 | 1888 - 1906 páginas
...certain aspects, modified. In Hoffman's application for membership he agreed as follows, April 11, 1885: "I do hereby consent and agree that any untrue or...the order, shall forfeit the rights of myself and family or dependents to all benefits and privileges therein." The policy which was issued in pursuance... | |
 | 1893 - 1164 páginas
...assessments, and Is in these words, viz.: "1 further agree that any untrue or fraudulent statement made or any concealment of facts by me In this application,...severing my connection with the order, shall forfeit my rights to all benefits and privileges therein ; nnd it shall not be lawful, In case of my death... | |
 | Abraham Clark Freeman - 1891 - 1034 páginas
...the application, there was a forfeiture of rights under the contract. That clause is as follows: " I do hereby consent and agree that any untrue or fraudulent...the medical examiner, or any concealment of facts in this application, or my suspension or expulsion from or voluntarily severing my connection with... | |
 | 1891 - 1174 páginas
...set forth above ? " To which she answered, " No." In the application for certificate she stated: " I do hereby consent and agree that any untrue or fraudulent statement made, * * * or any concealment of facts by me in this application, shall forfeit the rights of myself and... | |
 | 1891 - 1280 páginas
...expectancy of my life, and agree that any untrue or fraudulent statements made in this application, or to the medical examiner, or any concealment of facts by me made, or my suspension from my lodge, or voluntarily severing my connection with this association,... | |
 | Illinois. Appellate Court, Edwin Burritt Smith, Martin L. Newell - 1892 - 704 páginas
...disease' which will tend to shorten my life, am now in good health and am able to gain a livelihood. 1 do hereby consent and agree that any untrue or fraudulent...any concealment of facts by me in this application * * * shall forfeit the rights of myself and my family, or dependents, to all benefits and privileges... | |
 | New York (State). Supreme Court. Appellate Division - 1898 - 744 páginas
...and subscribed to, are each and every one of them true to the best of my knowledge and belief. * * * I do hereby consent and agree that any untrue or fraudulent...concealment of facts by me in this application, or my suspensi m or expulsion from, or voluntarily severing my connection with this Legion, shrill forfeit... | |
 | Abraham Clark Freeman - 1897 - 1006 páginas
...statements in this application, and consent and agree that any untrue or fraudulent statement made herein or to the medical examiner, or any concealment of facts by me in this application .... shall forfeit the rights of myself and my family or dependents to all benefits and privileges... | |
 | Illinois. Appellate Court, Edwin Burritt Smith, Martin L. Newell - 1898 - 712 páginas
...signed by Arnhorst, contains the following statement: "I do hereby consent and agree that any untrue statement made above or to the medical examiner, or...any concealment of facts by me in this application, in regard to my health, habits or circumstances, or any suspension from or voluntary severing my connection... | |
 | Abraham Clark Freeman - 1899 - 1026 páginas
...one of them true, to the best of my knowledge and belief." It also contained the further statement: "I do hereby consent and agree that any untrue or...examiner, or any concealment of facts by me in this petition, shall forfeit the rights of myself, my beneficiaries, and my family or dependants to all... | |
| |
I do hereby consent and agree that any untrue or fraudulent statement made above, or to the medical examiner, or any concealment of facts by me in this application... 
