Form No. 2 | Form H.
AFFIDAVIT by an Agent in support of Claim for Homestead Entry on behalf of a person who has not previously Settled on the Land.
| I ____________________________________________________ ,do solemnly ________________ that __________________________________ of __________________________________________ for whom I am acting as Agent, is over eighteen years of age ; that to the best of my knowledge and belief the land in respect of which the application is made is of the class open for homestead entry ; that there is no person residing upon the said land, not are there any improvements thereon, __________________________________________________________________ ____________________________ and that the application is made for the exclusive use of the said __________________________________________________________________ with the intention of his residing upon and cultivating the said land, and not directly or indirectly for the use or benefit of any other person or persons whomsoever, and that he has not heretofore obtained an entry for a homestead on Dominion Lands.
Subscribed and ______ to this _________ day of ________________ 19 _ _, before me. ___________________________________________ ________________________________ Local Agent.
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