On this duly sworn, tificate No. payable by the pension agent at with surrendered (if not, state why not), who, being deceased, was granted a pension by cerwhich certificate is here day of ; that said pensioner died on the day of 18-, having been last paid to include the 18-; and that application is hereby made for the pension which had accrued up to the date of the pensioner's death. further swear to the truth of the following statements: If the deceased was pensioned as an invalid, state whether he was paid or employed in the Army, Navy, or Marine Service of the United States subsequent to the date to which the pension was paid. If pensioned as a widow, state whether she had remarried, giving, if she had, the date and the husband's name. Give also the number of children for whom she was granted $2.00 per month additional, and the names and dates of death of any of these who have since died. If the deceased was pensioned as a father or mother, state whether dependence continued till death, and whether mother had remarried. If the deceased was a male pensioner, state whether he left a widow, giving, if he did, the date of her death. further swear that the following are the names, with the dates of birth, or the dates of death, of all the children left by the deceased pensioner who were under sixteen at pensioner's death viz: The affiant's residence is (give street and number) post-office address is and Also personally appeared and [Signature of affiants.] residing at who, sign being duly sworn, make oath that they were present and saw name (make mark) to the foregoing declaration; that they know that the widow is dead, and that the above-named children are the legitimate children of who died on the day of 18-, and the dates of birth and death of said children to be as above stated; and that their means of knowledge as to the date of the pensioner's death, as to the fact of the widow's death, and as to the legitimacy, ages, and death of the children, are as follows: [Signature of witnesses.] day of 18-, and I certify Sworn to and subscribed before me on this that the affiants are reputable persons; that they know the contents of their depositions; and that their statements are entitled to full faith and credit. I further certify that I have no interest, direct or indirect, in the above claim. [Signature.] [Official character.] his commission was dated on the day of day of court of the county and State aforesaid, do 18-, and will expire on the 18-, and that his signature above written is genuine. duly commissioned and qualified; that Given under my hand and the seal of said court this day of 188-. Clerk. When the applicant is a guardian, letters of guardianship should be furnished. This application should be properly executed and forwarded to the Commissioner of Pensions. It is desirable that the witnesses should be able to write their own names; if not, their marks should be witnessed. Seven years, presumption of death. Act March 13, 1896........ ACCRUED PENSION. Title to. Sec. 4718, act March 2, 1895 Payment of. Act June 30, 1890.... ACT JUNE 27, 1890. Rules and regulations as to claims under Provisions of.... Cases under, rejected, suspended, or dismissed, commencement. Act March 6, 1896 . ACTS. May 21, 1872.. June 6, 1874. 18, 1874. 18, 1874. Mar. 3, 1875. Aug. 15, 1876. Feb. 27, 1877. 28, 1877. Mar. 3, 1877. 3, 1877. 3, 1877. 9, 1878. June 14, 1878. 17, 1878.. 18, 1878. Jan. 25, 1879. Mar. 1, 1879. 3, 1879. 3, 1879.. 3, 1879. June 21, 1879. 9, 1880. 16, 1880. Feb. 26, 1881. Mar. 3, 1881. July 25, 1882. 25, 1882.. 77, 78 165 61 95 132 135 16 17 134, 135 139 140 26 12 23 82 110 66, 67, 68, 69 111 17 23 116 33 48 18 26 34 45 12 18 136 84, 85 123 133 Open and notorious, of widow terminates pension. Act August 7, 1882... 54 101 Executed in foreign countries. Act July 26, 1892.. Oaths to; executing officer. Sec. 4714. Acts July 1, 1890, July 26, 1892; AGENTS AND ATTORNEYS. 99, 100, 101 Compensation of; fees. Secs. 4711, 4785, 4786. Acts June 20, 1878, Janu- 32, 33, 90, 115, 120 114 109, 115 Persons formerly in Departments not to prosecute claims as. Persons employed in United States Government acting as. See CRIMES. Postage to, limited. Order 169, May 26, 1891... 121 Rules governing, Secretary of the Interior to prescribe. Act July 14, 1884.. 119 For relief as to desertion, limitations prescribed. Act March 2, 1889..... For removal of desertion, limitations as to repealed. Act March 2, 1895.. 45 APPOINTMENTS. Assistant chief, special examination division. Act May 28, 1896.. Commissioner of Pensions. Sec. 470 |