Colorado Code § 36-2-105

Form of declaration of occupant
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The declaration by an occupant of a tract
or portion of the public domain, required by section 36-2-102, shall be substantially in the
following form:
To all whom these presents may concern:
Know ye, That I, A.B., of ............, in the county of ............, in the state of Colorado, do
hereby declare and publish as a legal notice to all the world, that I have a valid right to the
occupation, possession, and enjoyment of all and singular that tract or parcel of land, not
exceeding one hundred and sixty acres, situate in the township of ............, in the county of
.............., in the state of Colorado, bounded and described as follows:
(Here insert the description) together with all and singular the hereditaments and appurtenances
thereunto belonging or in anywise appertaining.
Witness my hand and seal, this ............ day of ............, 20 ........(To be subscribed with
the full first name and surname of the person making the application, and acknowledged in the
same manner as a deed of real estate.)

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