This form is a beauty. It is useful for virtually anyone asking for your SSN. It is very powerful. It puts the recipient on Notice that they are in violation of the law and can be held liable for damages.

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Here is the text from the form:

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 can also be held personally liable for civil damages.

Federal Law, Section 7 of Public Law 93-579 provides that: It shall be unlawful for any Federal, State or local government agency to deny to any individual any right, benefit, or privilege provided by law because of such individual's refusal to disclose his social security account number. Federal courts have ruled the
Privacy Act applies equally to the private sector.

Warning, you are in violation of Federal Law and persisting with your demand may lead to your arrest and/or civil damages! The law provides that you can be held personally responsible and liable, as well as your company or agency.

There is no law requiring an individual to obtain or use a social security number. Your requirement and/or demand that I provide a social security number to you is a violation of one or more of the following laws: 4 CFR 83.9; 5 USC Sec. 552a; 7 C.F.R. 1.123; 7 USC Sec. 2204g; 14 C.F.R. 1212.604; 17 C.F.R. 249.501a; 19
C.F.R. 118.11; 19 C.F.R. 122.25; 19 C.F.R. 24.5; 24 C.F.R. 5.212; 28 C.F.R. 16.53; 28 CFR 513.31; 28 C.F.R. 700.25; 29 C.F.R. 70a.10; 29 C.F.R. 71.12; 31 C.F.R. 1.32; 31 CFR 501.806; 32 C.F.R. 270.19; 32 C.F.R. 310.20; 32 C.F.R. 311.5; 32 C.F.R. 316.6; 32 CFR 317.20; 32 C.F.R. 323.5; 32 C.F.R. 505.2; 32 C.F.R. 701.108; 32 C.F.R. 806b.9; 38 CFR 1.575; 38 C.F.R. 3.216; 38 USC Sec. 5101; 39 C.F.R. 266.4; 45 C.F.R. Part 801; 47 C.F.R. 0.554; 49 C.F.R. 10.29.

You are advised to cease and desist with your demand and to seek personal legal counsel if you do not understand the law.