Stockbridge-Munsee Tribal Law

[2003]

CHAPTER 41 - STOCKBRIDGE-MUNSEE COMMUNITY TRIBAL STANDARD ASSIGNMENT FORM

APPLICATION FOR STANDARD ASSIGNMENT OF TRIBAL LAND

Name: _______________________________________________________________________

Address: _____________________________________________________________________

Phone: _______________________________________________________________________

I am applying for a standard assignment of Tribal land, described as follows: ____________________________________________________________________________

____________________________________________________________________________

If this site is not available, then my second choice is described as follows:

___________________________________________________________________________

I do solemnly swear that:

I am an enrolled member of the Stockbridge-Munsee Community, Band of Mohican Indians ("Tribe"). My enrollment number is: ______________.

The land is for the use of myself and my household consisting of the following persons:

Name Relationship Age

___________________________________________________________________________________

If land is assigned to me by the Tribal Council,

(a) I intend on utilizing the land assignment in the following fashion:

__ Permanent residence within three years, or within _____months, or _____ years

__ Recreation/camping within _____ years

__ Retirement in ____ years

__ Agriculture within ____ years (explain) _________________________________________

__ Business within ____ years

(explain) _______________________________________________________

__ Other within ____ years (explain) ____________________________________________

(b) I have read and will comply with the provisions of Tribal Ordinance Chapters 40 and 42 (copy attached).

In the event of my death, I designate enrolled member ______________________

_____________ (name) as the primary beneficiary of the land assignment in accordance with Chapter 40. If the primary beneficiary is not eligible, or does not apply for the assignment within 60 days from the date of notification from the Land Department, then I designate enrolled member ___________________ (name) as the second beneficiary.

The second beneficiary, if eligible for a land assignment, will then have 60 days to apply for the land assignment from the date it is determined that the primary beneficiary is not eligible or 120 days from the date of notification to the primary beneficiary from the Land Department if the primary beneficiary does not apply for the land assignment.

If the primary of secondary beneficiaries are not eligible or do not apply for the land assignment, the land assignment will revert to the Tribe.

I can change the foregoing designations at any time by written notice to the Land Committee.

I shall keep all improvements in good repair and maintain the appearance of the land.

I understand and agree that if any if the foregoing affirmations are false, or if it is found that this assignment has been obtained through collusion, or if I fail to carry out the agreements or conditions contains in the Tribal Ordinances, the Assignment shall be subject to revocation, as provided in the Assignment contract.

Submitted ___ day of ________ month of ___ year,

by ____________________________ (applicant).

APPROVED or DISAPPROVED by Land Committee

____ day of ___________ month of _____ year.

___________________________________________

APPROVED or DISAPPROVED by Tribal Council

____ day of ___________ month of ____ year.

__________________________________________

(Tribal Chairman)

__________________________________________

(Tribal Secretary)

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