THE EMIGRANT'S HAND-BOOK. 355 



der the provisions of this act, such person shall in the first case, within 

 three months after the pasage of the same, and in the last within thirty 

 days next after the date of such settlement, file with the register of the 

 proper district a written statement describing the land settled upon, and 

 declaring the intention of such person to claim the same under the 

 provisions of this act ; and shall, where such settlement is already made, 

 within twelve months after the passage of this act, and where it shall 

 hereafter be made, within the same period after the date of such set- 

 tlement, make the proof affidavit, and payment herein required ; and 

 if he or she shall fail to file such written statement as aforesaid, or shall 

 fail to make such affidavit, proof, and payment, within the twelve 

 months aforesaid, the tract of land so settled and improved shall be 

 subject to the entry of any purchaser. 

 Approved, September 4, 1841. 



FORMS FOR BUSINESS AT THE LAND OFFICES. 



AFFIDAVIT REQUIRED OF PRE-EMPTION CLAIMANTS. 



FORM A. 



I A. B, claiming the right of pre-emption under the provisions of 

 k he act of Congress, entitled " An act to appropriate the proceeds of 

 the sale of the public lands, and to grant pre-emption rights," approved 

 September 4, 1841, to the quarter of section number , 



of township number , of range number , 



subject to sale at , do solemnly swear, [or affirm, as the 



case may be,] that I have never had the benefit of any right of pre- 

 emption under this act ; that I am not the owner of three hundred and 

 twenty acres of land in any State or Territory of the United States, 

 nor have I settled upon and improved said land to sell the same on 

 speculation, but in good faith to appropriate it to my own exclusive use 

 or benefit ; and that I have not, directly or indirectly, made any agree- 

 ment or contract, in any way or manner, with any person or persons 

 whatsoever, by which the title which I may acquire from the Govern- 

 ment of the United States should enure, in whole or in part, to the 

 benefit of any person except myself 



(Signed) A B. 



I, C. D., register [or E. F., receiver] of the land office at , do 



hereby certify, that the above affidavit was taken and subscribed before 

 me, this day of , A. D. 184 . 



(Signed) C. D., Register. 



Or, E. F. Receiver 



