21.
Have you ever been enrolled for annuities, land or other benefits? If
so, state when and where.
No
22.
To expedite identification, claimants should give the full English
and
Indian names, if possible, of their paternal and maternal ancestors
back to 1835:Candis Malone, daughter of Harvey Malone, who came from
Virginia or N.C. then to East
Tennessee,from there to Overton Co, Tenn.
(Under this head the applicant may give
additional facts which will assist in proving his claim)
(This was left blank)
I solemnly swear that the foregoing
statements made by me are true to the best of my knowledge and belief.
(Signature) Chesley Malone
Subscribed and sworn to before me this 19th day
of Aug. 1907
Notary
Public
Nov. 8th, 1909
(The following
affidavit must be sworn to by two or more witnesses who are well acquainted
with the
applicant)
Personally
appeared before me Samuel Davis and
W. H. Fleming
who, being duly sworn,on oath
depose and say that they are well acquainted with Chesley Malone who
makes the foregoing application and
statements, and
have known him for 35 years and 40 years, respectively, and know him to be the identical person he represents himself to be and that the statements made by him are true, to the best of their knowledge and
belief, and the have no interest whatever in this claim.
Witnesses to mark. Signatures of Witnesses.
Samuel Davis
W. H. Fleming
Subscribed
and sworn to before me this 19th day of Aug 1907.
Nov
8th 1909 E.S.
White
Notary Public.
Note ‑ Affidavite should be made,where practicable, before a notary public, or clerk of the court, if sworn to before a Indian agent or disbursing agent of the Indian service it need not be executed before a notary, etc.,