3. That he left neither widow nor child.

These latter items may be proved by the affidavits of wit

nesses.

In the case of children, fathers, and brothers and sisters, posi tive proof of relationship to the deceased will not be required. General reputation and undisputed relationship will suffice.

Widow's Declaration for Bounty Money and Arrears.

STATE OF
County of

88.

day of

18-, before me, a

On this in and for the county and State above named, personally appeared who, after being duly sworn according to law, declares and says; that she is aged years; that she is a resident of

county of

and State of

who was a

of the

in company
regiment of

that she is the widow of
commanded by Captain

volunteers, commanded by

Colonel —, and who [was killed or died] at —, on or about the day of - 18—, while in the service of the United States.

That she was married to the said

in the year 18-, at

on the day of by one a -; that her name before her marriage was and that she has remained a widow since the death of her said husband. And she further states that she believes there is public record of her said marriage [should there be neither public nor private record, nor any witness of said marriage living or accessible, the facts should be stated.]

She makes this declaration for the purpose of obtaining the bounty money, arrears of pay, and ali other arrearages or sums of money due her by reason of the service of the soldier above named, under and by virtue of an act of Congress, passed July 22, A. D. 1861, also of all other acts now in force upon this subject. And she hereby constitutes and appoints her attorney in fact, to prosecute this claim, and authorizes him to receive and receipt for a draft or certificate for the amount that may be allowed her.

Attest: [Two Witnesses.]

[Claimant's Signature.]

Sworn to, subscribed and acknowledged before me, the day and year first above written; and on the same day personally came and, residents of, in the county of, State aforesaid, who, being duly sworn according to law, declare that they are personally acquainted with Mrs. widow of

who has made and subscribed the foregoing declaration, and were acquainted with her and her said husband, before he entered the service, and know that they lived together as man and wife, and were so reported; that she is the widow of the identical who performed the military service mentioned in the declaration, and has remained a widow since his death; that their knowledge of the identity of her husband with the soldier is derived from

And they further testify that they reside as above stated, and are disinterested in this claim.

[Witnesses' Signatures.]

Sworn to and subscribed before me, and I certify that I am rot interested in this claim, nor concerned in its prosecution; that I believe the affiants to be credible persons, and the declarant to be the person she represents herself to be.

STATE OF
County of

I,

88.

clerk of the

[Magistrate's Signature.]

court in and for the county and State above named, do hereby certify that -, Esq., before whom the foregoing declaration and affidavits were made, and who has thereunto signed his name, was at the time of so doing an acting in and for said county, duly commissioned and sworn; that all of his official acts, as such, are entitled to full faith and credit, and that his signature thereunto is genuine. In testimony whereof I have hereunto set my hand and affixed the seal of said court, at ---in said county, this —, A. D. 18—.

day of [Clerk.]

Claim of Heirs for Arrears, Bounty Money, etc., of Deceased Officer or Soldier.

aged

years, a resident of

, who, being duly sworn according to law, declare that they are the children and heirs of

-, county of

who was a

of company

regiment of

commanded by Captain, in the

volunteers; that the said

volunteered at

on or about

the day of, 18—, for and [died or was killed] at

on or about the

vice, that the said

day of

18-, while in said serieft surviving him no widow, nor child or children, other than these claimants.

This declaration is made for the purpose of obtaining the ar rears of pay, bounty money, extra pay and all other arrearages or sums of money due by reason of the service of the soldier above named; and is hereby constituted attorney to prosecute this claim, and is authorized to receive and receipt for a draft payable to the order of this declarant [or declarants] for whatever sum may be allowed on the same, and to assign and convert the same into current funds.

Attest: [Two Witnesses.]

[Signature of Heirs.]

Sworn to, subscribed and acknowledged before me the day and year first above written, and on the same day personally appeared and - -, residents of —, who, being duly sworn according to law, declare that they are personally acquainted with and who have made and subscribed the foregoing declaration, and know that they are the children and heirs-at-law of , who was a in Captain's company, volunteers, and who died [or

of the

regiment of

was killed] while in the service of the United States, as stated in said declaration. That the said left surviving him no widow,

and

nor child or children, other than the said That their knowledge of their identity as heirs of the soldier named is derived from personal acquaintance. That they reside as above stated, and are disinterested in this claim.

[Witnesses' Signatures.]

Sworn to and subscribed before me, and I certify that I am not interested in this claim, nor concerned in its prosecution; that I believe the affiants to be credible persons, and the declarant to be the person she represents herself to be.

88.

clerk of the

[Magistrate's Signature.]

STATE OF County of I, -court in and for the county and State above named, do hereby certify that —, Esq., before whom the foregoing declaration and affidavits were made, and who has thereunto signed his name, was at the time of so doing an acting in and for said county, duly commissioned and swern, that all of his official acts, as such, are entitled to full faith and credit, and that his signature thereto is genuine. In testimony whereof I have hereunto set my hand and affixed the sea! of said court, at in said county, this

[L. 8.]

day of

Ꭺ. D. 18 .

Clerk.

Claim of Heirs for Arrears, Bounty Money, etc., of Deceased Officer and Soldier

day of

18-, before me, a

years, a resident of

county of

in

and for the county and State above named, personally appeared

aged

State of
that they are the children and heirs of

-, who, being duly sworn according to law, declare

in company

regiment of

commanded by Captain

volunteers; that the said

on or about the

and died [or was killed] at

who was a

in the volunteered at

day of -, 18-, for - on or about the

18-, while in said service; that the said

ing him no widow, nor child or children, other claimants.

day of

left survivthan these

This declaration is made for the purpose of obtaining the arrears of pay, bounty money, extra pay, and all other arrearages or sums of money due by reason of the services of the soldier, above named; and is hereby constituted attorney to prosecute this claim, and is authorized to receive and receipt for a draft payable to the order of this declarant [or declarants] for whatever sum may be allowed on the same, and to assign and convert the same into current funds.

Attest: [Two Witnesses.]

[Signature of Heirs.]

Sworn to, subscribed and acknowledged before me the day and year first above written, and on the same day personally appeared - and -, residents of -, who being duly sworn according to law, declare that they are personally acquainted with and who have made and subscribed the foregoing declaration, and know that they are the children and heirs-at-law of , who was a in Captain's company regiment of —— volunteers, and who died [oi was killed] while in the service of the United States, as stated in said declaration. That the said left surviving him no

of the

and

widow, nor child or children, other than the suid That their knowledge of their identity as heirs of the soldier named, is derived from personal acquaintance. That they reside as above stated, and are disinterested in this claim.

[Witnesses' Signatur o.]

Sworn to, and subscribed before me, and I certify that I am not interestel in this c'aim, nor concerned in its prosecution; and

I believe the affiants to be credible persons, and the declarants the persons they represent themselves to be.

[Cfficer's Signature.]

Here must follow the certificate of the clerk, as in the preceding case.

When there are several heirs, and it will be difficult to have them unite in a declaration, one of them should take out letters of administration, and make the claim as administrator.

Application of Soldier for Arrears of Pay, or for Arrears of Pay and Bounty.

STATE OF
County of

88.

18, before me, a

On this day of in and for the county and State above named, and by law duly authorized to administer oaths for general purposes, personally appeared, aged years, who, being duly sworn according to law, declares that he is not indebted or accountable to the United States on any account whatever; and he further states that he is the iden who was a— in company

tical

tain

in the regiment of

by Colonel -; that he enlisted at

on or about the - day of

was honorably discharged at

commanded by Capvolunteers, commanded in the State of

18, for the term of - —, and

on or about the day of 18-, by reason of the expiration of his term of service, and that he claims there is due him from the United States, for pay and allowances, as follows:-

He makes this declaration to obtain the arrears of pay, bounty money, extra pay, and all other arrearages or sums of money due him by reason of the services above named, and he hereby constitutes and appoints - his attorney to prosecute this claim, and authorizes him to receive and receipt for a certificate for whatever sum may be allowed on the same, and to attend to and procure the settlement of such business as deponent may have with the United States, in any office or department of the same, and to receive and to receipt for all sums of money that may be found due deponent, upon any account or claim now unsettled. Attest: [Two Witnesses.]

[Signature of Claimant.]

Sworn to, and subscribed and acknowledged before me, the day and year first above mentioned, and on the same day personally appeared before me and -, residents of to me known as credible witnesses, who, being duly sworn according to law, declare that they are personally ac