upon a quantity of land agricultural in character and not mineral which
with the tracts now desired would make more than 320 acres; that I am
not the owner in fee simple of 160 acres of land in any State or
Territory; that I have not entered upon or occupied, nor will I enter
upon or occupy, the lands to be opened to settlement by the President's
proclamation of August 19, 1893, in violation of said proclamation; that
I intend to file a soldier's declaratory statement upon said lands,
which location will be made for my exclusive use and benefit, for the
purpose of my actual settlement and cultivation, and not, either
directly or indirectly, for the use and benefit of any other person.

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

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

-------- ----------, _Officer in Charge_.


* NOTE.--If the party has made an entry or filing since March 2, 1889,
to which he is unable to perfect title because of a valid adverse claim
or other invalidity existing at the date of its inception, strike out
the words "filed a declaratory statement under sections 2304 and 2309 of
the Revised Statutes, or made or" and insert in the blank space _that
I have made an entry or filing since March 2, 1889, but have failed or
am unable to perfect title to the land covered thereby because of a
valid adverse claim or other invalidity existing at the date of its
inception_.