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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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
My name is Roxanne Grinage. I am the owner and manager of an eleven plus years Pennsylvania
Secretary of State and U.S. Department of Treasury registered invention of business method, HireLyrics
Administrative Services, whose practice models demonstrate “The answer to missed educational
opportunities, oppressive contracts, un-accountability horror stories, racism, poverty and hate-based
ideas festering into terrorism is the responsible development of entities that standardize access and
standardize services.”

HireLyrics     is   Born   To    Serve   the   previously                   unmeasured     un-accommodated
Worldwide     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 not
a 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 exhibit
production that the independent creator, federal crime victim of official corruption fraud civil rights
American victim who becomes a HireLyrics Client within a form of HireLyrics Professional Services
Agreement that the American claimant files on their own behalf pro se. Roxanne Grinage commits to
monitoring court calendar, performing docket analysis and seeking the assistance of respected third
party professional services that could include lawyers and law firms but are more likely to be veteran
experienced legal secretaries, paralegals, lawsuit coordinators, private investigators, retired or off
duty police officers, security firms and any combination of independent creators HireLyrics clients
and collaborators spanning every demographic currently known to HireLyrics Standard Access to
Legal 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
□      I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, Litigation
Referral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earnings
received from any market where earnings were not received prior to Effective Date of HireLyrics
Form 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 agency
employee or billing contractor in my U.S. Economy enriching original work contributions
including my family’s persons, heritage, health, freedoms, education and U.S. economy
enriching careers contributions. I believe I am disadvantaged for fairly entering and competing
in those market places which would empower me to guard rights of ownership to my civil state
and U.S. Constitutional rights to due process so that I might preserve my civil rights to have
some say into how my contributions of heritage, health education careers and vested interest
consume disseminated transported and billed for throughout industry buyers and consumers of
Litigation, Education, Technology, Engineering, Military/Defense, Healthcare, Space Travel,
Architecture Engineering and Bioengineering, Science, Addiction Recovery, Community
Development, Entertainment, Media, Advertising, Commerce, Mentorship, Environmental
Production, 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
FEDERAL CRIME VICTIM DISCLOSURE

Child’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 SSN

Child’s Full Name Date of Birth given to me by God          Child’s Date of Birth and last known SSN

Child’s Full Name Date of Birth given to me by God          Child’s Date of Birth and last known SSN

For 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 A
RESULT OF THE COMMISSION OF A FEDERAL OFFENSE OR AN OFFENSE IN THE DISTRICT OF COLUMBIA. IN
THE CASE OF A CRIME VICTIM WHO IS UNDER 18 YEARS OF AGE, INCOMPETENT, INCAPACITATED, OR
DECEASED, THE LEGAL GUARDIANS OF THE CRIME VICTIM OR REPRESENTATIVES OF THE CRIME VICTIM’S
ESTATE, FAMILY MEMBERS, OR ANY OTHER PERSONS APPOINTED SUITABLE BY THE COURT, MAY ASSUME
THE CRIME VICTIM’S RIGHT UNDER THIS CHAPTER, BUT IN NO EVENT SHALL THE DEFENDANT BE NAMED
AS SUCH GUARDIAN OR REPRESENTATIVE.”
I, certify that I have acted lawfully responsibly and respectfully throughout all corruption poisoned processes and
venues and continue to act lawfully as a proud resident of United States, committed to leveraging individual
accountability forbidding abuse of immunity language in 1983 Civil Rights Act which is being used by criminally
behaving official corruption fraud civil rights assailants to perpetrate felony crimes upon working class student and
impoverished families to perpetrate a Child Slaughter U.S. Economy Fraud Court and Education Reform State of
Emergency 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 class
mail or by certified mail return receipt requested or by priority mail by authorizing Roxanne Grinage, HireLyrics
Administrative Services U.S. Citizens (controlled) Public Docket Database or formation pending Federal Crime
Victim Voters Safe Haven DHS Abused Runaways as indicated on various Certified Service Distribution Lists
managed and published by HireLyrics Administrative Services in satisfaction of my state’s Rules for Service, Civil
Rules of Procedure and as Crime Victim Compensation Claimant, Recovery Act Fraud and Waste Whistleblower
Transmittal, President Executive Office, United States Attorney General and Special Prosecutors, Legislative
Committees, 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 natural
persons for whom god saw fit to bless me with and in whom I have a greater vested interest in the heritage health
education religious freedoms whereabouts future U.S. economy enriching careers contributions than does any
corporate 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
Form   COL Violation Warning Denial of Rights Under Color of Law
Violation Warning—18 U.S.C. §242; 18 U.S.C. §245; 42 U.S.C. §1983
I 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 a
citizen under the color-of-law. You can be arrested for this crime and you can also be held
personally 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 the
deprivation of any rights, privileges, or immunities secured or protected by the Constitution or laws of the
United 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 interferes
with any person from participating in or enjoying any benefit, service, privilege, program, facility, or activity
provided or administered by the United States; [or] applying for or enjoying employment, or any perquisite
thereof, by any agency of the United States; shall be fined under this title, or imprisoned not more than
one 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, any
citizen 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 an
action 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 arrest
and/or civil damages! Also understand that the law provides that you can be held personally responsible
and liable, as well as your company or agency. You are advised to CEASE AND                       DESIST with
your 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 ADMINISTRATIVE
ASSISTANTS MANAGED BY ROXANNE GRINAGE TO CERTIFY SERVICE OF THIS NOTICE IN ACCORDANCE WITH
EVIDENCE 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 Database
caused this Form COL Legal Notice and Warning Violation of Rights Under Color of Law to be served by
electronic, facsimile, or first class mail postage prepaid to attached certified service distribution named
recipients at their official addresses of public record. Returned Affidavit Proof of Service is Null and Void if not
presented with attached Roxanne Grinage HireLyrics Administrative Service verified Certified Service
Distribution 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
AUTHORIZATION FOR RELEASE OF INFORMATION
Medical Records, Department of Health and Human Services, All Registries, Hospital, Healthcare Providers, Social Worker, Case
Workers, Police Reports, Detective Case Notes, Investigations and Findings, Attorney Client Files about me and or my family who is
shown 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 Address

X         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 substance
abuse treatment center, than this information must be included in the
description).___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

The purpose of the release of this information is:   litigation discovery, crime victim compensation claims processes

I 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 WEBSITE
CONTACT FORMS WWW.HIRELYRICS.ORG. This authorization remains effective for as long as I am a HireLyrics Administrative
Services client for whom Roxanne Grinage provides records management among other legal executive assistant professional
services on behalf of me and my family.

                                                     Signature

                                                     Printed Name

                                                     Mailing Address including city state and zip code
STATE 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATION
NOTICE IS HEREBY GIVEN THAT THE BELOW CHECKED AGENCY, ORGANIZATION OR
PROFESSIONAL PRACTITIONER MAY HAVE BECOME A CONFLICT OF INTEREST PARTY IN
PENDING OR ONGOING LITIGATION. ANY RELEASES SIGNED BY UNDERSIGNED EITHER
WILLINGLY OR UNDER DURESS DURING ANY SPAN OF PERIOD OF TIME ARE HEREBY
REVOKED.
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 Address
X        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 to
be released from a federally assisted substance abuse treatment center, than this information must be included in the
description).___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

THE PURPOSE OF THE REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATION:                                   litigation discovery, crime
victim compensation claims processes

All inquiries pertaining to records about my family’s health, heritage, identity, custody, finances, healthcare, etc. are to be directed to
the Legal Administration Services Assistant service we have hired for this purpose. I 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 WEBSITE CONTACT FORMS
WWW.HIRELYRICS.ORG. This authorization and/or revocation of authorization for release of information remains effective for as
long as I am a HireLyrics Administrative Services client for whom Roxanne Grinage provides records management among other
legal executive assistant professional services on behalf of me and my family.

                                                     Signature

                                                     Printed Name

                                                 Mailing Address including city state and zip code
STATE 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
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 on
this Client Data Sheet.

Write Your Full Name the way it appears on your Birth Certificate

Write your name exactly as it appears on your social security card

Write 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. Card

Write 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 Labor
Union 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 cards
or 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 and
claim rights to your HireLyrics Client Account that you don’t want them to have according to your state’s
laws. Your written Affidavit of Truth stating date you and your spouse union is dissolved is acceptable
testimony.

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 what
age was taken against your will by a State Court with the participation of a State Agency or one or any
combination of State Agency contractors, Hospital, Nursing Home, Foster Home, Group Home, etc., if you have
discussed with Roxanne Grinage.

A List of Hospitals and Doctors where you know records exist that prove your children disabled or elderly
loved ones were over medicated, neglected, abused or otherwise injured by malpractice neglect or records
mis-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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
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 and
your grandparents on your father’s side full name. State Treasurers Unclaimed Property claims rules require
you prove relationship to claim unclaimed property of a relative who does not have a surviving spouse. See
http://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 HIRELYRICS
ADMINISTRATIVE SERVICES STAFF MEMBER ABOUT MY HIRELYRICS CLIENT ACCOUNT ON MY BEHALF IN THE EVENT
I AM UNABLE OR UNAVAILABLE TO SPEAK FOR MYSELF.

Authorized Representative Full Name.

Address including town, city, State and zip code

Every 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 with
Roxanne Grinage or HireLyrics staff regarding your HireLyrics Administrative Services Account? Long time
friend, heir or next of kin, served in military together or had some other shared life experience which birthed
camaraderie.

  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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                      Services.
AGREEMENT IS MADE THIS DAY BETWEEN
I, (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 and
agree.

                                                and/or
 [One or Two People with the same purpose can enter into this HireLyrics Form of Employment Agreement

I, (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 and
agree).
                                             and
         Roxanne Grinage dba HireLyrics Administrative Services having a U.S.
Postal Service Business registered Post Office Box 22225, Philadelphia Pa 19136; Pennsylvania Department
of State Corporation Bureau assigned 04/27/2001 Business Entity Filing Number 3002198 Microfilm
Number: 2001033 and a U.S. Department of Treasury Internal Revenue Service 07/18/2000 assigned FEIN
Tax I.D. Number shown on statements and invoices; and Roxanne Grinage and HireLyrics.org dba U.S. Citizens
Public Docket Database having a Pennsylvania Department of State Corporation Bureau assigned
02/16/2010 Business Entity Filing Number 3935315, and HireLyrics™ having a Commonwealth of
Pennsylvania Department of Revenue Bureau of Business Trust Fund Taxes Registration Division assigned
03/02/2004 Business Tax Acct I.D.: shown on sales receipts and Certificate of Registration Wholesaler
Certificate posted where event and convention bulk order promotional items are produced and shipped; and
Roxanne Grinage Manager of HireLyrics having earned Pennsylvania Department of General Services Bureau
of Minority and Women Business Enterprise assigned 08/26/2005 Certificate No. 070831Hirelyrics
Pennsylvania Department of General Services, Minority Women Business Enterprise Certified Expert 2003-
2007 for “presenting documentation” that HireLyrics is “providing products and/or services” in nine
administrative support practice areas: PADGS Code 96159 Legal Services: Evidence Gathering, Depositions
and 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 Code
91725 Image Consulting; and Roxanne Grinage was FBI approved (now expired) Top Security Clearance
while working for Honeywell Information Systems McLean, Virginia, and Roxanne Grinage’s Internal Revenue
Service 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 relationship
hereafter referred to as HireLyrics Form of Employment Agreement Option 1 Pro Se Document
Production or Option 2 Includes Pro Se Document Production plus Marketing Careers
ecommerce 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                     Services.
75/25/10 per transaction complies with U.S. states statutes and Internal Revenue Service Business
Registration and Tax Reporting Laws and is a further demonstration of Wharton Small Business
Administration 2001 nominated Philadelphia 100, HireLyrics invention in business method practice model
simultaneously coordinated four divisions: Marketing Careers Label Stores, five departments: Overview &
Rationale (The Gate Keeper), Client Accounts (HireLyrics Gear Package), Claims Intake (HireLyrics Evidence
Package), Tax Prep & Tax Amendments, and Operations (Security Facilities Personnel Equipment Event
Technology).
        HireLyrics Form of Employment Agreement Option 1 Pro Se Document Production or Option 2
Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation Referral
HireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction is an administrative
solutions 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 population
of claimants whose 1,078 and growing Federal Crime Victims are verified by Roxanne Grinage’s performance
of legal administrative claims intake assessment identify similarly situated classes of claims, spanning every
profession, 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 2
Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation Referral
HireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction COMPLIES WITH
NEW 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 will
affect 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 federal
lawsuits commenced on or after that date. Congress addressed several areas of statutory confusion and
disagreement among various courts. The Act makes a variety of other changes to supplemental jurisdiction
involving unrelated state claims, suits between aliens, and residency of non-resident aliens and foreign
corporations for venue purposes. Judges, federal practitioners and students of civil procedure will also note
the law’s reorganization of the jurisdictional statutes found in Title 28 of the U.S. Code, which have been
graciously simplified for clarity. See Appendix A.
    (2) The National Defense Authorization Act for Fiscal Year 2012 as reported to senate including Feinstein
Amendment Section. 1031. (U.S. Citizens can be imprisoned without trial) ─ An original bill to authorize
appropriations for fiscal year 2012 for military activities of the Department of Defense, for military
construction, and for defense activities of the Department of Energy, to prescribe military personnel
strengths for such fiscal year, and for other purposes, as introduced and AFFIRMATION OF AUTHORITY OF
THE ARMED FORCES OF THE UNITED STATES TO DETAIN COVERED PERSONS PURSUANT TO THE
AUTHORIZATION FOR USE OF MILITARY FORCE.
Roxanne Grinage Quality of Life Impacts for Americans Commentary: “Detention under the law of war
without 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                     Services.
optimizes risk of records mismanagement, disallows measurement of individual accountability such that
rampant abuses are likely to threaten survival of America as a populated sovereign nation and certainly
thrust a former world power into the dark ages of despotism.” – respectfully Roxanne Grinage. See Appendix
B.             NDAA               Feinstein             Amendment                 Section.           1031
http://en.wikipedia.org/wiki/National_Defense_Authorization_Act             and          926         pages
http://www.gpo.gov/fdsys/pkg/BILLS-112s1867es/pdf/BILLS-112s1867es.pdf
I UNDERSTAND IF I AM A PROFESSIONAL SERVICE DESIRING REFERRAL OR OUTSOURCE OF HIRELYRICS CLIENTS BY WAY OF
OPTION 2 WITHIN THIS HIRELYRICS FORM OF CONTRACT THAT THIS FORM OF EMPLOYMENT AGREEMENT DOES NOT APPLY
TO ME BUT RATHER ROXANNE GRINAGE IS WAITING FOR ME TO INDICATE MY INTEREST IN RECEIVING HIRELYRICS CLIENT
REFERRALS BY ME SUGGESTING MY FORM OF CONSULTANT AGREEMENT OR ASKING ROXANNE GRINAGE TO PROPOSE
REFERRAL BY WRITTEN CONSULTANT AGREEMENT SO THAT I MIGHT RECEIVE REFERRAL FEES AND REDUCTION OF EXPENSES
WITHIN OPTION 2 WAYS TO PAY HIRELYRICS FORM OF EMPLOYMENT AGREEMENT AS A THIRD PARTY PROFESSIONAL
SERVICES MEMBERS OF A HIRELYRICS ASSEMBLED TEAM OF PROFESSIONAL SUPPORT SERVICES MANAGED BY ROXANNE
GRINAGE.

If I am applying to be authorized as a HireLyrics Client Ways To Pay Option 2 in HireLyrics Form of
Employment Agreement, I swear and affirm that my ability to pay Roxanne Grinage in accordance with
Deferred Compensation Employment Agreement Percentage Share Revenue Split Terms is not subject to the
review or approval of any Board of Directors, Law Firm, Investors, Shareholder Interests or other Corporate
Entity, 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, HireLyrics
Client Authorized Representative, HireLyrics Client Data Sheet and mandatory completed pages signed in
front of a Notary Public, Authorization Release of Information, Revocation Authorization Release of
Information; and Execution Signature Page, indicating that I am expressing my application to Roxanne
Grinage to be authorized accepted as a HireLyrics Client and Roxanne Grinage is obligated to perform
Professional Services on my behalf unless I have made deposit payment if I have chosen Option 1 Pro Se
Document Production as forms and reporting services clearly listed in Option 1 Ways To Pay HireLyrics Form
of Employment Agreement, or Roxanne Grinage has proposed to me marketing initiatives relative to
Marketing Careers ecommerce and Litigation Referral enabled by a HireLyrics Assembled Team or Third
Party Professionals in accordance with percentage share revenue split per each and every transaction as
described and depicted clearly in Option 2 Ways To Pay HireLyrics Form of Employment Agreement. I have
check off below what I want Roxanne Grinage to consider my application to HireLyrics Administrative
Services 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. Roxanne
Grinage can only provide court and claims processes compliant pro se document and exhibit
production that the independent creator, federal crime victim of official corruption fraud civil rights
American victim who becomes a HireLyrics Client within a form of HireLyrics Professional Services
Agreement that the American claimant files on their own behalf pro se. Roxanne Grinage commits to
monitoring court calendar, performing docket analysis and seeking the assistance of respected third
party professional services that could include lawyers and law firms but are more likely to be veteran
experienced legal secretaries, paralegals, lawsuit coordinators, private investigators, retired or off
duty police officers, security firms and any combination of independent creators HireLyrics clients
and collaborators spanning every demographic currently known to HireLyrics Standard Access to
Legal Administrative Assistant Services regardless of who you know or what you have. Or

□      I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, Litigation
Referral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earnings
received from any market where earnings were not received prior to Effective Date of HireLyrics
Form of Employment Agreement.

I am in the process of getting photocopies of mandatory/required identity documents listed in prior
pages 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                     Services.
IN WITNESS WHEREOF, the parties by their OWN HAND authorized representatives have executed this
Employment Agreement as of the Effective Date a total of thirteen pages precede this EXECUTION
SIGNATURE PAGE REQUIRED SIGNED IN PRESENCE OF NOTARY.

HireLyrics Disclosures and Disclaimers, Terms and Conditions including Termination for Cause, Buy Out
Options, Duration, Confidentiality and Privacy Disclosures and Table of Contents are Pages fourteen through
forty-six of HireLyrics Form of Employment Agreement are available for free download and printing at any
time at www.HireLyrics.org/roxannegrinageresume.html. But, only Pages 1 through 13 are mandatory fully
completed, signed and three pages must be signed in presence of notary public.



Signature                                                     Signature


Printed Name                                                  Printed Name


Mailing Address including city state and zip code             Mailing Address including city state and zip code


STATE 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 and
returned by fax and followed up with mailing original ink signed in presence of a notary
with 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 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
                                                     Services.

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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. 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 2. My name is Roxanne Grinage. I am the owner and manager of an eleven plus years Pennsylvania Secretary of State and U.S. Department of Treasury registered invention of business method, HireLyrics Administrative Services, whose practice models demonstrate “The answer to missed educational opportunities, oppressive contracts, un-accountability horror stories, racism, poverty and hate-based ideas festering into terrorism is the responsible development of entities that standardize access and standardize services.” HireLyrics is Born To Serve the previously unmeasured un-accommodated Worldwide 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 not a 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 exhibit production that the independent creator, federal crime victim of official corruption fraud civil rights American victim who becomes a HireLyrics Client within a form of HireLyrics Professional Services Agreement that the American claimant files on their own behalf pro se. Roxanne Grinage commits to monitoring court calendar, performing docket analysis and seeking the assistance of respected third party professional services that could include lawyers and law firms but are more likely to be veteran experienced legal secretaries, paralegals, lawsuit coordinators, private investigators, retired or off duty police officers, security firms and any combination of independent creators HireLyrics clients and collaborators spanning every demographic currently known to HireLyrics Standard Access to Legal 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 3. I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, Litigation Referral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earnings received from any market where earnings were not received prior to Effective Date of HireLyrics Form 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 agency employee or billing contractor in my U.S. Economy enriching original work contributions including my family’s persons, heritage, health, freedoms, education and U.S. economy enriching careers contributions. I believe I am disadvantaged for fairly entering and competing in those market places which would empower me to guard rights of ownership to my civil state and U.S. Constitutional rights to due process so that I might preserve my civil rights to have some say into how my contributions of heritage, health education careers and vested interest consume disseminated transported and billed for throughout industry buyers and consumers of Litigation, Education, Technology, Engineering, Military/Defense, Healthcare, Space Travel, Architecture Engineering and Bioengineering, Science, Addiction Recovery, Community Development, Entertainment, Media, Advertising, Commerce, Mentorship, Environmental Production, 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 4. FEDERAL CRIME VICTIM DISCLOSURE Child’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 SSN Child’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSN Child’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSN For 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 A RESULT OF THE COMMISSION OF A FEDERAL OFFENSE OR AN OFFENSE IN THE DISTRICT OF COLUMBIA. IN THE CASE OF A CRIME VICTIM WHO IS UNDER 18 YEARS OF AGE, INCOMPETENT, INCAPACITATED, OR DECEASED, THE LEGAL GUARDIANS OF THE CRIME VICTIM OR REPRESENTATIVES OF THE CRIME VICTIM’S ESTATE, FAMILY MEMBERS, OR ANY OTHER PERSONS APPOINTED SUITABLE BY THE COURT, MAY ASSUME THE CRIME VICTIM’S RIGHT UNDER THIS CHAPTER, BUT IN NO EVENT SHALL THE DEFENDANT BE NAMED AS SUCH GUARDIAN OR REPRESENTATIVE.” I, certify that I have acted lawfully responsibly and respectfully throughout all corruption poisoned processes and venues and continue to act lawfully as a proud resident of United States, committed to leveraging individual accountability forbidding abuse of immunity language in 1983 Civil Rights Act which is being used by criminally behaving official corruption fraud civil rights assailants to perpetrate felony crimes upon working class student and impoverished families to perpetrate a Child Slaughter U.S. Economy Fraud Court and Education Reform State of Emergency 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 class mail or by certified mail return receipt requested or by priority mail by authorizing Roxanne Grinage, HireLyrics Administrative Services U.S. Citizens (controlled) Public Docket Database or formation pending Federal Crime Victim Voters Safe Haven DHS Abused Runaways as indicated on various Certified Service Distribution Lists managed and published by HireLyrics Administrative Services in satisfaction of my state’s Rules for Service, Civil Rules of Procedure and as Crime Victim Compensation Claimant, Recovery Act Fraud and Waste Whistleblower Transmittal, President Executive Office, United States Attorney General and Special Prosecutors, Legislative Committees, 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 natural persons for whom god saw fit to bless me with and in whom I have a greater vested interest in the heritage health education religious freedoms whereabouts future U.S. economy enriching careers contributions than does any corporate 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 5. Form COL Violation Warning Denial of Rights Under Color of Law Violation Warning—18 U.S.C. §242; 18 U.S.C. §245; 42 U.S.C. §1983 I 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 a citizen under the color-of-law. You can be arrested for this crime and you can also be held personally 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 the deprivation of any rights, privileges, or immunities secured or protected by the Constitution or laws of the United 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 interferes with any person from participating in or enjoying any benefit, service, privilege, program, facility, or activity provided or administered by the United States; [or] applying for or enjoying employment, or any perquisite thereof, by any agency of the United States; shall be fined under this title, or imprisoned not more than one 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, any citizen 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 an action 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 arrest and/or civil damages! Also understand that the law provides that you can be held personally responsible and liable, as well as your company or agency. You are advised to CEASE AND DESIST with your 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 ADMINISTRATIVE ASSISTANTS MANAGED BY ROXANNE GRINAGE TO CERTIFY SERVICE OF THIS NOTICE IN ACCORDANCE WITH EVIDENCE 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 Database caused this Form COL Legal Notice and Warning Violation of Rights Under Color of Law to be served by electronic, facsimile, or first class mail postage prepaid to attached certified service distribution named recipients at their official addresses of public record. Returned Affidavit Proof of Service is Null and Void if not presented with attached Roxanne Grinage HireLyrics Administrative Service verified Certified Service Distribution 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 6. AUTHORIZATION FOR RELEASE OF INFORMATION Medical Records, Department of Health and Human Services, All Registries, Hospital, Healthcare Providers, Social Worker, Case Workers, Police Reports, Detective Case Notes, Investigations and Findings, Attorney Client Files about me and or my family who is shown 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 Address X 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 substance abuse treatment center, than this information must be included in the description).___________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ The purpose of the release of this information is: litigation discovery, crime victim compensation claims processes I 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 WEBSITE CONTACT FORMS WWW.HIRELYRICS.ORG. This authorization remains effective for as long as I am a HireLyrics Administrative Services client for whom Roxanne Grinage provides records management among other legal executive assistant professional services on behalf of me and my family. Signature Printed Name Mailing Address including city state and zip code STATE 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 7. REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATION NOTICE IS HEREBY GIVEN THAT THE BELOW CHECKED AGENCY, ORGANIZATION OR PROFESSIONAL PRACTITIONER MAY HAVE BECOME A CONFLICT OF INTEREST PARTY IN PENDING OR ONGOING LITIGATION. ANY RELEASES SIGNED BY UNDERSIGNED EITHER WILLINGLY OR UNDER DURESS DURING ANY SPAN OF PERIOD OF TIME ARE HEREBY REVOKED. 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 Address X 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 to be released from a federally assisted substance abuse treatment center, than this information must be included in the description).___________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ THE PURPOSE OF THE REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATION: litigation discovery, crime victim compensation claims processes All inquiries pertaining to records about my family’s health, heritage, identity, custody, finances, healthcare, etc. are to be directed to the Legal Administration Services Assistant service we have hired for this purpose. I 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 WEBSITE CONTACT FORMS WWW.HIRELYRICS.ORG. This authorization and/or revocation of authorization for release of information remains effective for as long as I am a HireLyrics Administrative Services client for whom Roxanne Grinage provides records management among other legal executive assistant professional services on behalf of me and my family. Signature Printed Name Mailing Address including city state and zip code STATE 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 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 on this Client Data Sheet. Write Your Full Name the way it appears on your Birth Certificate Write your name exactly as it appears on your social security card Write 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. Card Write 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 Labor Union 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 cards or 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 and claim rights to your HireLyrics Client Account that you don’t want them to have according to your state’s laws. Your written Affidavit of Truth stating date you and your spouse union is dissolved is acceptable testimony. 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 what age was taken against your will by a State Court with the participation of a State Agency or one or any combination of State Agency contractors, Hospital, Nursing Home, Foster Home, Group Home, etc., if you have discussed with Roxanne Grinage. A List of Hospitals and Doctors where you know records exist that prove your children disabled or elderly loved ones were over medicated, neglected, abused or otherwise injured by malpractice neglect or records mis-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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 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 and your grandparents on your father’s side full name. State Treasurers Unclaimed Property claims rules require you prove relationship to claim unclaimed property of a relative who does not have a surviving spouse. See http://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 HIRELYRICS ADMINISTRATIVE SERVICES STAFF MEMBER ABOUT MY HIRELYRICS CLIENT ACCOUNT ON MY BEHALF IN THE EVENT I AM UNABLE OR UNAVAILABLE TO SPEAK FOR MYSELF. Authorized Representative Full Name. Address including town, city, State and zip code Every 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 with Roxanne Grinage or HireLyrics staff regarding your HireLyrics Administrative Services Account? Long time friend, heir or next of kin, served in military together or had some other shared life experience which birthed camaraderie. 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 10. AGREEMENT IS MADE THIS DAY BETWEEN I, (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 and agree. and/or [One or Two People with the same purpose can enter into this HireLyrics Form of Employment Agreement I, (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 and agree). and Roxanne Grinage dba HireLyrics Administrative Services having a U.S. Postal Service Business registered Post Office Box 22225, Philadelphia Pa 19136; Pennsylvania Department of State Corporation Bureau assigned 04/27/2001 Business Entity Filing Number 3002198 Microfilm Number: 2001033 and a U.S. Department of Treasury Internal Revenue Service 07/18/2000 assigned FEIN Tax I.D. Number shown on statements and invoices; and Roxanne Grinage and HireLyrics.org dba U.S. Citizens Public Docket Database having a Pennsylvania Department of State Corporation Bureau assigned 02/16/2010 Business Entity Filing Number 3935315, and HireLyrics™ having a Commonwealth of Pennsylvania Department of Revenue Bureau of Business Trust Fund Taxes Registration Division assigned 03/02/2004 Business Tax Acct I.D.: shown on sales receipts and Certificate of Registration Wholesaler Certificate posted where event and convention bulk order promotional items are produced and shipped; and Roxanne Grinage Manager of HireLyrics having earned Pennsylvania Department of General Services Bureau of Minority and Women Business Enterprise assigned 08/26/2005 Certificate No. 070831Hirelyrics Pennsylvania Department of General Services, Minority Women Business Enterprise Certified Expert 2003- 2007 for “presenting documentation” that HireLyrics is “providing products and/or services” in nine administrative support practice areas: PADGS Code 96159 Legal Services: Evidence Gathering, Depositions and 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 Code 91725 Image Consulting; and Roxanne Grinage was FBI approved (now expired) Top Security Clearance while working for Honeywell Information Systems McLean, Virginia, and Roxanne Grinage’s Internal Revenue Service 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 relationship hereafter referred to as HireLyrics Form of Employment Agreement Option 1 Pro Se Document Production or Option 2 Includes Pro Se Document Production plus Marketing Careers ecommerce 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 11. 75/25/10 per transaction complies with U.S. states statutes and Internal Revenue Service Business Registration and Tax Reporting Laws and is a further demonstration of Wharton Small Business Administration 2001 nominated Philadelphia 100, HireLyrics invention in business method practice model simultaneously coordinated four divisions: Marketing Careers Label Stores, five departments: Overview & Rationale (The Gate Keeper), Client Accounts (HireLyrics Gear Package), Claims Intake (HireLyrics Evidence Package), Tax Prep & Tax Amendments, and Operations (Security Facilities Personnel Equipment Event Technology). HireLyrics Form of Employment Agreement Option 1 Pro Se Document Production or Option 2 Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation Referral HireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction is an administrative solutions 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 population of claimants whose 1,078 and growing Federal Crime Victims are verified by Roxanne Grinage’s performance of legal administrative claims intake assessment identify similarly situated classes of claims, spanning every profession, 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 2 Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation Referral HireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction COMPLIES WITH NEW 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 will affect 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 federal lawsuits commenced on or after that date. Congress addressed several areas of statutory confusion and disagreement among various courts. The Act makes a variety of other changes to supplemental jurisdiction involving unrelated state claims, suits between aliens, and residency of non-resident aliens and foreign corporations for venue purposes. Judges, federal practitioners and students of civil procedure will also note the law’s reorganization of the jurisdictional statutes found in Title 28 of the U.S. Code, which have been graciously simplified for clarity. See Appendix A. (2) The National Defense Authorization Act for Fiscal Year 2012 as reported to senate including Feinstein Amendment Section. 1031. (U.S. Citizens can be imprisoned without trial) ─ An original bill to authorize appropriations for fiscal year 2012 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes, as introduced and AFFIRMATION OF AUTHORITY OF THE ARMED FORCES OF THE UNITED STATES TO DETAIN COVERED PERSONS PURSUANT TO THE AUTHORIZATION FOR USE OF MILITARY FORCE. Roxanne Grinage Quality of Life Impacts for Americans Commentary: “Detention under the law of war without 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 12. optimizes risk of records mismanagement, disallows measurement of individual accountability such that rampant abuses are likely to threaten survival of America as a populated sovereign nation and certainly thrust a former world power into the dark ages of despotism.” – respectfully Roxanne Grinage. See Appendix B. NDAA Feinstein Amendment Section. 1031 http://en.wikipedia.org/wiki/National_Defense_Authorization_Act and 926 pages http://www.gpo.gov/fdsys/pkg/BILLS-112s1867es/pdf/BILLS-112s1867es.pdf I UNDERSTAND IF I AM A PROFESSIONAL SERVICE DESIRING REFERRAL OR OUTSOURCE OF HIRELYRICS CLIENTS BY WAY OF OPTION 2 WITHIN THIS HIRELYRICS FORM OF CONTRACT THAT THIS FORM OF EMPLOYMENT AGREEMENT DOES NOT APPLY TO ME BUT RATHER ROXANNE GRINAGE IS WAITING FOR ME TO INDICATE MY INTEREST IN RECEIVING HIRELYRICS CLIENT REFERRALS BY ME SUGGESTING MY FORM OF CONSULTANT AGREEMENT OR ASKING ROXANNE GRINAGE TO PROPOSE REFERRAL BY WRITTEN CONSULTANT AGREEMENT SO THAT I MIGHT RECEIVE REFERRAL FEES AND REDUCTION OF EXPENSES WITHIN OPTION 2 WAYS TO PAY HIRELYRICS FORM OF EMPLOYMENT AGREEMENT AS A THIRD PARTY PROFESSIONAL SERVICES MEMBERS OF A HIRELYRICS ASSEMBLED TEAM OF PROFESSIONAL SUPPORT SERVICES MANAGED BY ROXANNE GRINAGE. If I am applying to be authorized as a HireLyrics Client Ways To Pay Option 2 in HireLyrics Form of Employment Agreement, I swear and affirm that my ability to pay Roxanne Grinage in accordance with Deferred Compensation Employment Agreement Percentage Share Revenue Split Terms is not subject to the review or approval of any Board of Directors, Law Firm, Investors, Shareholder Interests or other Corporate Entity, 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, HireLyrics Client Authorized Representative, HireLyrics Client Data Sheet and mandatory completed pages signed in front of a Notary Public, Authorization Release of Information, Revocation Authorization Release of Information; and Execution Signature Page, indicating that I am expressing my application to Roxanne Grinage to be authorized accepted as a HireLyrics Client and Roxanne Grinage is obligated to perform Professional Services on my behalf unless I have made deposit payment if I have chosen Option 1 Pro Se Document Production as forms and reporting services clearly listed in Option 1 Ways To Pay HireLyrics Form of Employment Agreement, or Roxanne Grinage has proposed to me marketing initiatives relative to Marketing Careers ecommerce and Litigation Referral enabled by a HireLyrics Assembled Team or Third Party Professionals in accordance with percentage share revenue split per each and every transaction as described and depicted clearly in Option 2 Ways To Pay HireLyrics Form of Employment Agreement. I have check off below what I want Roxanne Grinage to consider my application to HireLyrics Administrative Services 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. Roxanne Grinage can only provide court and claims processes compliant pro se document and exhibit production that the independent creator, federal crime victim of official corruption fraud civil rights American victim who becomes a HireLyrics Client within a form of HireLyrics Professional Services Agreement that the American claimant files on their own behalf pro se. Roxanne Grinage commits to monitoring court calendar, performing docket analysis and seeking the assistance of respected third party professional services that could include lawyers and law firms but are more likely to be veteran experienced legal secretaries, paralegals, lawsuit coordinators, private investigators, retired or off duty police officers, security firms and any combination of independent creators HireLyrics clients and collaborators spanning every demographic currently known to HireLyrics Standard Access to Legal Administrative Assistant Services regardless of who you know or what you have. Or □ I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, Litigation Referral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earnings received from any market where earnings were not received prior to Effective Date of HireLyrics Form of Employment Agreement. I am in the process of getting photocopies of mandatory/required identity documents listed in prior pages 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.
  • 13. IN WITNESS WHEREOF, the parties by their OWN HAND authorized representatives have executed this Employment Agreement as of the Effective Date a total of thirteen pages precede this EXECUTION SIGNATURE PAGE REQUIRED SIGNED IN PRESENCE OF NOTARY. HireLyrics Disclosures and Disclaimers, Terms and Conditions including Termination for Cause, Buy Out Options, Duration, Confidentiality and Privacy Disclosures and Table of Contents are Pages fourteen through forty-six of HireLyrics Form of Employment Agreement are available for free download and printing at any time at www.HireLyrics.org/roxannegrinageresume.html. But, only Pages 1 through 13 are mandatory fully completed, signed and three pages must be signed in presence of notary public. Signature Signature Printed Name Printed Name Mailing Address including city state and zip code Mailing Address including city state and zip code STATE 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 and returned by fax and followed up with mailing original ink signed in presence of a notary with 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 pages Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional Services.