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and personally appeared before me, a Justice of the Peace For other officer authorized to administer oaths for general purposes], within and for the county and State aforesaid, aged Gears, 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 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]; that her husband enlisted [or volunteered, or was drafted at on or about the day of, A. D. for the term and continued in actual service in said war for the term and was honorably discharged at- on the She further states that she was married

of

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of

A. D.

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day of

A. D.

said marriage was

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A. D and that her name before her that her said husband died at

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for proof of which she refers to

the her former declaration; and that she is now a widow. She further declares that she has heretofore made application for bounty land, under the "act approved September, 28, 1850 [or other acı as the case may be], and obtained a land warrant for acres,

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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.]

- and

residents of

in the State of

We, -, 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 certify 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.

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

[J. P.]

It is not necessary that proot of marriage and death should

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

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

Form of Assignment.-No. 1.

For value received, I, to whom the within warrant, No was issued, do hereby sell and assign unto —, of 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-.

Attest: [Two Witnesses.]

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day of

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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.

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personally came ——, ånd

and the said being well

known to me as a credible and disinterested person, was duly sworn 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 [or 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 sture. |

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

his heirs and assigns forever, the said certificate of location, and the warrant and land therein described, and authorize him to receive the patent therefor.

Witness my hand and seal, this

Attest: [Two Witnesses.]

day of

18-.

[L. 8.]

Form of Acknowledgment where the Vendor is Personally known to the Officer taking the same.

STATE OF

88.

day of

in the year

personally ap

County ofOn this peared [here insert the name of the person to whom the certificate of location issued, to me well known, and acknowledged the foregoing assignment to be his act and deed; and I certify that the said [here insert the name of the person to whom the certificate issued] is the identical person to whom the within certificate of location issued, and who executed the forgoing assignment thereof. [Officer's Signature.]

By the terms of the law granting bounty lands, the fees are as follows:

For a forty-acre warrant, fifty cents each to a register and receiver-total, $1.00.

For an eighty-acre warrant, one dollar each to register and receiver-total, $2.00.

For a one hundred and sixty acre warrant, two dollars each to register and receiver-total, $4.00.

Form of a Power of Attorney.

and State of

do

Know all men by these presents, that I [here insert the name of warrantee], of the county of nereby constitute and appoint

of- --, my true and law

for

ful attorney, for me, and in my name, to sell and convey [or locate, as the case may be] the within land warrant, No. acres of land, which issued under the act of September,

1850.

Signed in presence of [Witnesses.]

STATE OF
County of

On this peared

88.

[Warrantee's Signature.]

day of, in the year 18-, personally ap before the undersigned authority within and for

said county and acknowledged the foregoing power of attorney to be his act and deed; and I certify that I am acquainted with the said -, and know him to be the same person who is described in said power, and who executed the same.

[Officer's Signature.]

[Here must follow the certificate of the clerk, under seal, as i other cases.

Pensions in States heretofore in Insurrection.

By an Act approved February 4, 1862, the names of all persons living in the States dcciared in insurrection were dropped from the pension rolls. Persons heretofore receiving pensions in those States, who still claim the benefits of the pension laws, must make application for restoration to the rolls, with the requisite evidence in accordance with the following forms and instructions:

Form of application for restoration to the pension rolls by persons whose names have been dropped under the act February four, eighteen hundred and sixty-two.

STATE OF
County of

On this

88:

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A. B.

day A. D. one thousand eight hundred and personally appeared before me, [judge, clerk, or deputy clerk,] of the court in said State and county, the sam being a court of record, aged - years, a resi tent of —, in the State of who, being dnly sworn accor ling to law, declares that he [or she is the identical A. B. who was a pensioner on the roll of the agency at and whose

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pension certificate is herewith returned; that he [or she] has resided since the first day of January, A. D. eighteen hundred and sixty-one, as follows: [here name the place or places at which the applicant has resided;] that during this period, his [or her] means of subsistence have been [here name the employment or other means by which a livelihood has been gained;] and that he has not borne arms against the Government of the United States, or [or she has not] in any manner encouraged the rebels, or manifested a sympathy with their cause; and that he [or she] was last paid his [or her] pension on the day of, A. D., 18-.

This application is made for the purpose of securing a restora

tion of his or her] name to the pension rolls, and of obtaining a new pension certificate, such as he [or she] may be entitled to under existing laws, reference being made to the evidence heretofore filed in the Pension Office to substantiate his [or her ›riginal claim.

[Signature of applicant.] - residents of,

and

Also personally appeared [county, city, or town.] persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw sign his [or her] name [or make his mark] to the foregoing declaration; and they further swear that they have every reason to believe, from the appearance of the applicant and their acquaintance with him, [or her,] that he [or she] is the identical person he [or she] represents himself [or herself to be; and they further swear that they have no in terest in the prosecution of this claim.

[Signatures of witnesses.]

--

day of

Sworn to and subscribed before me, this A. D. 18-; and I hereby certify that I have no interest, direct or indirect, in the prosecution of this claim.

INSTRUCTIONS.

If the declarant, or any witness, signs by mark, the officer must certify that the contents of the paper were made known to the affiant before signing.

In every case the declaration or affidavit must either be signed by the affiant's own hand or else by mark (). Signing by another hand, when the party is unable to write, is wholly inadmissible.

The allegations made in the applicant's declaration must ue sustained by the testimony of two credible and disinterested witnesses, to be certified as such by the officer before whom th testimony is taken.

The applicant must also take and subscribe the oath prescribed in the recent amnesty proclamation of the President of the United States, filing such oath with the application for a new pension certificate, in the following terms:

I, do solemnly swear [or affirm] in the presence of Almighty God, that I will henceforth faithfully support, protect and defend the Constitution of the United States and the Union

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