Form of Declaration to authenticate Statements under Sec. 186 of the
25 and 26 Vict. c. 89 (1862),
5 and 6 Vict. c. 79, An Act to repeal the Duties payable on Stage Car-
riages and on Passengers conveyed upon Railways, and certain other
Stamp Duties in Great Britain, and to grant other Duties in lieu
thereof; and also to amend the Laws relating to the Stamp Duties,