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LAWS, REGULATIONS AND FORMS.

foregoing regulations, which claimants will particularly examine.

In case the pension has been due and unclaimed for fourteen months, the application should be presented to the Third Auditor of the Treasury; if less than fourteen months, at the agency where the certificate is made payable.

Power of Attorney.

- of

in the county of

Know all men by these presents, that I, State of -, widow (or child, or otherwise, as the case may be), of who was an invalid pensioner of the United States, do hereby constitute and appoint ―, my true and lawful attorney, for me, and in my name, to receive from the agent of the United States for paying pensions in State of -9 the balance of said pension from the 18-, to the day of -, being the day of his death. Witness my hand and seal, this Sealed and delivered in presence of

(Witness.)

day of

day of -> 18-.

[SEAL.]

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On this

day of —, A.D. 18-, before the undersigned authority within and for said county, personally came [widow, or child, or executor, or administrator] of deceased, and acknowledged the signing and sealing of the foregoing power of attorney, for the purposes therein expressed. Given under my hand, the day and year aforesaid.

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(J. P.)

The official character of the magistrate or other officer taking the acknowledgment, must be certified by the Clerk of the proper Court, under its seal, as in other cases.

Certificate of the Court as to the Death of a Pensioner.

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holden at

do

I, -, clerk of the court of —, in and for hereby certify, that satisfactory evidence has been exhibited to said court was a pensioner of the United States at the rate of dollars

that

per died at

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LAWS, REGULATIONS AND FORMS.

that he left a widow [or no widow] (or child or children, as the case may be), whose name is (or are, as the case may be)

In testimony whereof, I have hereunto set my hand and affixed

[L. S.] my seal [seal of the court]

of office at

this

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day of

(Clerk of the

-.)

in the year of our Lord 18-.

No arrears are due, where the person in whose right they are claimed was not living at the date of the act granting the pension. And by a recent act the children of revolutionary soldiers are precluded from claiming pensions or back pensions where their fathers or mothers died without having established their claim.

For further rulings and orders relative to the payment of arrears of pensions, see page 292.

25

FORMS AND INSTRUCTIONS.

CHAPTER XVIII.

RENEWAL OF PENSIONS.

THE regulations and forms for the renewal of pensions may, in some cases, be found in the chapters which contain the renewing acts. A few forms are here given by way of illustration merely.

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——, judge, or clerk of the

said county, personally appeared

court], a court of record within and for a resident of said county, aged

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 act of renewing half-pay to certain widows and orphans.

That she is the widow of -, who was a, in company manded by Captain

- in the war with file in her original sion at the rate of

-- com

in the regiment of commanded by Colonel -; for proof of which she refers to the papers on application, upon which she formerly obtained a pendollars per month, payable at the agency for paying pensions in, in the State of ; the certificate of which pension has

been surrendered.

- and asks that her name

She now claims the benefits of the act of may be placed upon the list of pensioners payable at the agency in the State of —

in

She further declares that she is still a widow. (Signature of Claimant.) Sworn to and subscribed in open court [or, before me ———, judge, or clerk of said court of] the day and year aforesaid. And I certify that I believe [or know] the declarant to be the person she represents herself to be, and that I am not interested in her said claim.

[L. S.]

In testimony whereof I hereto set my hand, and affix the seal of said court, this A.D. 18-. (Clerk's Signature.)

day of

If sworn to before a Judge, his official character must be certified by the Clerk, under the seal of the Court.

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A.D. 18-, personally appeared before the judge, or clerk, of the court] a court - and , who are [to me well and credible witnesses, and

of record within and for said county, known to be] residents of the county of who being first duly sworn, depose and say, that they are well acquainted with Mrs. who subscribed and made oath to the above declaration in their presence, and have known her for at least years last past; that she is the widow of who served in the manner specified in said declaration; that she is the identical person to whom a pension was granted dollars per month; and that she is

for such service, at the rate of

still a widow.

[Certificate of oath.]

(Signature.)

In case the widow married again after her original pension was granted, such marriage, with the death of the second husband, must be mentioned and proved.

To these must be added a power of attorney [see Chapter XVI], and the certificate of the Clerk thereto. Declaration for renewal [Naval Case].

TO THE COMMISSIONER OF PENSIONS:

a

who was

The memorial of the undersigned, the widow of the late in the navy of the United States, respectfully shows: That her husband, the aforesaid -, entered the service of the United

States in the year ; that while in the said service, and holding the rank above-mentioned, he departed this life, at, on the

day of

in the year on the day of papers on file in the pension office, upon which she obtained a pension for five years. She therefore claims the benefits of the act of Congress of the granting pensions to the widows of officers, seamen and marines, who have died in the service aforesaid; and she requests that her name may be inscribed on the roll of pensioners under that law, who are paid at the State of

; that the undersigned was married to the said

- in the year - and in proof thereof, she refers to

in

(Claimant's Signature.) Here must follow a certificate of the Judge or Clerk, as in the case of a widow whose husband was in the military service.

The same proof as in the last-mentioned case must accompany the declaration, and a power of attorney must also be executed in such cases.

REGULATIONS AND FORMS.

CHAPTER XIX.

INCREASE OF PENSIONS.'

REGULATIONS.

NO APPLICATION for an increase of an invalid pension will be examined, unless the proof be first presented to the Pension Agent, where the payment is made. He will forward the "surgeon's affidavit," the "pension certificate," etc., to the Department of the Interior.

If the applicant was pensioned on account of a wound received previous to the war of 1812, he should be examined by two surgeons, under a commission issued by a judge of one of the United States Courts, in order to obtain an increase of his pension.

The magistrate who may administer the oath to the surgeons must certify that they are respectable in their professions, or believes, on the information of others, that they are so. And the official character of the magistrate must be certified by a proper officer under his seal of office.

If the claimant be within thirty miles of an army surgeon, he must obtain his testimony.

The oath may be made before any officer duly authorized to administer oaths. J. L. EDWARDS, Commissioner of Pensions.

STATE OF
County of

On this

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day of

A. D. 18-, before me, a

within and for said county, personally appeared -, a resident of said county, aged years, who being by me first duly sworn, declares that he is the same person in whose favor a certificate of pension was issued on the

18-, by the Secretary of the Interior, at the rate of

day of

-, per month,

1 The increase can in no case exceed a full pension. Where the increase of a pension is claimed on account of the amputation of a limb, injured in the service, it will commence from the time when such increased disability occurred. Secretary Marcy, August 28, 1845.

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