In May 1955, the United States Department of the Interior Bureau of Indian Affairs introduced Form No. 5-5404, a critical document for the negotiated sale of Indian land specific to the Palm Springs allotment. This form serves as an application for individuals seeking to sell their land, requiring detailed personal information, such as date of birth, degree of Indian blood, marital status, education, and financial details. Notably, the form also inquires about the applicant's enrollment as a member of the Agua Caliente Band of Cahuilla Indians, highlighting the interconnectedness of tribal identity with land transactions. Furthermore, applicants must disclose their intentions for both the land and the proceeds from the sale, including whether they wish to retain mineral rights. This meticulous documentation process underscores the complexities of land ownership and sale within Indian territories, ensuring that such transactions are conducted transparently and with due consideration to the implications for the individual landowner, their family, and the broader tribal community. Through its specific requirements, Form No. 5-5404 embodies the delicate balance of federal oversight, tribal sovereignty, and personal agency in the stewardship and transfer of Indian lands.
| Question | Answer |
|---|---|
| Form Name | Form 5 5404 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | deducted, indebtedness, LANDOWNER, bia form 5 6404 |
Form No.
May 1955
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF INDIAN AFFAIRS
APPLICATION FOR NEGOTIATED SALE OF INDIAN LAND
PALM SPRINGS ALLOTMENT:
LANDOWNER: ___________________ |
ID. NO. _____________________ |
Application is hereby made for negotiated sale for the following described land:
In justification of this application, true statements are made to the following:
1. |
Date of Birth: |
|
Age: |
|
Social Security No.: ________________ |
2.Degree of Indian Blood:
3.Marital Status:
4. |
Education: Years in Elementary School |
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High School |
|
College ______ |
5.The following person(s) is(are) dependent upon me for support (Give names, ages, and relationship):
6.I am enrolled as a member of the Agua Caliente Band of Cahuilla Indians.
7.Permanent Address: Phone Number:
8.The amount of my annual income is $
9.My income is obtained from the following sources:
10.If receiving public assistance grants from the State, or general assistance from the Bureau of Indian Affairs, or funds from the Veteran's Administration, Social Security, or any regular public benefit, state kind and amount (if none, state none).
Form No.
May 1955
11.If indebted to the United States, state amount and purpose of indebtedness (if none, state none).
12.I (do) (do not)* live on or make personal use of the land covered by this application.
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*(cross out one) |
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13. |
The land is leased and the annual rent received is $ |
(If not leased, state none). |
14.(a) I intend to use the land for the following purposes after receiving a patent in fee which becomes taxable from date of issuance:
(b) I intend to use the proceeds of sale for the following purposes:
15.I (do) (do not)* wish to retain the mineral rights, including coal, oil and gas.
*(cross out one)
It is agreed that rental payment (crop or cash) will accrue to the purchaser, effective as of the beginning of the next annual lease period and that all advance rental payments collected shall be deducted from the purchase price.
It is also agreed that the proceeds arising from the sale of this land may be disposed of in accordance with regulations prescribed by the Secretary of Interior.
I hereby certify that I have completed this application to the best of my ability and that I fully understand that I am disposing of this property.
_______________________________ |
___________________________________ |
Date |
Applicant Signature |
I hereby certify that the effect of this application was explained to and fully understood by the applicant. Application is hereby recommended for approval.
|
___________________________________ |
Date |
Realty Officer, |
Application is hereby approved this |
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day of |
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, 20 |
|
. |
______________________________
Superintendent, Palm Springs Agency