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MOTHERS-REGULATIONS AND FORMS.

during the present session of Congress, and the widows, mothers and heirs of such officers shall be entitled to all the benefits of said act.

SECTION II.

REGULATIONS AND FORMS TO BE OBSERVED IN APPLYING FOR PENSIONS FOR MOTHERS.

For Regulations, see "INVALID PENSIONS-REGULARS," Chapter III, Section II, page 39.

"D."

Form of Declaration for Mother's Application for Army Pension.

STATE OF
County of

On this

of the

aged

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A. D. a resident of

, personally appeared before the in the county of, and State of years, who, being first duly sworn according to law, doth on her oath make the following declaration, in order to obtain the benefits of the provisions made by the act of Congress approved July 14, 1862: That she is the widow of and mother of who was a in company - regiment of -) in the war of 1861, [here state the time, place, and cause of death.]

commanded by - in the

who She further declares that her said son, upon whom she was wholly or in part dependent for support, having left no widow or minor child under sixteen years of age surviving, declarant makes this application for a pension under the above-mentioned act, and refers to the evidence filed herewith, and that in the proper department, to establish her claim.

She also declares that she has not, in any way, been engaged in, or aided or abetted, the rebellion in the United States; that she is not in the receipt of a pension under the second section of the act above mentioned, or under any other act, nor has she again married since the death of her son, the said (Declarant's Signature.)

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Also personally appeared and residents of (county, city or town) persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw sign her name (or, make her mark) to the foregoing declaration; and they further swear that they have every reason to believe, from the appearance of the applicant and their acquaintance with her, that she is the identical person she represents herself to be.

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(Signature of Witnesses.)

day of, A. D. 18—;

MOTHERS-REGULATIONS AND FORMS.

and I hereby certify that I have no interest, direct or indirect, in the prosecution of this claim.

Applicant's post-office address:

(Signature of Judge or other Officer.)

"D."

Form of Declaration for Mother's Application for Navy Pension.

STATE OF
County of

On this

of the

—, aged

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―, personally appeared before the a resident of in the county of -, and State of years, who, being first duly sworn according to law, doth on her oath make the following declaration, in order to obtain the benefits of the provisions made by the act of Congress approved July 14, 1862, granting pensions: That she is the widow of - and mother of - who was a -[ here state decedent's service and personal description], who state the time, place and cause of death.]

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She further declares that her said son, upon whom she was wholly or in part dependent for support, having left no widow or minor child under sixteen years of age surviving, declarant makes this application for a pension under the above-mentioned act, and refers to the evidence filed herewith, and that in the proper department, to establish her claim.

She also declares that she has not, in any way, been engaged in, or aided or abetted, the rebellion in the United States; that she is not in the receipt of a pension under the second section of the act above mentioned, or under any other act, nor has she again married since the death of her son, the said (Declarant's Signature.) Also personally appeared and, residents of (county, city or town), persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw sign her name (or, make her mark) to the foregoing declaration; and they further swear that they have every reason to believe, from the appearance of the applicant and their acquaintance with her, that she is the identical person she represents herself to be.

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(Signatures of Witnesses.)

Sworn to and subscribed before me this day of - A. D. 18-; and I hereby certify that I have no interest, direct or indirect, in the prosecution of this claim.

Applicant's post-office address:

(Signature of Judge or other Officer.)

These declarations must be made before a Court of Record, or before a Judge or Clerk of such Court. The

MOTHERS-REGULATIONS AND FORMS.

certificate and seal of the Clerk must be attached in all

cases.

The declarations must be accompanied by proof of marriage of the claimant; of the relationship between the claimant and the deceased; of the widowhood of the claimant, and her total or partial dependence upon the deceased for support; that the deceased left neither widow nor children, and of the loyalty of the claimant. And where the death of the son has occurred since his return from service, from wounds or disease received or ,contracted in the service; or where such death does not appear upon the rolls, or other government records, proof of the death and cause of the death must also be sent in with the declarations. Affidavits in the nature of proof may be made before a Justice of the Peace, or other officer authorized to administer oaths generally; but his official character must appear by the certificate of the Clerk of the proper Court, under seal.

The proper forms for preparing this proof may be found under" WIDOWS AND ORPHANS-REVOLUTIONARY WAR," and "WIDOWS AND ORPHANS-REGULARS;" and it is not deemed necessary to repeat them here.

For REGULATIONS and FORMS for preparing POWERS OF ATTORNEY in pension cases, see Chapter XVI.

23

SISTERS-MILITARY AND NAVAL.

CHAPTER XIV.

GRATUITOUS PENSIONS.

SECTION I.

PENSIONS TO SISTERS-MILITARY AND NAVAL.

"AN act to grant pensions," approved July 14, 1862, was the first to provide pensions for the orphan sisters of persons who die or are killed in the military or naval service of the United States. This act is in part as follows:

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That if any officer, non-commissioned officer, musician or private of the army, including regulars, volunteers and militia, or any officer, warrant or petty officer, musician, seaman, ordinary seaman, flotilla-man, marine, clerk, landsman, pilot or other person in the navy or marine corps, has been, since the fourth day of March, eighteen hundred and sixty-one, or shall hereafter be, disabled by reason of any wound received or disease contracted while in the service of the United States, and in the line of duty, he shall upon making due proof of the fact, according to such forms and regulations as are or may be provided by or in pursuance of law, be placed upon the list of invalid pensions [pensioners] of the United States, and be entitled to receive, for the highest rate of disability, such pension as is hereinafter provided in such cases, and for an inferior disability an amount proportionate to the highest disability, to commence as hereinafter provided, and continue during the existence of such disability. The pension for a total disability for officers, non-commissioned officers, musicians and privates, employed in the military service of the United States, whether regulars, volunteers or militia, and in the marine corps, shall be as follows, viz. : Lieutenant-colonel, and all officers of a higher rank, thirty dollars per month; major, twentyfive dollars per month; captain, twenty dollars per month; first lieu

SISTERS-MILITARY AND NAVAL.

tenant, seventeen dollars per month; second lieutenant fifteen dollars per month; and non-commissioned officers, musicians and privates, eight dollars per month. The pension for total disability for officers, warrant or petty officers, and others employed in the naval service of the United States, shall be as follows, viz.: Captain, commander, surgeon, paymaster and chief engineer, respectively, ranking with commander by law, lieutenant commanding, and master commanding, thirty dollars per month; lieutenant, surgeon, paymaster and chief engineer, respectively, ranking with lieutenant by law, and passed assistant surgeon, twenty-five dollars per month; professor of mathematics, master, assistant surgeon, assistant paymaster, and chaplain, twenty dollars per month; first assistant engineers and pilots, fifteen dollars per month; passed midshipman, midshipman, captain's and paymaster's clerk, second and third assistant engineer, master's mate and all warrant officers, ten dollars per month; all petty officers, and all other persons before named, employed in the naval service, eight dollars per month; and all commissioned officers of either service shall receive such and only such pension as is herein provided for the rank in which they hold commissions.

SEC. 4. And be it further enacted, That when any officer or other person named in the first section of this act shall have died subsequently to the fourth day of March, eighteen hundred and sixty-one, or shall hereafter die, by reason of any wound received or disease contracted while in the service of the United States, and in the line of duty, and has not left or shall not leave a widow, nor legitimate child, nor mother, but has left or may leave an orphan sister or sisters, under sixteen years of age, who were dependent upon him for support, in whole or in part, such sister or sisters shall be entitled to receive the same pension as such officer or other person would have been entitled to had he been totally disabled; which pension to said orphan shall commence from the death of the officer or other person dying as aforesaid, and shall continue to the said orphans until they severally arrive at the age of sixteen years, and no longer: Provided, however, That nothing herein shall be so construed as to entitle said orphans to more than one pension at the same time, under the provisions of this act: And provided, further, That no moneys shall be paid to the widow or children, or any heirs of any deceased soldier, on account of bounty, back pay or pension, who have in any way been engaged in or who have aided or abetted the

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