AFFIDAVIT.

LAND OFFICE AT --------, --------, 1893.

I, ----, of ----, applying to enter (or file for) a homestead, do
solemnly swear that I did not enter upon and occupy any portion of
the lands described and declared open to entry in the President's
proclamation dated August 19, 1893, prior to 12 o'clock noon of
September 16, 1893; also that all of the statements contained in a
certain declaration made by me as foundation for obtaining permission
to enter upon the Cherokee Outlet in pursuance of requirements of the
President's proclamation opening said outlet to settlement are true
in every particular.

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

Sworn to and subscribed before me this ---- day of ----, 189--.

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

NOTE.--This affidavit must be made before the register or receiver of
the proper district land office or before some officer authorized to
administer oaths and using a seal.



BY THE PRESIDENT OF THE UNITED STATES OF AMERICA.