Free State Project

Statement of Intent

I hereby state my solemn intent to move to a state of the United States designated by vote of Free State Project (FSP) participants as specified in the Bylaws of the FSP. Once this move occurs, I will exert the fullest practical effort toward the creation of a society in which the sole role of civil government is the protection of citizens’ life, liberty, and property. I have read and understood the Bylaws of the FSP and agree to be bound by them.

Signed:

Name (printed):

Address:

Telephone:

E-mail:

Name of spouse, if applicable:

Signature of spouse:

I sign the above Statement of Intent while reserving the right to refuse to move to the following states (if any):

Please sign and mail to:

FREE STATE PROJECT

385 Canner Street, #2

New Haven, CT 06511