT I MIGHT RECEIVE REFERRAL FEES AND REDUCTION OF EXPENSESWITHIN OPTION 2 WAYS TO PAY HIRELYRICS FORM OF EMPLOYMENT AGREEMENT AS A THIRD PARTY PROFESSIONALSERVICES MEMBERS OF A HIRELYRICS ASSEMBLED TEAM OF PROFESSIONAL SUPPORT SERVICES MANAGED BY ROXANNEGRINAGE.If I am applying to be authorized as a HireLyrics Client Ways To Pay Option 2 in HireLyrics Form ofEmployment Agreement, I swear and affirm that my ability to pay Roxanne Grinage in accordance withDeferred Compensation Employment Agreement Percentage Share Revenue Split Terms is not subject to thereview or approval of any Board of Directors, Law Firm, Investors, Shareholder Interests or other CorporateEntity, partner or associate.I understand by returning signed mandatory pages 1 through 12 include, Federal Crime Victim Disclosure,Form COL Legal Notice and Warning Violation of Rights Under Color of Law, Unclaimed Property, HireLyricsClient Authorized Representative, HireLyrics Client Data Sheet and mandatory completed pages signed infront of a Notary Public, Authorization Release of Information, Revocation Authorization Release ofInformation; and Execution Signature Page, indicating that I am expressing my application to RoxanneGrinage to be authorized accepted as a HireLyrics Client and Roxanne Grinage is obligated to performProfessional Services on my behalf unless I have made deposit payment if I have chosen Option 1 Pro SeDocument Production as forms and reporting services clearly listed in Option 1 Ways To Pay HireLyrics Formof Employment Agreement, or Roxanne Grinage has proposed to me marketing initiatives relative toMarketing Careers ecommerce and Litigation Referral enabled by a HireLyrics Assembled Team or ThirdParty Professionals in accordance with percentage share revenue split per each and every transaction asdescribed and depicted clearly in Option 2 Ways To Pay HireLyrics Form of Employment Agreement. I havecheck off below what I want Roxanne Grinage to consider my application to HireLyrics AdministrativeServices for Professional Services below.□ I/We choose Option One Pro Se Document Production - Roxanne Grinage is not a lawyer.Roxanne Grinage is not an attorney and cannot represent any person in a court process. RoxanneGrinage can only provide court and claims processes compliant pro se document and exhibitproduction that the independent creator, federal crime victim of official corruption fraud civil rightsAmerican victim who becomes a HireLyrics Client within a form of HireLyrics Professional ServicesAgreement that the American claimant files on their own behalf pro se. Roxanne Grinage commits tomonitoring court calendar, performing docket analysis and seeking the assistance of respected thirdparty professional services that could include lawyers and law firms but are more likely to be veteranexperienced legal secretaries, paralegals, lawsuit coordinators, private investigators, retired or offduty police officers, security firms and any combination of independent creators HireLyrics clientsand collaborators spanning every demographic currently known to HireLyrics Standard Access toLegal Administrative Assistant Services regardless of who you know or what you have. Or□ I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, LitigationReferral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earningsreceived from any market where earnings were not received prior to Effective Date of HireLyricsForm of Employment Agreement.I am in the process of getting photocopies of mandatory/required identity documents listed in priorpages returned to Roxanne Grinage pending your getting to work on my HireLyrics Client Account. Page 12 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  13. 13. IN WITNESS WHEREOF, the parties by their OWN HAND authorized representatives have executed thisEmployment Agreement as of the Effective Date a total of thirteen pages precede this EXECUTIONSIGNATURE PAGE REQUIRED SIGNED IN PRESENCE OF NOTARY.HireLyrics Disclosures and Disclaimers, Terms and Conditions including Termination for Cause, Buy OutOptions, Duration, Confidentiality and Privacy Disclosures and Table of Contents are Pages fourteen throughforty-six of HireLyrics Form of Employment Agreement are available for free download and printing at anytime at www.HireLyrics.org/roxannegrinageresume.html. But, only Pages 1 through 13 are mandatory fullycompleted, signed and three pages must be signed in presence of notary public.Signature SignaturePrinted Name Printed NameMailing Address including city state and zip code Mailing Address including city state and zip codeSTATE OF ______________ )COUNTY OR DISTRICT )________________________ )Subscribed and sworn to or affirmed before me at (city), (state) On (date).(NOTARY SEAL) Clerk of Court, Notary Public or other person authorized to administer oaths. ______________________________________________________________________ My commission expires:[This Execution Signature Page is last of 13 pages that are mandatory completed andreturned by fax and followed up with mailing original ink signed in presence of a notarywith listed required identity and court documents listed throughout these pages.] Roxanne Grinage HireLyrics Administrative Services PO Box 22225 Philadelphia Pa 19136 (267) 444-0594 Fax: (215) 405-2939 email: Birthwright@HireLyrics.com www.HireLyrics.org Page 13 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pagesForm of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.

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