Application of Children for arrears of Pay and Bounty.

On this

day of

18-, personally appeared before me

8 in and for the county and State aforesaid, duly sworn, deposee and say that they are *

who, being persons of color and are the children of, deceased, late a resident of —, ir

who was a

in company

* was a

of the

on or about

the State of egiment United States colored troops, who enlisted at the State of, on or about the day of —, 18—, and who died in the service of the United States at the.... day of —, 18-, leaving neither wife nor other child. We further make oath that the said person at the time of entering the service of the United States, and had been a since the 18-. We make this application to recover all arrears of pay, bounty, or other allowances due the deceased from the United States, and desire that the certificate of pay, when issued in satisfaction thereof, may be post office, county of

sent to

of

of

at the

Signed in presence of

Also personally appeared

and State of

-, who, being duly sworn, depose and

say that they are well acquainted with all the above-named claimants, who are * persons of color, and know that they

are the children of -, deceased, who was a

United States

in company of the regiment colored troops, and who died in the service of the United States, as above stated, leaving neither wife nor other child.

was a

They also further make oath that the said erson at the time of entering the Service of the United States, nd had been - since the day of, 18-; and that their knowledge of these facts is derived from intimate acquaint ance with the claimants and deceased, having lived within miles of them for the last their mother in her lifetime. have no interest whatever in Signed in presence of

years, and were acquainted with They also further declare that they this application.

[Signatures of Witnesses.]

Subscribed and sworn to before me, this

day of

18, and I certify that the claimant and witnesses are credible and worthy, and that the foregoing declaration and affidavit were carefully read to them before signing.

[Official Signature]

I hereby certify that

were made, is a

before whom the foregoing affilavits in and for the county of and State of —, duly authorised to administer oaths, and that his signature thereunto is genuine.

In testimony whereof I have hereunto set my hand and official seal, this day of, 18-.

[L. S.]

[Official Signature.]

NOTES.-1. Attestation of signatures by mark (X) must be by written signatures. 9. In the blank space designated by an asterisk (*) is to be written the word slave, or free, as the fs et may be.

8. Name, ago and residence of each of the claimants to be stated in the declaration. Minor heirs must apply through a guardian duly appointed, who will append to his application certified copies of letters of guardianship.

With each and every application for pay and bounty due & colored soldier the attorney presenting the same must file his oath or affirmation that he has no interest whatever in said pay (1 bounty beyond the fees for the collection of the same as fixed and established by law. The failure to file such oath or affirmation will in every case result in the suspension of the application.

Application of Discharged Soldier for Additional Bounty under Act of July 28, 1866.

If this declaration is made before a justice of the peace or notary public, it must be certified to by the clerk of the proper court that such justice or notary was duly commissioned at the time. The seal of the court should be stamped on the original paper, or, if on an attached certificate the impression should appear on the original. Where claimant or witness, or either, sign by mark, two disinterested witnesses who can write must attest the same. Applications executed before a notary public who has a certified copy of his commission on file in the departnent, with his signature and impress of his official seal thereon, need not be certified by a court of record.

STATE OF
County of

On this

me, a

day of

18-, personally appeared before in and for the county and State aforesaid,

of

in the county of, and State of personally known to me, who being duly sworu according to law, declares that his years, that he is a resident of and that he is the identical

age is

State of

—, county of

who was enlisted

аз а

in company for the period of the United States as 18-, by reason of * in company period of

of the

day of and that he was again enlisted as a regiment of

-, to serve for the

on the

and that he was discharged from the service of

at

the United States as a day of 18-, by reason of, and that there is an additional bounty of $ due him under the act of Congress approved July 28 1866. And he does further declare that he has not bartered sold, assigned, transferred, loaned, exchanged or given away hi final discharge papers, or any interest in the bounty provided by this or any other act of Congress; that he has not already received or is entitled to receive any other or greater bounty than $100, and that the statement of service above given is a correct and true statement of any and all service rendered by him during the rebellion, and that he has never served otherwise than as stated, and he desires all communications concerning this claim to be sent to him at county of and State of [Signature of Claimant.]

[Two Witnesses who write must Sign here.t]

Also personally appeared before me

county of

and

personally known to me, who,

being duly sworn according to law, declare that they have been

fer years acquainted with who was a — in company and know him to be the identical declaration, and that they have no interest whatever in this

application.

person named in the foregoing

before whom the foregoing declaration and --, duly authorized to administer

affidavit were made, is a --1

oaths, and that the above is his signature.

In witness whereof I have hereunto set my hand and official seal, this day of 186"

[L. 8.]

[Signature of the Clerk.]

Where there was more than one enlistment, fill the following with facts; if ne шore than one, let the second statement remain blank.

+ If the witnesses and claimant, or either of them, make their mark. let two per sons who can write their names attest the signatures. The officer administering tha oath cannot be one of the attesting parties.

When application is made by heirs of deceased soldiers for the additional bounty, they should so state the fact in the appli

cation, and, if possible, give the number of the certificate issued in any previous settlement make by the Second Auditor. By the conditions of the rules and regulations prescribed by the War Department, parents are to apply jointly.

Application for Army Bounty on account of transfer from Army to Navy.

To enable this office to adjudicate a claim for bounty for men originally enlisted in the army and subsequently transferred to the navy, as provided by act approved February 24, 1864, it is requisite that the blanks for answers to the following inquiries be clearly and legibly filled up, and the appended deposition properly executed before any officer duly authorized by law to administer oaths, whose official character as such must be verified by the certificate and seal of a court of record.

If the applicant be now in the navy or marine corps, and at sea, this required deposition may be sworn to before the commanding officer of his vessel.

1st. When and where did you enlist in the army, and for what term?

Answer.

2d. Was this your first enlistment; and if not, state the company and regiment to which you originally belonged?

Answer.

3d. Were you present with your company on every muster day if not, state distinctly where you were and on what duty? Answer.

4th. When and where were you transferred from the army to the navy or marine corps (as the case may be), and to what regiment and company of the army did you belong when so transferred, and what was the name and rank of your commanding officer?

Answer.

5th. What amount of bounty was paid you after your enlist ment into the army, and by whom paid?

Answer.

6th. Was that sum the whole amount paid you for such enlist. ment ?

Answer.

7th. On board what vessel, or to what naval station, were you first sent when thus transferred?

Answer.

8th. Were you indebted to the army for overdrawn clothing, advances, fines, or on any other account, when you were trans

ferred to the navy; if so, to what amonnt, and on what account? Answer.

9th. Names of all the vessels of the navy on board of which you have, since your transfer to the navy, consecutively served. and the names of their respective commanders and paymasters? Answer.

10th. Have you been paid any bounty since serving in the navy; if so, when and where, and by whom was it paid?

Answer.

11th. Are you entitled to any prize money for captures made y the vessel or vessels to which you were attached since your transfer to the navy; if so, state the name or names of the capturing vessels, and also of the captured vessels?

Answer.

12th. Have you received any prize money on account of such captures; if so, how much, for what captures, when, and by whom paid?

Answer.

13th. Are you still in the navy or marine corps; if not, when and where were you discharged; or how did you leave the naval service, if you were not regularly discharged therefrom?

Answer.

STATE OF
County of
On this

day of —, 18-, personally appeared before me and duly made oath that he is the identical person who applied to the Fourth Auditor of the Treasury for the unpaid bounty claimed by him on account of his enlistment into the army of the United States, and that the answers to each and every of the foregoing inquiries in relation thereto, which have been read and carefully explained to him beforehand, are true. [Signature of Claimant.[ Also personally appeared before me and, of the county of- and State of who, being duly sworn according to law, declare that they have been for years acquainted the above-named applicant, who was a

with

pany

of the

regiment of

in comvolunteers, and know him to be the identical person named in the foregoing declaration; and that they have no interest whatever in this application. [Signature of Witnesses.]

Sworn to and subscribed before me, this

18-

I certify that

day of

[Official Signature.]

before whom the foregoing declaration and

affidavit were made, is a -, duly authorized to administer oaths, and that the above is his signature.