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 he represents himself to be, and that I have no interest in this claim.

J. P.

FORM OF A DECLARATION

To be made where the party has had a warrant and desires another.

On this

day of

and

A. D. one thousand eight hundred 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,

years, a resident of

in the State of

aged

who, being duly sworn according to law, declares that he is the identical in the company commanded by Captain

-regiment of

commanded by

who was a in the 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.

for

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 day of March, 1855. He also declares that he has never applied for nor received, under this or any other act of Congress, 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 written; and I certify that I know the affiants 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.

FORM OF DECLARATION

To be made by the widow of a deceased person who has not had a land warrant.

On this

day of

and

A. D. one thousand eight hundred 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

who, being

duly sworn according to law, declares that she is the widow of

Captain

manded by

in the company commanded by regiment of

com

in the
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;) that her said husband enlisted (or volunteered, or was drafted) at

on or about the day of

—, A. and continued in actual service in and was honorably discharged at A. D.

-day of

She further states that she was married to the said

that her said husband died at

on the

day of A. D. 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.)

and

residents of

in the State

We, 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 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.

J. P.

NOTE. The preceding forms may be used for applications for minors, mutatis mutandis.

FORM OF DECLARATION

To be made by the widow of a deceased person who has had a land warrant, and desires another.

STATE OF

County of
On this

and

day of

A. D. one thousand eight hundred -, personally appeared before me, a justice of the peace,

*The notes to the preceding declaration are also applicable to this. In some cases it will, perhaps, be impossible for the widow to state the facts in relation to her husband's services with the particularity as to dates, &c., indicated by the above form. In such case she must state such facts as she can.

(or other officer authorized to administer oaths for general purposes,) within and for the county and State aforesaid,

aged

—, who, being

duly sworn according to law, declares that she is the widow of deceased, who was a

Captain

by

in the company commanded by regiment of

commanded

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,) that her said husband enlisted (or volunteered, or was drafted) at

for the term of

the term of

day of

of

on or about the A. D. and continued in actual service in said war for and was honorably discharged at

A. D.

She further states, that she was married to the said

on the

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

on the

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 act, as the case may be,) and obtained a land warrant for No.

acres,

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 except as above mentioned.

the State of · -, upon our oaths declare that the foregoing declaration was signed and acknowledged by. presence, and that we believe, from the appearance and statements of the applicant, 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 sub

scribed 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.

6

J. P.