PRIVACY ACT REQUEST FOR AMENDMENT & EXPUNGEMENT
OF DOCUMENTS (Surveillance by IRS g)
TO: Disclosure Officer From____________________ ________________________ _________________________ ________________________ _________________________ Date: ________________
Dear Public Servant:
This is a request under the Privacy Act, 5 US 552a, sub-paragraph (d) (2) for amendment and expungement of records. I hereby request that you expunge from your files any documents or records which classified me as a tax protester or any political appellation, or pertain to my attending any political meeting or participating in any protest or political activities, etc.
I request that you expunge from your records each and every document pertaining to how I exercise my rights as guaranteed by the First Amendment of the US Constitutuion, especially as set forth in the Privacy Act (e) (7).
I also request that you expunge from all of your files any records which do not fit the criteria as set forth in the Privacy Act (e) (1): “only such information about an individual as is relevant and necessary to accomplish a purpose of an agency required to be accomplished by stature:. Or, which do not meet the statutory requirements of the Privacy Act (e) (5) which states: “all records which are used by the agency in making any determination about any individual with such accuracy, relevance, timeliness and completeness as is reasoned necessary to assure fairness to the individual”.
In particular, I request that you expunge from your files and databases the documents and material below-listed because they do not meet the mandatory requirements of the Privacy Act:
Please send me your accounting or listing of disclosures of above-listed documents or any other records pertaining to me, including the nature and purpose of each disclosure, the individual and the date to whom they were sent, as required by the Privacy Act (c ) (1).
Under the PA (d) (2), please send me a copy of your guidelines and regulations pertaining to how a citizen might have his records amended and corrected.
Date: ________________________ For Freedom, ___________________