Revolutionary War Pension and Bounty Land Warrant Application File S. 28,627, Thomas Averill, New York. Vt.
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(3-1776)
SERVICE New York  Vt.
Averill, Thomas
NUMBER S. 28.627

CONTENTS
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[left side]
New York 24605

Thomas Averill of Monroe Co in the State of New York who was a private in the company commanded by Captain Stockwell of the Regt commanded by _____ in the N. Y. & Vt line for 19 months

Inscribed on the Roll of New York at the rate of 63 Dollars 33 Cents per annum, to commence on the 4th day of March, 1831.

Certificate of Pension issued the 20 day of Jny. 1834 and sent to Hon. J. Dickson HReps

Arrears to the 4th of Sept 1833 $158.33
Semi-anl. allowance ending March 34 - 31.66
$189.99

Revolutionary Claim,
Act June 7, 1832.
Recorded by W. L. Williams Clerk,
Book E Vol. 4 Page 42

[Right side]
Paid at the Treasury under Act of the 6th April 1838 from 4 March to 4 Sep 1839 Agent notified 21 July 1840

Let Mrs Electa Willett May 13th 1850
Page 3

Thomas Averett
Papers-
NY.

grade of adjut not satisfactory-

Admd
19 mo Pri
---
$63.33
124.66
31.66
158.33

Mr. Dickson
of the House
Hon J. Dickson
H R
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State of New York,
Monroe COUNTY,
On this fourth day of October A. D. 1882 personally appeared in open Court, before the Court of Common Pleas in and for the County of Monroe and state of New-York, now setting, Thomas Averill a resident of Rochester in the County of Monroe and State of New-York, aged sixty nine years, who being first duly sworn, according to law, doth on his oath, make the following declaration, in order to obtain the benefit of the act of Congress, passed June 7th, 1832. That he entered the service under the following named officers, and served as herein stated:- 

That about the first of April AD 1779 (as he believes) at the town of White Creek (now Salem) in
the County of Washington in said State of New York he enlisted into the company of New York State troops (as he believes) commanded by Captain Levi Stockwell, & Lieut Thomas Boggs for a term of nine months, that he marched with said company to Skeenesborough where he was stationed during the whole  of said term, that he continued to serve in said company at said place for a term of ten months or more having served one month more than the term of his enlistment, that said Levi Stockwell was commandant of the garrison at said place, that he performed the duty of Adjutant during said term such as drilling the soldiers, and mounting guard, but that he had no commission as such adjutant, that said term of service expired in the winter before the burning of Skenesborough, which happened in the month of March as he believes. He further declares that in the Spring of the year 1781 as he believes, at the town of Pawlet in the State of Vermont he again enlisted into the service of the United States in the
Company of State troops commanded by Captain Samuel Starks, Lieutenant. ____ Johnson in Col. _____ Fletcher's regiment for a term of nine months. That he marched with said company to Castleton in the State of Vermont where he was stationed during the whole of said term, from which place he was frequently engaged in scouting parties, through the surrounding county, that he continued to serve during the whole of said term of nine months, that he received a regular discharge at each time, when he left said service, but that said discharges were soon after destroyed by fire- that he has no documentary or other proof of said services, and is not able to procure any as he believes

He hereby relinquishes every claim whatever to a pension or annuity, except the present, and declares that his name is not on the pension roll of any State or territory
Thomas Averitt [signature]

Sworn to and subscribed the day and year aforesaid.
L. Adams Clerk
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State of New York
Monroe County
On this fourth day of October 1832 in open Court the said Thomas Averill, who made the above declaration being sworn made the following answer to the Interrogatories prescribed to the war Department as a part of his declaration

1st
He was born in Sheffield State of Massachusetts in July 1705

2nd
He has no record of his age, the family record having been burnt at the same time his discharges were burnt

3rd
He resided in Salem Washington County and State of New York  when he enlisted, and was
called into service. that he resided in Arlington state of Vermont after the Revolution, from there, moved to Colchester in the same state, thence to Hillsdale in the State of New York thence to Troy Rensselaer County in New York, thence to Utica Oneida County, thence to Rochester Monroe County and State of New York where he now resides
.
4th
He was called into the service of the United States by enlistment

5th
He named the officers in his declaration so far as he recollects

6th
He received regular discharges, from the first campaign by Capt Levi Stockwell from the 2nd by Capt Samuel Starks and said discharges were burnt

7th
He says Charles R Burch and Philander Kelsey know him and can testify as to his character for veracity and their belief of his services as a soldier of the Revolution.

Sworn and subscribed the day and year aforesaid
L. Adams Clerk
Page 6

We, Philander Kelsey a clergyman residing in Penfield in the County of Monroe and Charles R Burch residing in the Village of Rochester in said county do hereby certify, that we are well
acquainted with Thomas Averill  who has subscribed and sworn to the preceding declaration; 
that we believe him to be 69 years of age; that he is reputed and believed, in the
neighborhood where he resides, to have been a Soldier of the Revolution, and that we concur in that opinion.
Charles R. Burch [signature]

Sworn, and subscribed, the day and year aforesaid.
James Smith Judge

I Philander Kelsey the Clergyman aforesaid hereby certify that for thirty years past the applicant has been reputed to have been a revolutionary soldier, and that we concur in that opinion

Sworn & James Smith Judge  Philander Kelsey  [signature]

And the said Court then after the investigation of the matter, and after putting the interrogatories prescribed by the War Department, that the above named applicant was a Revolutionary Soldier, and served as he states. And the Court further certifies, that it appears to them, that Philander  Kelsey who has signed the preceding certificate, is a Clergyman resident in Penfield and Charles R Burch who has also signed the same, is a resident in
Rochester and and is a credible person, and that their statements are entitled to credit.

James Smith
Joseph Sibley
Samuel Castle Judges of Monroe County Courts

I, Leonard Adams of Common Pleas in and for the County of Monroe and State of New-York, do hereby certify, that the foregoing contains the original proceedings of the said Court in the matter of the application of Thomas Averill for a pension.

In witness whereof I have hereunto affixed the seal of said Court and subscribed my name the 4th day of October AD 1832
L. Adams
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State of New York
Monroe County ss 
On this fourth day of December 1833 Thomas Averill being duly sworn according to law does make this additional oath for the purpose of obtaining his pension and says that he has made diligent search in and, enquiry of, and written to different places, where he suspected there might be persons residing who served in the army of the Revolution at the same time with this deponent but has not been able to hear of or find any such person and further saith not

Sworn to and subscribed the day and year aforesaid
Thomas Averill

L. Adams Clerk of Monroe County
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April 22/50
Electa Willet Relative to the pension and bounty land due her father Thomas Averill
NY 32

Letter to Mrs Electa Willet May 4th 1850

May 6/50
Rev Army

Refd to Comm of Pension
May 4th 1850
Dep. Internal
May 4th 1850
.
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Bloomfield, April the 22. 1850

Mister President
Dear Sir I take the liberty to address a few lines to you in regard to my Fathers Pension and Bounty lands which he gave to me for taking care of him and which he had the promise of but he died before he succeeded in getting it he received a pension several years but there was one years pension due him when he died which came due about the time he died. It will be 4 years this summer since he died, he died the 29 day of August he also had a brother who enlisted
in the service and was in Washington's life guard and there he was shot and Father had the promise of his pension and bounty lands which he never got his name was Ebinezer Averill and
Fathers name was Thomas Averill. Father saw a man that see him when he was a dying, he was a single man and therefore what was due him fell to Father my husband died 4 years ago this last winter and left me with a large family of children and but a few acres of land and very much in debt for that and being about to lose my little place and all that had been paid on it unless I could get what was justly due to my Father and Uncle, which if I could get it, would enable me to pay for my little place and keep it and there by have a comfortable home, for my self and children. I should of tried to have got this long ago but I knew not what step to take or what course to persue to get it and I knew not who to consult about it and as I was, a thinking a bout it not long ago I recollected of Fathers going to see Jackson after he had left the Presidential Seat and he told them if he was the President then that he should all of his bounty lands and his brothers two and all that was due his Brother and I thought that you would be the best one to consult about this business and if you will be so kind as to write to me and let me know what can be done and if I can have any thing to send it to me. I should feel very much obliged to you please answer this as soon as possible

direct your letter to Lima Livingston, P.O. N York New York as I am going to spend a few weeks there with a friend of mine
Mrs. Electa Willet
Zackariah Taylor President of the United States of America
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O. W. and N. Division.  3 -- 525.
F.S.C.
Sur. File 28.627
Rev. War.
 DEPARTMENT OF THE INTERIOR,
Bureau of Pensions,
Washington D C June 21

In reply to your request for a statement of the military history of Thomas Averill a soldier of the REVOLUTIONARY WAR, will find below the desired information as contained in his application for pension on file in this Bureau.

DATES OF ENLISTMENT OR APPOINTMENT.
Apr 1 1779
Spr. 1781

LENGTH OF SERVICE.
10 mos
9 mos

RANK.
Pvt

OFFICERS UNDER WHOM SERVICE WAS RENDERED.
CAPTAIN.
Levi Stockwell
John Starks
COLONEL.
---
Samuel Fletcher

STATE.
New York
Vt.

Battles engaged in, 
Residence of soldier at enlistment, White Creek, Washington Co. N.Y.
Date of application for pension, Oct. 4. 1832 - allowed-
Residence at date of application, Rochester, New York
Age at date of application, B. Sheffield, Mass July - 1763
Remarks: in 1850 a dau. Mrs Electa Willet a widow with children, names not stated. There is no further data on file as to family
Sold, d. Aug 29, 1846 resided at North Bloomfield NY
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28627
Revy INVALID.
-
File No. 28, 627
Thomas Averill
Pri Rev. War
Act: 7 June 32
Index: - Vol. 2, Page 15
[Arrangement of 1870.]

[right side]
1906 June 21 History to Miss Clara A. Avery C
1920 Dec. 13. History to Mr. Cora M. Steele AW
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TREASURY DEPARTMENT.
Second Comptroller's Office
July 15th 1840

Sir:
Under the act of the 6th of April, 1838, entitled "An act directing the transfer of money remaining unclaimed by certain Pensioners, and authorizing the payment of the same at the Treasury
of the United States, Thomas Averill a Pensioner on the Roll of the Albany NY, Agency, at
the rate of Sixty three Dollars and 33 Cents per annum, under the law of the 7th June 1832, has
been paid at this Department, from the 4th of March to the 4th Sept 1839

Respectfully yours,
Albion K. Parris
Comptroller.

To the Commissioner of Pensions
Present.
Page 13

368
Pension Office
May 13th 1850

Madam
Your letter to the President of the United States of the 24 ult in relation to the arrears of Pension and of Bounty Land which you suppose to be due your father Thomas Averill has been referred to this Office .In reply I have to state that Thomas Averill has no claim to Bounty  Land. There only who enlisted in the Continental line for and during the war and served to the conclusion of Peace in 1783 were entitled to such bounty. Your father served two terms of limited duration
which terminated some three before the end of the Revolutionary war

Any arrears of pension that may be due to Averill will be paid to his children upon the  production of such vouchers, to J J Gallaher, Third Auditor as the enclosed printed instructions 
direct.

We have no authority to direct the payment of the arrears should there be any due to this case, to you to the exclusion of any other Children of Thomas Averill that may now be living, the
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law give it to all the living children and we have a [illegible] only to direct the payments to be made in conformity with law

Your enquiries in relation to the Case of Ebenezer Averill the Brother of your father is not sufficiently definite to enable us to give any satisfactory reply thereto.

He could have acquired no right to pension as there was no law at the time of his death, giving pensions on account of service rendered in the war of the Revolution, and before we consider whether or not the acquired a right to bounty land the date of his death and the regiment and line to which he belonged must be stated

Mrs Electa Willitt
Lima
Livingston  Co NY

[sideways]
13 May 1850
Page 15

MISS AVERY
6 ELIOT STREET
DETROIT. MICH.

To the Old Navy and War Department
Pension Office
Washington D.C
To the Chief Clerk (?)

Dear Sir; I am compiling a genealogy of the Averell-Averill family in America and have [illegible] data needs I hope to [illegible] this year. There are some perplexities not solved by your published record which I need to solve. One relates to Thomas Averell or Averill b. 1753 - 61- lived for a time in Herkimer Co. N.Y. was in Rev service & when in  Vermont and New York states and died 1847 or about that date at Mt. Pleasant near Brantford Canada. The family have lost track of the pension papers which were held by his dau-- Mrs Hannah Averill Patterson

I shall be glad to compensate you for any special expense attending the preparation of copies of his services with places of his and all facts known

May I also ask under what conditions  I could obtain a few copies of other cases? [illegible] N.Y. State, Vt. and N.H. Certified Copies, which do not solve all problems 
Very truly yours June 15.06
Miss Clara A. Avery
47 Eliot St Detroit
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Rev Sec
from Cora M. Steele
1221 Main St
Menomonie Wisconsin
Nov. 10 - 1920

Bureau of Pensions
Rev. Dept.
Washington D.C
Dear Sir-
Will you please send me the record of Thomas Averill who was a pensioner in the Revolutionary War
think he was from either the state of  Vermont or New York-

Any information you can give will be gratefully received
-
Most Respectfully
Mrs. Cora Miller Steele
(Great grand daughter of Thomas Averill )

Address - Mrs. Cora M. Steele
1221 Menomonie
Wisconsin

[stamp]
US PENSION OFFICE
NOV 12 1920
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PENSION OFFICE, August 21, 1849.
The following pages are printed for the instruction of persons who prepare papers to be presented at any
Agency where pensions are paid. J. L. EDWARDS.
1st. When application is made for the payment of a pension, the first thing that seems necessary is, that the identity of the person in whose behalf the pension is claimed should be established. This must be done agreeably to the subjoined form, marked A and for widows pensioned by the War Department agreeably to form, marked E.

2d. Under the provisions of the acts of 6th April, 1838, and 23d August, 1842, where a pension has remained unclaimed by any pensioner for the term of fourteen months after the same become due and payable, cannot be paid by the Pension Agent, but application therefor must be made to the Treasury of the United States through the Third Auditor, if the pension certificate issued from the War Department, and through the Fourth Auditor, if it issued from the Navy Department. The usual vouchers will suffice, with the exception that additional proof of the identity of the pensioner will be required, according to form marked B. Each Pension Agent, immediately on the expiration of fourteen months, subsequent to each  semi-annual payment, will certify to the office of the Second Comptroller a correct list, containing the name, rank, rate of pension, amount due, and time of last payment of each pensioner remaining unpaid on the roll of his agency, whose pension has been due and payable for the term of fourteen months prior to the date of such certificate. When, however, a new pensioner is placed on the roll, or an old pension is renewed, the fourteen months commences running from the semi-annual payment next after the date of his or her pension certificate, and not from the commencement or renewal of the pension

3d When an attorney shall make application for pension, the rank of the pensioner what it may, he must deposite with you a power of attorney in his favor, duly acknowledged, and dated on, or subsequent to the day on which the pension claimed became due, and within ninety days of the time of his applying for payment, and also his own affidavit that said power was not given him by reason of any sale, transfer, or mortgage of said pension; and the execution of the power must be in the presence of at least one witness, other than the magistrate before whom it is acknowledged. These papers must be made out in strict conformity to the subjoined form, marked C.

4th. In all cases of payments upon a power of attorney, the Justice of the Peace or Magistrate before whom the power is executed, must have lodged with the agent the certificate of the Clerk of some Court of Record, under seal of the Court, that he is legally authorized to act as such; and also a paper bearing his proper signature, certified to be such by the Clerk of some Court of Record.

5th. It is advisable, and is so recommended, that Pension Agents procure and place in a book the signatures and seals of Clerks of the different Courts within their agency, who may be authorized to certify as to powers, the better to detect, by comparison of the signatures and seals, impositions that may be attempted.

6th. Under the provisions of the acts of 2d March, 1829, and 29th June, 1840, in case of the death of any pensioner, the arrears of pension due to him at the time of his death must be paid
I. To the widow of the deceased pensioner, or to her attorney," proving herself to be such before a Court of Record.
II. If there be no widow, then to the executor or administrator on the estate of such pensioner, for the sole and exclusive benefit of the children, to be by him distributed among them in equal shares; and the law of 1840 declares that the arrears of pension shall not be considered a part of the assets of said estate, nor able to be applied to the payment of the debts of said estate in any case whatever."
III. In case of the death of any pensioner who is a widow leaving children, the amount of pension due at the time of her death must be paid to the executor or administrator for the benefit of her children, as directed in the foregoing paragraph.
IV. In case of the death of any pensioner, whether male or female, leaving children, the amount of pension may be paid to any one or each of them, as they may prefer, without the intervention of an administrator. If one of the children is selected to receive the amount due, he or she must produce a power of attorney from the others for that purpose, duly authenticated. The oath of identity for the widow, or child, of a deceased pensioner must be according to form, marked ; and when they appoint an attorney, the power
of attorney must be according to form, marked G.
V. If there be no widow, child, or children, then the amount due such pensioner at the time of his death must be paid to the legal representatives of the decedent.
VI. When an Executor or Administrator shall apply for the pension due to a deceased person, he must deposite with you a certificate of the Clerk of the Court, Judge of Probate Register of Wills, Ordinary or Surrogate, (as the case may be,) stating that he is duly authorized to act in that capacity on the estate of the deceased pensioner, and, if a male, that it has been proved to his satisfaction that there is no widow of the said pensioner living.

7th. In all cases of payments being made of moneys due deceased pensioner, the original pension certificate must be surrendered, as evidence of the identity of the person to whom the pension claimed was due, or other substantial evidence of such identity must be produced in case such certificate cannot be obtained for surrendry, and that due search and inquiry have been made for said certificate, and that it cannot be found. The date of said pensioner's death must be proved before a Court of Record.

8th. A certificate of the facts proved must be obtained from the Clerk of the Court. It is not necessary for the Clerk to give the evidence in detail, but only to state the facts that have been proved, and certify under his seal of office that the testimony adduced was satisfactory to the court, according to form marked H; and in case a pension certificate is illegally withheld from a pensioner, he (or she, as the case may be) must produce evidence of identity and the facts, agreeably to form marked I

9th. When a pensioner is placed under guardianship, the Guardian applying for a pension must, in addition to the evidence of the pensioner's identity, deposit with you a certificate, from the proper authority, that he is at that time, acting in that capacity, and also satisfactory evidence that his ward was living at the date the pension claimed became due. The identity of the pensioner, in such

10th. For all payments made by you duplicate receipts must be taken, agreeably to subjoined form, marked K, one of each cases, must be established under the form herewith, marked D. you will forward, with your quarterly accounts, to the Third Auditor of the Treasury for pensions under the War Department, and to the Fourth Auditor for pensions under the Navy Department; and in all cases where a pensioner or attorney makes a mark from inability to write his name, there must be a witness thereto, otherwise such receipt or voucher will not be admitted at the Treasury.

11th. Your quarterly accounts will embrace the several periods up to the last days of March, June, September, and December of each year; and be made out agreeably to the form herewith, marked L. These must be accompanied by separate abstracts of Invalid and Revolutionary Pensioners, and of pensioners under the act of 15th May, 1828, 7th June, 1832, 4th July, 1836, 7th July, 1838, 3d March, 1843, and 17th June, 1844, each made out in alphabetical order, and supported by the vouchers herein before described, numbered from No. 1 onwards; said abstracts to be made out agreeably to the subjoined form, marked M.

Note. -- By the second section of "An act making appropriations for the payment of the Revolutionary and other pensioners of the United States," approved February 22, 1840, Pension Agents are authorized to administer all oaths required to be administered to pensioners, attorneys of pensioners, or others, in the course of the preparation of papers for the payment of pensions under any of the laws of Congress; and to charge and receive the same compensation therefor as the laws of the State in which the agent is located allow to magistrates for similar services.

A.
State of ____
_____ County,
Be it known, that before me, _____ a _____ in and for the County aforesaid, duly authorized by law to administer oaths, personally appeared ______ and made oath in due form of law, that he is the identical person named in an original certificate in his possession, of which (I certify) the following is a true copy:
(Here insert a copy of his certificate of pension.)
that he now resides in _____ and has resided there for the space of _____ years past; and that previous thereto he resided in _____ and that he has not been employed, or paid, in the Army, Navy, or Marine service of the United States from the _____ day of  ______ to _____

Sworn and subscribed this _____ day of _____ 18 --before me.

Note. -- The above deposition must be signed by the deponent Where the pension has been increased, since the certificate has been given, the magistrate will note that fact. the case of a Revolutionary pensioner, the part of the above form, which requires the pensioner to depose that he has not been
employed or paid, &c." is not required. The law of April 30, 1844, forbids the payment of an Invalid pension to any person while in either of the military services, unless the disability, for which the pension was granted, be such as to have occasioned his employment in a lower grade."
Page 18

B.
State of _____
County of _____

I _____ a Magistrate above named, do hereby certify, that I have the most satisfactory evidence, viz: _____ that _____ who has this day appeared before me to take the oath of identity, is the identical person named in the pension certificate, which he has exhibited before me, numbered _____ and bearing date at the War Office,
The __ day of _____ 18 __ and signed by _____ Secretary of War.

Given under my hand, at on the day and year above written. _____ J. P.

State of _____
_____ County,

I _____ Clerk of the _____Court of the County and State, aforesaid, do hereby certify, that _____ is a Justice of the Peace duly commissioned and qualified; that his commission was dated on the _____ day of ______ 18 __ and will expire on the ___ day of _____ 18 __  and that his signature above is genuine
(L. S.) Given under my hand and the seal of said County, this _____ day of _____ 18 __
Clerk

*Here state what the evidence is whether personal knowledge, or the affidavits of respectable persons, giving their names. Note.- Where the pensioner is personally known to the agent, and he will certify to his identity, the above form (B) may be dsipensed with-

C.
Know all men by these presents, That I, _____ of _____ (a) 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 _____ my pension from the _____ day of  _____ 18 ___
Witness my hand and seal, this ____ day of _____ 18__.
Sealed and delivered in the presence of _____ {l.S}

State of _____
_____ County,

Be it known, That on the _____ of ____ 18 __ , before the subscriber, a _____ in and for said County, duly authorized by law to administer oaths, personally appeared _____ and acknowledged the foregoing power of attorney to be his act and deed. In testimony whereof, I have hereunto set my hand the day and year last above mentioned.

State of _____
_____ County, ss.
Be it known, That on the __ day of _____  18 __, before me, a ______ in and for said county, duly authorized by law to administer oaths, personally appeared ______ the attorney named in the
foregoing power of attorney, and made oath that he has no interest whatever in the money he is authorized to receive, by virtue of the foregoing power of attorney, either by any pledge, mortgage, sale, assignment, or transfer, and that he does not know or believe that the same has been so disposed of to any person whatever. 
Sworn and subscribed the day and year last above mentioned, before me,

Note. The above form of oath is necessary for the Attorneys of widows pensioned under the laws of July 4, 1836, and July 7, 1838, and subsequent laws continuing their provisions. For other pensions, the old form of Attorney's oath is sufficient; but as the above is valid in all cases, to prevent mistakes its general adoption is advised.
Note. -- This affidavit must be signed by the Attorney.
(a) -- In this blank insert the word invalid, or Revolutionary, as the case may be.
Note. -- Any other officer duly authorized to administer oaths may be substituted for a Justice of the Peace.

D.
State of ______
_____ County,
Be it known, That before me, ______ a ______ in and for said County, duly authorized by law to administer oaths, personally appeared _____ Guardian of _____ and made oath in due form of law that the said _____ 
is still living, and is the identical person named in the original certificate in his possession, of which (I certify) the following is a true copy:
(Here insert a copy of his certificate of Pension.)

That he now resides in _____ and has resided there for the space of ___ years past, and that previous 
thereto he resided in _____
Guardian.
Sworn and subscribed this _____ day of _____ 18 ___, before me.
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E.
Form of an affidavit to be made by a widow placed on the Pension Roll of the War Department.
State (or Territory) of _____
_______ County

Be it known, That before me, _____ a ______ duly authorized by law to administer oaths, in and for the county aforesaid, personally appeared ______ and made oath in due form of law, that she is the identical person named in an original certificate in her possession, of which (I certify) the following is a true copy:
(Here insert a copy of her certificate of pension.)
that she has not intermarried, but continues the widow of the above mentioned _____ and that she now resides in _____ and has resided there for the space of _______ years past; and that previous thereto she
resided in ______; of the truth of which statements I am fully satisfied.

Sworn to and subscribed this ______ day of ______ 18 ___, before me,
Note. -- The above deposition must be signed by the deponent.

(In cases where a widow was placed on the pension roll under the act of March 3d, 1843, and had surrendered her certificate on the expiration of her pension previously to the renewal of widows' pensions by the act of June 17th, 1844, the following form may be substituted for the above. But as widows who were never placed on the pension list prior to the act of June, 1844, whose claims have subsequently been admitted, will be furnished with pension certificates from the War Department, they will be required to set out a copy of their certificates in the oath of identity, agreeably to the foregoing form.

UNITED STATES OF AMERICA.
State of _____
______ County, ss.

Be it known, That before me, a ______ a _______ in and for the county aforesaid, duly authorized by law to administer oaths, personally appeared ________ and made oath in due form of law that she is the identical
person who drew a pension under the act of the 3d of March, 1843, on account of the revolutionary service of her husband, the late _____ (here give the name and rank of the husband) at the rate of $ _____ per annum; that she now makes this affidavit for the purpose of drawing a pension under the act of Congress passed on the 17th of June, 1844, entitled "An act to continue the pensions of certain widows;" that she has not intermarried, but continues to be a widow; that she now resides in ______ in the County of ______ and State of ______ and has resided there for the space of ___ years past; and that previous thereto she resided in _____

Sworn to and subscribed this ___ day of _____ 18 ___
In presence of _____ Before me,

I certify that the above named affiant is personally known to me, and that she is the same individual who drew a pension as stated by her in the foregoing affidavit.
(Justice of the Peace or other magistrate.)

F.
Oath of identity for the widow or child of a deceased Pensioner.
State of _____
______ County,

Be it known, That before me, ________ a ______ in and for the County aforesaid, duly authorized by law to administer oaths, personally appeared ______ and made oath in due form of law, that she (or he, as the case may be) is the widow (or son or daughter, as the case may be) of ______ the identical person who was a pensioner, and is now dead, and to whom a certificate of pension was issued, which is herewith surrendered.

That the deceased pensioner resided in _______ in the State of ______ for the space of ___ years before his death; and that previous thereto he resided in _______

Sworn and subscribed this ______ day of ______ 18___, before me,
Note. -- The above deposition must be signed by the deponent. Where the pension has been increased, since the certificate has been given the magistrate will note the fact. 

Note. -- The oath of identity for the Executor or Administrator of a deceased pensioner may be in the foregoing form substituting "Executor" (or " Administrator," as the case may be) for "widow," &c.

G.
Power of attorney for the widow or child of a deceased Pensioner.
Know all men by these presents, That I, _____ of ______ in the county of ______ State of ______ widow or child, as the case may be, of ________ who was (a) 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 ______ the balance of said pension from the ______ day of _____ 18 ___, to the _____ day of _____ 18 ___, being the day of his death.

Witness my hand and seal, this _____ day of ______ 18 ___
Sealed and delivered in presence of ______ [L. S.]
Note. The form of acknowledgment of the above power and of the Attorney's oath are the same as in form C. When one of the children is appointed by the others to receive the balance, the Attorney's oath is not required.
(a) In this blank insert the word invalid, or Revolutionary, as the case may be.

H
Certificate of the Court as to the death of a Pensioner.

State of _______
County of______

I, ______ Clerk of the Court of _______ holden at _____ in and for ______ do hereby certify, that satisfactory evidence has been exhibited to said Court that ______ was a pensioner of the United States at the rate of
_____ dollars per _____ ; was a resident of the County of ______ in the State of ______ and died in the ______ in the State of ______ in the year _____ on the _____ day of ______ ;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.)*
(Seal of the Court.) n testimony whereof, I have hereunto set my hand and affixed my seal of office at _____
this ___ day of  ______ in the year of our Lord 18 ___
Clerk of the ______

*In case the pension certificate has been lost, insert, immediately after the name or names of the widow, child, or children, as the case may be, the following: "And that the pension certificate of said pensioner has been lost, and, after due search and inquiry therefore cannot be found"