No. ------.

BOOTH IN T. ------- N., R. -------, -------, 1893.

I, -------- of --------, desiring to enter upon the Cherokee Outlet for
the purpose of filing a soldier’s declaratory statement under sections
2304 and 2309, United States Revised Statutes, as agent of --------, do
hereby declare that I have no interest or authority in the matter,
present or prospective, beyond the filing of such declaratory statement
as the true and lawful attorney of the said -------- as provided by said
sections 2304 and 2309.

-------- ----------.

I certify that the foregoing declaration was made and subscribed before
me this ----- day of --------, 1893.

-------- ----------, Officer in Charge.

D.

  CERTIFICATE THAT MUST BE HELD BY PARTY DESIRING TO OCCUPY OR TO ENTER
  UPON THE LANDS OPENED TO SETTLEMENT BY THE PRESIDENT’S PROCLAMATION OF
  AUGUST 19, 1893, FOR THE PURPOSE OF MAKING A HOMESTEAD ENTRY OR FILING
  A SOLDIER’S DECLARATORY STATEMENT.

No. -----.

BOOTH IN T. ------- N., R. -------, -------, 1893.

This certifies that -------- has this day made the declaration before me
required by the President’s proclamation of August 19, 1893, and he is
therefore permitted to go in upon the lands opened to settlement by said
proclamation at the time named therein for the purpose of making a
homestead entry or filing a soldier’s declaratory statement.

It is agreed and understood that this certificate will not prevent the district land officers from passing upon the holder’s qualifications to enter or file for any of said lands at the proper time and in the usual manner, and that the holder will be required when he makes his homestead affidavit, or, if a soldier or a soldier’s agent, when he files a declaratory statement at the district office, to allege under oath before the officer taking such homestead affidavit or to whom said declaratory statement is presented for filing that all of the statements contained in the declaration made by him, upon which this certificate is based, are true in every particular.

-------- ----------, Officer in Charge.

  This certificate is not transferable.  The holder will display the
  certificate, if demanded, after locating on claim.

E.

  DECLARATION REQUIRED BY PRESIDENT’S PROCLAMATION OF AUGUST 19, 1893,
  PREPARATORY TO OCCUPYING OR ENTERING UPON THE LANDS OF THE CHEROKEE
  OUTLET FOR THE PURPOSE OF SETTLING UPON A TOWN LOT.

  No. ——.

  BOOTH IN T. ——­N., R. ——­,——­, 1893.