Contributed by Jo Huettl
WIDOW’S APPLICATION FOR PENSION
STATE OF NORTH CAROLINA
County of Jones
On this 27th day of July, A. D., 1896, personally appeared before me S. E. Koonce, C.S.C. in and for the State and county aforesaid, Mrs. C. E. Chase, age 55 years, and a resident at Comfort post office, in said county and State, and who, being duly sworn, makes the following declaration in order to obtain the pension under the provisions of an act entitled, “An act for the relief of certain soldiers of the late war between the States,” ratified March 11, 1889; as amended by acts of General Assembly of 1891, 1893 and 1895; that she is the widow of the late Wm. H Chase, who enlisted in the Co B, 51st Reg. N.C. State Troops on or about the 21st day of March, 1862, to serve in the armies of the late Confederate States, and that while in performance of duty in said Company and Regiment, in the State of ______, on or about the ____day of ________ 186_, he received a wound or wounds or injuries which terminated his life.
(Applicant will here state very particularly when and where the husband died; whether he was in the discharge of his duty as a soldier or sailor at the time of the receipt of the wound or injury or contracting of the disease; whether the death was the probable consequence of such service and all other circumstances necessary to establish the fact of service and death of husband, etc.)
W.H. Chase husband of this applicant died November 6th, 1895. She further states that she has never re-married; that she is, and has been for twelve months immediately preceding this Application for Pension, a bona fide resident of North Carolina; that she holds no office under the United States, or under any State or county, from which she is receiving the sum of three hundred dollars as fees or as salary annually; that she is not worth in her own right, or the right of her late husband, property at its assessed value for taxation to the amount of five hundred dollars ($500), nor has she disposed of property of such value by gift or voluntary conveyance since the 11th of March, 1885.
Sworn and subscribed to before me this ___day of _______, 189__
_____________ Signature of C. S. C.
(signed) C E. Chase (her mark) Signature of Applicant.
Also personally appeared before me Margaret McGee, who resides at Comfort post office and A. B. Chase who resides at Comfort Post office, in said county and State, physician…in good standing whom I know to be respectable and entitled to credit, and being by me duly sworn, say that they are acquainted with __________ , the widow of the late _________, of Co____, ____ Regiment North Carolina State Troops, and that they believe her to be the identical person she represents herself to be, and that the facts set forth in her affidavit are correct to the best of their knowledge and belief, and that they have no interest, direct or indirect, in this claim.
Sworn and subscribed to before me this __day of ______.189_
____________ Signature of C. S. C.
________________ Signatures of Physician
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STATE OF NORTH CAROLINA, _______COUNTY.
To the Auditor of the State of North Carolina
We certify that we have carefully examined the application of ________ for the widow of the late ______________ who enlisted in Company ____ Regiment North Carolina State Troops, for a pension under the provisions of an act entitled “An act for the relief of certain soldiers in the late war between the States, “ ratified the 11day of March, 1889, and the proofs filed in support thereof; that we are satisfied the said __________ is a widow of the late ________ who enlisted in Co. ______, ____ Reg. of North Carolina State Troops, on or about the ____ day of _____ 186_, and we certify the following allegations set forth in her application to be true, namely: That she has never re-married , that she is and has been for twelve months immediately preceding this Application for Pension, a bona fide resident of North Carolina; that she holds no office under the United States, or under any State or county, from which she is receiving the sum of three hundred dollars as fees or as salary annually; that she is not worth in her own right, or the right of her late husband, property at its assessed value for taxation to the amount of five hundred dollars ($500), nor has she disposed of property of such value by gift or voluntary conveyance since the 11th of March, 1885, and therefore her application is correct and just under the act.
(SEAL) _______________________
Chm’n Board Com’rs.
___________________________________ Commissioner
(IMPRESS COUNTY SEAL HERE).
_______________________________– Sheriff.
(Seal) __________________________________ Clerk Superior Court
(This is typed on the bottom sideways)
Widow’s Application For Pension.
Act of March 11th, 1889, as Amended
By Acts of General Assembly of 1891, 1893 and 1895
Mrs. _______________, Widow of ______________ Company ___ Regiment North Carolina State Troop
Filed by Board of Inquiry of ____County, N.C. _______ day of ______ 189___