Imágenes de páginas
PDF
EPUB

88.

In testimory whereof J have hereunto signed my name (1...) and affixed my offical seal, this

day of 184.

Clerk.

I. Form of Declaration to be made by a Person who has

never before had a Land Warrant nor made a Declaration

therefor. STATE OF County of

On this day of ---, A. D. one thousand eight bundred and

personally appeared before me, a Justice of the Peace (or other officer authorized to administer oaths for general purposes), within and for the county and State aforesaid, agedyears, a resident of

in the State of who, being duly sworn according to law, declares that he is the identical wlio was a ---- in the company commanded by Captain the regiinent, commanded by —, in the war with Great Britain, declared by the United States, on the 18th day of June, 1812 (or other war embraced in said act, describing what war]; that he enlisted (or volunteered or was drafted), at about the day of —, A. D. for the term of and continued in actual service in said war for the term of four. teen days, and was honorably discharged at day of -, A. D.

ile makes this declaration for the purpose of obtaining the bounty land to which he may be entitled under the act approved March 3, 1855. He also declares that he has not riiuvui a warrant for bounty land under this or any other act of Coagress, nor made any other application therefor.

[Claimant: Signature.)

-, in

on or

on the

Ve,

[ocr errors]

and residents of in the State of

; upon cur oaths declare that the foregoing declaration was signed and acknowledged by -, in our presence, and that we believe, from the appearance and statements of the applicant, that he is the identical person he represents himself to be.

[Signatures of Witnesses.] The foregoing declaration and affidavit were sworn to and Bubscribed before me, on the day and year above written; and I certify that I know the affiants to be credible persons, that the claimant is the person be represents himself to he, and that I hyve no interest in kis claim.

(J. P.]

88.

who was

for

II. Form of a Declaration to be made where the Party has had

a Warrant and desires another. STATE OF County of

On this day of —, A. D. one thousand eight hundred and personally appeared before me a Justice of the Peaco (or other officer authorized to administer oaths for general purposes), within and for the county aforesaid, aged

years, a resident of —, in the State of, who, being by me duly sworn according to law, declares that he is the identical a - in the company commanded by Captain in the regiment of commanded by in the war with Great Britain, declared by the United States on the 18th day of June, 1812 [or other war as the case may be), for the term of and continued in actual service in said war for fourteen days; that he has heretofore made application for bounty land, under the

act of September 28, 1850" [or other act, as the case may be), and received a land warrant, No.

acres, which he has since legally disposed of, and cannot now return.

He makes this declaration for the purpose of obtaining the additional bounty land to which he may be entitled under the “act approved the 3d duy of March, 1855.” He also declares that he has never applied for nor received under this act nor any other act of Congreso, any bounty land warrant, except the one above mentioned.

[Signature of the Claimant.] We, - and --, residents of —-, in the State of upon our oaths declare that the foregoing declaration was signed and acknowledged by - in our presence, and that we believe, from the appearance and statements of the applicant, that he is the identical person he represents himself to be.

[Signatures of Witnesses.) The foregoing declaration and affidavit were sworn to and subscribed before me on the day and year above mentioned ; and I certify that I know the afliants to be credible persons; that the claimant is the person he represents himself to be, and that I have no interest in this claim.

(J. P.) III. Form of Declaration to be made by the Widow of a De

ceased Person who has not had a Land Warrant. STATE OF County of On this day of

A. D. one thousand eight hundred

38.

[ocr errors]

on the

[ocr errors]
[ocr errors]
[ocr errors]

9

and personally appeared before me, a Justice of the Peach [or other officer authorizeil to administer oaths for general purposes), within and for the county and State aforesaid, -, aged years, a resident of in the State of who, being duly sworn according to law, declares that she is the widow of deceased, who was a in the company commanded by Captain

in the regiment of commanded by in the war with Great Britain, declared by the United States, un the 18th day of June, 1812 or other war, as the case may be); that her said husband enlisted (or volunteered, or was drafted) at on or about the day of — A. D. for the term of

and continued in actual service in said war for the term of and was honorably discharged at

day of A. D.

She further states that she was married to the said

in
on the
day of

A. D. by one —

and that her name before her said mar. riage was ; that her said husband died at

on the the day of

and that she is now a widow. She makes this declaration for the purpose of obtaining the bounty land to which she may be entitled under the “act approved March 3, 1855;" and she further declares that she has not received or applied for bounty land under this or any other act of Congress.

[Claimant's Signature.] We, and residents of in the State of ---, upon our oaths declare that the foregoing declaration was signed and acknowledged by in our presence, and that we believe, from the appearance and statements of the applicant, tis:t she is the identical person she represents herself to be.

(Signatures of War esses.] The foregoing declaration and affidavit were sworn t and subscribed before me, on the day and year above writteu; and I certify that I know the affiants to be credible persons: that the claimant is the person she represents herself to be, sud that I have no interest in this claim

J. P.] [Add certificate of clerk, under seal, as in other cases.]

IV. Form of Declaration to he made by the Widow of . De

ceased Persin who has had a Land Warrant, and desires &!iother. STATE OF (Younty of

} On his day of --A D. one thousand eight andred

ID

of

[ocr errors]

on the

day of

[ocr errors]
[ocr errors]
[ocr errors]

OL

and -- -, personally appeared before me, a Justice of the Peace or other officer authorized to administer oaths for general purposes), within and for the county and State aforesaid, —- aged jears, a resident of in the State of who being cluly sworn according to law, declares that she is the widow of deceased, who was a in the company commanded by Captain in the

regiment of

commanded by the war with Great Britain, declared by the United States, on the 18th day of June, 1812 for other war, as the case may be); that her husband enlisted for volunteered, or was drafted at on or about the day of -, A. D.

for the term of and continued in actual service in said war for the term and was honorably discharged at

-, on the

day of A. D. She further states that she was married to the said in

-, A. D by one

and that her name before her said marriage was that her said husband died at the day of

A. D. for proof of which she refers to her former declaration; and that she is now a widow. She fur. ther declares that she has heretofore made application for bounty land, under the “ act approved September, 28, 1850 (or other aci as the case muy be), and obtained a land warrant for acres, No.

which she has legally disposed of and it can not now be returned.

She makes this declaration for the purpose of obtaining the bounty land to which she may be entitled under the “act approved March 3, 1855."

(Claimant's Signature.] We, - and residents of in the State of —, upon our oaths declare that the foregoing declaration was signed and acknowledged by

---, in our presence; and that we believe, from the appearance and statement of the applicants, that she is the identical person she represents herself to be, and is still a widow.

Signatures of Witnesses. The foregoing declaration and affidavit were sworn to and subscribed before me on the day and year above written; and I Zertify that I know the affiants to be credible persons, that the claimant is the person she represents herself to be, and is still a widow; and that I have no interest in this claim.

[J. P.)

[Attach clerk's certificate and seal in the usual form.]

It is not necessary that proof of marriage and death should

accompany the foregoing declaration: the only additional proot required being continued widowhood.

FORMS AND REGULATIONS FOR THE ASSIGNMENT OF LAND WARRANTS AND LOCATIONS.

Form of Assignment.-No. 1. Fur value received, I - to whom the within warrant, No

was issued, do hereby sell and assign unto and his heirs and assigns forever, the said warrant, and author ize him to locate the same, and receive a patent therefor. Wit ness my hand and seal, this day of — A. D. 18–

[ocr errors]

Attest: [Two Witnesses.]

}

88.

STATE OF
County of
On this

day of in the year eighteen hundred and -, before me personally came to me well known, and acknowledged the foregoing assignment to be his act and deed, and I certify that the said is the identical person to whom the within warrant issued, and who executed the foregoing assignment thereof.

[Officer's Signature.] Acknowledgment where the Vendor is not known to the

Officer, and his Identity has to be proved.
STATE OF
County of
On this day of

before me personally came and and the said being well known to me as a credible and disinterested person, was duly aworn by me, and on his oath declared and said that he well knows the said

and that he is the same person to whom the within warrant issued for was assigned}, and who executed the foregoing assignment, and his testimony being satisfactory evidence to me of that fact, the said therefore acknowledged the said assignment to be his act and deed.

[ Officer's Sign uture. I

88,

in the year

Form for the Assignment of the Location. -No. 2. For value received, I, to whom the within certificate of location was issued, do hereby sell and assign unto and to

« AnteriorContinuar »