The correct answer to this open question is the following.
Although you did not specify what you need, we assume you need to write something like the ideas that appear in the Declaration of Independence, with the information attached. If that is the case, then, you can include the following.
Give Me Liberty Name: John Smith. (Your real name).
Grievances: from this list: Unfair taxes and not able to vote for government leaders.
Declaration.
This is the moment to stop, stand, and deliver. No more injustices. Liberty and equity for all.
No more unfair taxes that we are not able to pay. From now on, we, our people, are going to decide with justice the number of taxes to be paid and the proper amount of money. The money collected through taxation will be used for the benefit of the community not for the personal benefit of the ruler.
From now on, we have the right to decide about the kind of government we like and to vote in free elections to decide who our representatives will be. No more imposition from the British crown.
