Military: Albert AYERS, 1928, Lynchburg City, VA Contributed for use in USGenWeb Archives by: Matt Harris, Zoobug64@aol.com (Feb 2008) [brackets, line breaks mine] *********************************************************** Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm *********************************************************** Lynchburg Virginia USGenWeb Archives Military Records Albert AYERS, Confederate Pension Application, 1928 ----¤¤¤---- [Albert Ayers, Confederate Pension Roll Page #1 of 11; image 00208.tif] [printed document, folded into three panels] [panel 1 of 3] NOTICE No Fee To Be Charged For Services Rendered Applicant; Penalty; Exempt From Levy, Garnishment Or Attachment. That no fee or other compensation shall be charged or received by any clerk, attorney, officer, or other person for any service rendered to any applicant under the provisions of this act; and any person who shall purchase from a soldier, sailor, or marine, or from any widow of any deceased soldier, sailor, or marine, any claim allowed under the provisions of this act for a price or sum of money less than the full amount thereof shall be guilty of a misdemeanor, and upon indictment and conviction thereof shall be fined not less than twenty-five, nor more than one hundred dollars, or imprisonment, or both, at the discretion of the court. The provisions hereby made for disabled soldiers, sailors, or marines and widows of deceased soldiers, sailors, or marines, shall be exempt from levy, garnishment, or attachment for any debt or pecuniary demand. (Section 18, Pension Law.)["1" superscript] [panel 2 of 3; docketing; responses handwritten, except where noted] [stamped] <200.00> <[illegible]> [stamped] Filed in the Clerk's Office of the Court of , Virginia, this <13th> day of , 19<28>. ___________________________________________________ Pension Application For A Disabled Confederate Soldier _____ Acts 1924 And 1926 [dingbat]To save trouble for applicant and Pension De- partment, please write plainly in spaces below, the County or City in which the Pension is granted and the name and Postoffice Address of the applicant. ___________________________________________________ Roll No. <91> County[struck] City Name Post office ___________________________________________________ Class [blank] Rating [blank] Age [blank] Filed in Auditor's office [blank], 19[blank] Paid Warrant No. <8178> $<50.00> Date of Payment , 19[blank] <8.1 8 $50.00>[stamped date illegible] ___________________________________________________ Memoranda <12-1 - 80_00>[?] ___________________________________________________ Form No. 4--2-22-24--2M.[?] [panel 3 of 3] INSTRUCTIONS ______ Read Before The Form Is Filled In. ______ All questions must be answered as fully as possible. Read the whole form carefully before filling out. If comrades cannot be found to fill in Certificate B, Certificate C must be filled. Where there is a camp of Confederate Veterans, Certificate E must be filled. Where there is a no camp, Certificate F must be filled. When the name of the applicant, or any one making affidavit, is made by X mark, a witness must always be had to the mark. The doctor, in filling in Certificate D, must set out clearly his examination, and define his case, whether partial or total, otherwise the rating of the applicant cannot properly be determined. After the application is filled up through Certificate G, file it with the clerk of the Corporation or Circuit Court of your city or county. [page end] [Albert Ayers, Confederate Pension Roll Page #2 of 11; image 00209.tif] PENSIONERS now on the ROLL are NOT required to make new application, but must file annual certificate. THIS APPLICATION must be filed with the Clerk of the Corporation Court of Your City or Circuit Court of Your County. (No application will be entertained not on the printed form.) ________ Form No. 4 Application of a disabled Soldier, Sailor or Marine of the late Confederacy under acts approved March 14, 1924, and March 13, 1926. ________ I, , do hereby apply for a pension under the provisions of the acts of the General Assembly of Virginia, approved March 14, 1924, and March 13, 1926, relating to Confederate pensions. I do solemnly swear that I am a citizen of the State of Virginia, and that I have been an actual resident of said State for two years next preceding the date of this application, and that I was a soldier (sailor or marine) of the Confederate States in the war between the States, and that I am now disabled, and that from the effects of such disability I am incapacitated from following my usual and ordinary occupation, or any other occupation for a livelihood; and that during the said war I was loyal and true to my duty, and never at any time deserted my command or voluntarily abandoned my post of duty in the said service, and that by reason of such service and disability I am now entitled to receive a pension under the provisions of said acts. And I do further swear that I do not hold a national, State, city or county office or any position which pays me a salary or fees which amounts to Four Hundred ($400.00) dollars per annum; nor have I an income from any other employment or source whatever which amounts to Four Hundred ($400.00) dollars per annum; nor do I receive from any source whatever money amounting in value to the sum of Four Hundred ($400.00) dollars per annum; nor do I own in my own right, nor does any one hold in trust for my benefit or use, nor does my wife own, nor does any one hold in trust for my wife, estate or property, either real, personal, or mixed, either in fee or for life, which yields a total income which amounts to Four Hundred ($400.00) dollars per annum, or which yields an income, which, added to my income from all other sources, amounts to as much as Four Hundred ($400.00) dollars per annum. I do further swear that I do not receive a pension from this or any other State or from the United States, nor do I receive necessary aid from any source whatever, board and clothing excepted; and that I am not an inmate of any soldiers home. I do solemnly swear that the answers given to the questions which I am required to answer in this application are true to the best of my knowledge and belief. All questions must be answered fully. Any assessment of property does not effect the right to pension, but the gross income from all sources must be less than $400.00 per year. ______________________________________________________________________________ [column 1 of 2] 1. What is your name? 2. What is your age? <80> years 3. Where were you born? 4. How long have you resided in Virginia? <80 yrs> 5. How long have you resided in the City or County of your present residence? <5 -> years 6. In what branch of the service were you? <34 Va> Regiment. Company. 7. Who were your immediate superior officers? Colonel Captain 186[blank] 9. Where did you enter the service? 10. When and why did you leave service? <1865> [blank] 11. Where do you reside? If in a city, give street address. Postoffice County of Virginia. 12. Have you ever applied for a pension in Virginia before? If so, why are you not drawing one at this time.
______________________________________________________________________________ [column 2 of 2] 13. What is your usual and ordinary occupation for earning a livelihood? 14. Are you following such occupation or any other occupation or em- ployment at this time? If yes, state the nature and extent of same. 15. What is your annual income? $[blank] NOTE.-By income is meant the total gross receipts derived by you from all crops (whether sold or used), wages and other sources valued in dollars. 16. How much property do you own? Real estate $ Personal Property $ <"> 17. What is the exact nature of your disability and the cause thereof? 18. Are you totally or partially incapacitated by such disability? 19. Give the names and addresses of two comrades who served in thesame [sic] command with you during the war. Name Address Name [blank] Address 20. Is there a camp of Confederate Veterans in your city or county? 21. Give here any other information you may possess relating to your service, or disability-which will support the justice of your claim. [blank] [blank] ______________________________________________________________________________ [footer] A signature made by X mark is not valid unless attested by a witness. WITNESS [blank] Signature of Applicant. Witness my hand this <15.th> day of , 19<05> I, , a in and for the [blank], in the State of Virginia, do certify that the applicant whose name is signed to the foregoing application personally appeared before me in my [blank] aforesaid, having the aforesaid application read to him and fully explained, as well as the statements and answers therein made, the said applicant made oath before me that the said statements and answers are true. Given under my hand this <6> day of , 19<28> Signature of Officer. [page end] [Albert Ayers, Confederate Pension Roll Page #3 of 11; image 00210.tif] [small "x" in upper left corner] [column 1 of 2] (A) An Oath of Resident Witnesses. We, <["L. E. Wilkinson" struck; "W. W. Galleher" inserted> and <["J. Y. Worsham" struck, reinserted]> do solemnly that we are residents of the of , in the State of Virginia, and that we have known personally and well for <21> years the applicant whose name is signed to the foregoing application for aid under acts of the General Assembly of Virginia, approved March 14, 1924, and March 13, 1926, and that the said appllicant is a resident of the said city or county and is a man of good reputation for truth and honesty, and that we have read the foregoing application and the answers to the questions therein propounded, made by the said applicant, and verily believe that the said applicant has been truthful in the said statements and answers, and that from our personal knowledge the applicant is disabled, as stated in answer to questions 17 and 18, and that we verily believe the said applicant is justly entitled to aid under said acts and that we have no personal interest in the allowance of the applicant's claim. A signature made by X mark is not valid unless attested by a witness. [small check mark] [small check mark] Resident Witnesses. WITNESS [blank] [blank] Subscribed and sworn to before me, a in and for the of State of Virginia, this <11.th> day of , 19<28> Signature of Officer. (B) Affidavit of Comrades. his We, mark and do solemnly swear that we are residents of the of [blank], in the State of and that the applicant whose name is signed to the foregoing application for aid under acts of the General Assembly of Virginia, approved March 14, 1924, and March 13, 1926, is personally well known to us, and that we have known him well for [blank] years, and that we were soldiers (sailors or marines) in the military (or naval) service of Virginia, or of the Confed- erate States, and that the said applicant, who was also a soldier (sailor or marine) in the said service during the said war, was, with us, members of the same command [phrase underlined] and that the said applicant was a true and loyal soldier (sailor or marine) in the service, and was faithful in the discharge of his duty, and that we verily believe he is disabled from the causes and in the manner in his application stated and that his claim is just and that we have no personal interest in the allowance of his claim under said acts. A signature made by X mark is not valid unless attested by a witness. his mark Comrades. WITNESS [blank] Subscribed and sworn to before me, a [sic] in and for the of State of Virginia, this <6> day of , 19<28> Signature of Officer. [column 2 of 2] NOTE.-If no such comrade is living required in certificate B whose address is known to the applicant, then let one or more reputable persons who have personal knowledge of the services of the applicant and cause of his disability make affidavit C. (C) Affidavit of Witnesses, Not Comrades. (Not necessary when Certificate B can be filled.) We, [blank] and [blank] do solemnly swear that we are residents of the [blank] of [blank] in the State of [blank] and that we personally know, and are well acquainted with, the applicant whose name is signed to the foregoing application, and who is applying for aid under acts of the General Assembly of Virginia, approved March 14, 1924, and March 13, 1926, and that we have known the said applicant for [blank] years, and that to our personal knowledge the said applicant was a loyal and true soldier (sailor or marine), in the military or naval service of Virginia, or of the Confederate States, in the war between the States, and was faithful in the discharge of his duty, and that we verily believe he is disabled from the causes, and in the manner in his application set forth, and that his claim is just, and that we have no personal interest in the allowance of his claim under said acts. [blank] [blank] Witnesses not Comrades. WITNESS [blank] [blank] Subscribed and sworn to before me, a [blank] in and for the [blank] of [blank] State of Virginia, this [blank] day of [blank],19[blank] [blank] Signature of Officer. NOTE-If no comrade in arms or other person who has knowledge of the services of the applicant and the cause of his disability is living, whose address is known to the applicant, state that fact here. [blank] [blank] [blank] (D) Certificate of Physician. Physician will please read carefully the answers to questions 17 and 18 and the following certificate before filling out. [italicized] I, , a practicing physician in the of [sic], in the State of Virginia, do certify that I am personally acquainted with the ap- plicant, and that from a personal examination of him I am clearly of the opinion that he is disabled by reason of (physician will here state SPECI- FICALLY the nature of the disability and the cause thereof, and if such disability be total, whether the applicant is deprived thereby of all ability to pursue his usual and ordinary occupation, or any other occupation for a li- velihood [phrase italicized], and if the disability be partial, to what extent the applicant is hindered thereby from pursuing such occupation as aforesaid. If the physician considers the disability is total, he will, in addition to the cause disclosed by the examination, repeat the language in italics above.) and that I have no personal interest in the allowance of the applicant's claim. Given under my hand this <6> day of , 192<8>. M.D. [page end] [Albert Ayers, Confederate Pension Roll Page #4 of 11; image 00211.tif] [column 1 of 2] (E) Certificate of Camp of Confederate Veterans. (Must be filled up when there is a camp in applicant's city or county.) I, commander of Camp of Confederate Veterans of the of in the State of Virginia, hereby certify that the said camp has examined into the merits of the foregoing application for aid under acts of the Gen- eral Assembly of Virginia, approved March 14, 1924, and March 13, 1926, and being satisfied of the justice of said claim, hereby recommend the same, under the provisions of said acts, and that the camp has no personal interest in the allowance of the applicant's claim. Commander. Given under my hand this <8> day of , 19<28> NOTE.-If there is no camp of Confederate Veterans in applicant's city or county, the certificate of one or two ex-Confederate soldiers, of good reputation, residing in said city or county, must be obtained to certificate F, if possible. (F) Certificate of Ex-Confederate Soldiers. (Not necessary when Certificate E can be filled.) We, [blank], and [blank] [blank] of the [blank] of [blank] [blank] State of Virginia, do certify that we were soldiers (sailors or marines) of the Confederate States in the war between the States, and that we have examined into the merits of the foregoing application for aid under acts of the General Assembly of Virginia, approved March 14, 1924, and March 13, 1926, and that we are satisfied of the justice of said claim, and recom- mend the same under the provisions of said acts, and that we have no personal interest in the allowance of the applicant's claim. Given under our hands this [blank] day of [blank], 19[blank] [blank] [blank] Ex-Confederate Soldiers. (G) Certificate of Commissioner of Revenue. I, Commissioner of Revenue in the of , in the State of Virginia, do hereby certify that the applicant (his wife, trustee, or trustee for his wife), whose name is signed to the foregoing application for aid under acts of the General Assembly of Virginia, approved March 14, 1924, and March 13, 1926, is charged on the land and personal property books of said with estate, real, personal or mixed, of the assessed value of $ Given under my hand this <6> day of , 19<28> Commissioner of Revenue. (H) Certificate of Pension Board. I, , chairman of the Pension Board of the of State of Virginia, do hereby certify that the foregoing application has been examined and approved by said Board. In testimony whereof I hereto set my hand this <13> day of , 19<28> Chairman of Pension Board. Given under my hand this <8> day of , 19<28> (I) Certificate of Judge. This Court, from an examination of the foregoing application and of the affidavits, certificates, etc., therewith filed, and hereto annexed, ["and of such witnesses as were required and called by the court," struck] being satisfied that the said application is supported by the affidavits, certificates, etc., of persons of well-known reputation for truth, honesty and integrity, and that the claim of the said applicant is just, and in due form, doth certify the same to the Auditor of Public Accounts. Given under my hand this <13> day of , 19<28> <~> Judge. [page end] [Albert Ayers, Confederate Pension Roll Page #5 of 11; image 00212.tif] [typed letter; letterhead printed] WAR DEPARTMENT The Adjutant General's Office In Reply Washington Refer To - [signed] [initialled, underlined by hand] [letter end] [Albert Ayers, Confederate Pension Roll Page #6 of 11; image 00213.tif] [comrades' statement, 1 of 2; handwritten] <& Cut his leg..they were> <1865- B.H. Lakes> [page break] [Albert Ayers, Confederate Pension Roll Page #7 of 11; image 00214.tif] [comrades' statement, 1 of 2; handwritten] <22 March 1928.> [Albert Ayers, Confederate Pension Roll Page #8 of 11; image 00215.tif] [typed letter] [not signed] [letter end] [Albert Ayers, Confederate Pension Roll Page #9 of 11; image 00216.tif] SOLDIERS' Rerating Application. For Total Blindness Or Total Deafness. Use This Form Only For Pensioners On The Roll Who Have Become Total Blind Or Total Deaf. I, , solemnly swear that I am now on the pension roll of the State of Virginia, and do hereby apply to be rerated as totally and that I am the identical person named in the original application for pension filed in the office of the clerk of the court of April 2' 1902, as for aid as a soldier, sailor or marine of Virginia, in the service of the said State, or of the Confederate States during the war between the states; that I am now an actual resident of the State of Virginia. I do further swear that my income from all sources does not exceed $400.00; nor am I an inmate of the Soldier's Home. ______________________________________________________________________________ 1. What is your name? 2. What is your age? <81> years. 3. Where do you reside? (If in city give street address) Post Office , Virginia 4. Give the name and address of the the physician who examined you for total blindness or total deafness? Name Address 5. Give here information relating to your disability which will support the justice of your claim 6. When was your pension first granted, and in what county or city? ______________________________________________________________________________ A signature made by X mark is not valid unless attended by a witness. (Signature of Pensioner.) Witness Subscribed and sworn to before me, a , in and for the of , this <16> day of , 19<28>. Signature of Officer. NOTE.-The above affidavit may be taken before any officer in this state authorized by law to administer an oath. ______________________________________________________________________________ Certificate of Physician I, , practicing physician in the of State of Virginia, do certify that I am personally acquainted with the applicant and that from a personal examination as to the affliction set forth in his application, I am of the opinion that he is totally (here the physician will state the nature and extent of blindness or deafness) [phrase [italicized] Given under my hand this <14.th> day of , 19<28> M.D. [??] [page end] [Albert Ayers, Confederate Pension Roll Page #10 of 11; image 00217.tif] [printed document, folded into three panels] [panel 1 of 3] Affidavit of Witnesses. Two witnesses required in this certificate. We, , solemnly swear that we are residents of the of State of and that we personally know, and are well acquainted with the applicant whose name is signed to the fore- going application for rerating on account of total and that we have known the said applicant for years, and that we verily believe he is totally as set forth in his application, and that his claim for rerating is just. We further declare we have no personal interest in this claim. Witnesses to signatures made by X mark [blank] Subscribed and sworn to before me, a in and for the of State of Virginia, this <16.th> day of , 19<28> Signature of Officer. [stamped] [panel 2 of 3; docketing; responses handwritten, except where noted] <9-1-28> <50.00> [stamped] <$20.00> [stamped] ___________________________________________________ Act of 1928. For No. 10. ___________________________________________________ Rerating Application Of Soldiers (Confederate Pensioners) Totally Deaf Or Totally Blind ___________________________________________________ Please write plainly in spaces below the County or City in which the pension was FIRST GRANTED, and the name and present Postoffice Address of Pensioner. ___________________________________________________ Roll No. [blank] County[struck] City Name Post Office ___________________________________________________ Filed in Comptroller's Office <8-16-'28>. [stamped] Paid Warrant No. [blank] $<30.00> Date of Payment [blank; above] ___________________________________________________ Form No. 10. <[illegible] 80.00 asst. R.R. -3rd Qr. <9-1- 50.00 3rd Qr. ______ $ 30.00 Bal. 3rd Qr. ______ [panel 3 of 3] The pension law by Act approved March 26, 1928, requires Confederate soldiers to be rerated on account of total blindness, or total deafness to obtain a certificate from a practicing physician, and affidavits from two reputable unrelated and disinterested citizens who are fully acquainted with the applicant, showing to the best of their knowledge and belief the extent of blindness or deafness. No rerating is allowed for partial blindness or partial deafness. [page end] [Albert Ayers, Confederate Pension Roll Page #11 of 11; image 00218.tif] [printed document] [blank] City } County} ___________________________________________________ Commonwealth of Virginia Office of The Auditor of Public Accounts (Pension Department) [stamped] [stamped] <[illegible]>[stamped] Richmond The Adjutant General, War Department, Washington, D. C. Sir: I have the honor to request the official record of [blank] Co. Regt. Colonel Captain [blank] This information is to be used in connection with an application for a Confederate pension, which has been filed in this office. Respectfully, [signed] Auditor Public Accounts. ___________________________________________________ Pension 32--11-6-21--2M[??] [page and file end] The Library of Virginia, Richmond, VA Confederate Pension Rolls, Veterans and Widows Database http://www.lva.lib.va.us/whatwehave/mil/conpenabout.htm Images 00208.tif - 00218.tif [AYERS, BROWN, GALLAHER, JOHNSON, LAKES, SLY, URQUHART, WOOD, WORSHAM, YOUNGER] File at: http://files.usgwarchives.net/va/lynchburg/military/civilwar/pensions/a620a1cs.txt Size: 34 Kb