Revolutionary War Pension and Bounty Land Warrant Application File S. 6798, David Dickey, Ga. N.C. S.C.
Page 1

(8-1776)
SERVICE
Ga. N.C. S.C.
Dickey, David
NUMBER
S. 6798
carded
CONTENTS
Page 2

Hon. J.D. Artimore - 
[illegible] South Carolina  23875
David Dickey
of Greenville in the State of South Carolina 
who was a [illegible].
in the ? commanded by Captain ? of the ?
commanded by ? in the ?
line for 9 months

Inscribed on the roll of South Carolina 
at the rate of 1 Dollars 50 cents per annum,
to commence on the 10th day of March, 1831.
Arrears to the 4th of Mar 31   112.50
Semi-anl. allowance ending 4 Sept.    18.75
$13.25
{Revolutionary Claim,
Act June 7, 1832}
Recorded by ? Clerk
Book E Vol. 6 Page 65
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State of North Carolina
Rutherford County
On this 18th day of October 1832 personally appeared before us Ambrose Mills and William Richardson Justices of the peace for the county and State aforesaid now called for the purpose David Dickey a resident of the United States in the County of Rutherford and State of North Carolina aged eighty five 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 the 7th of June 1832.  That he entered the service of the United States under the following named Officers and served as herein stated.
I think sometime in the year 1775 I came to the County of Tryon now Rutherford County N. Carolina at that time we all was obliged to take sides.  I then became a Volunteer of this service of the United States under Captain Moffet  commanded by Col. Neil as an Indian spy and a Rainger some times on horse back and sometimes on foot when best in this service we was called of to a tower at the Snow Camps we was two months on that Tower  we drove them from their positions at that place I then returned home.  I then served Captain Leonard Malbury Troop of Horses in the State of Georgia to go against the Indians we had an engagement with them on the Ocanee River where we Drove them from their positions.  This was a (illegible) from the Tower.  I then returned home and in the winter of 1779, I went to the Siege of Charleston under Col. Hampton and served as Waggon Master in the Continental lines under Col. Hampton as Sergant Clay in pursuit of the British & Tories we had an engagement on Pacolete River.  I was again engaged in pursuit of Corn Wallis where he marched through N. Carolina I was then under Captain Simmons we went in pursuit of them as far as Salisbury and on to the South.  (Illegible) from that place we Returned home we had many difficulties to encounter we lived in a frontier Country in the of (illegible).  The Indians on one side, the British on the other that was in the Liberty Side was ready at every call to go to the Defense of the Country that we was kept in continual service during this War I cannot say better than that I was in actual service from the year 1775 to the end of the War. we that was volunteer never knew our Officers we went to
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Alarm and return whenever we had drove the enemy, as we dared not leave our frontiers any length of time  at one time our officers was not stationed at any length of time amongst us I know I served my Country faithfully and spent much of the prime of my life in its defenses.  I am old and infirm not able to attend to any business nor even able to travel to the Court House which is only about 7 miles to attend to any business.  I have called on two of my neighbouring Justices of the peace to administer the Oath required by the Act of Congress passed the 7th of June 1832.  I hereby relinquish every claim whatsoever to a pension and declare that my name is not on the pension roll of the Agency of any State whatsoever.
Question 1. Where and in what year were you born.
Answer. I was born in Augusta County State of Virginia in the year 1747.  Question 2nd Have you any record of your age if so where is it.
Answer.  I have it from the Records of my fathers Register.
Question 3rd.  Where were you living when called into service, where have you lived since the Revolutionary War and where do you now live.  Answer.  I was living in Tryon County now Rutherford County State of North Carolina where I have lived ever since.
Question 4th.  How were you called into service were you drafted, did you volunteer or were you a substitute and if a substitute for whom.  Answer.  I was a Volunteer through the whole Revolutionary War and confined on the lines of North Carolina and the Indian boundary on three excursions that we was called out to perform which I have stated above we had only two choices where I (illegible) to be in readiness or leave the country and we had no where to fly to for Refuge only our arm and the woods where we  would embody in small parties and defend the frontier as the enemy would encroach on them.
Question 5th.  State some of the Regular Officers who was with the troops where you served such as Continental and Militia Regiments as you can recollect and the general circumstance of your service.
Answer.  In my first service we had in general officers when there was an alarm we gathered in small parties and some one of the company took the command and we all lived under his directions until dismissed but over the time that I served out, I was under the Officers above named.
and also at the siege of Charleston under Gen. Lee & Col Archibald Lytle.
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Question 6th.  Did you ever receive a discharge from the service and if so by whom was it given and what has  become of it.
Answer.  We that was kept as spy's was never discharged from services and when we was called out to do duty at a distance we returned home under the same Officers we went out under we was not then Discharged but kept in readiness for the call of our alarm if I ever had a Discharge more than a verbal one I have no recollection what has become of it.
Question 7th.  State the names of some of persons in your neighborhood where you now live to whom you are known that can certify as to your character for veracity and good behaviour  of your service as a soldier of the Revolutionary War.
Sworn to and Subscribed this day and year aforesaid. D. Dickey
David L. Ballew a clergyman residing  over the county of Rutherford and State of North Carolina and James Gray (illegible) residing in the same County and State aforesaid do hereby certify that we were acquaintanced with the General Dickey who has subscribed and sworn to the above Declaration that we believe him to be 85 years of age that he is Reported and he lived in the neighborhood where he resides to have been a Soldier of the Revolution and that we concur in that opinion.
Sworn to and subscribed the day and year aforesaid. David L. Ballew
James Gray
James (illegible)
and we Ambrose Mills & William Richardson
Justices of the peace and of the Court of pleas and quarter sessions for the county of Rutherford and State of North Carolina do Hereby declare there opinion after the Investigation of this matter and after putting the interrogatories presented by this War Department that the above named applicant was a soldier of the Revolutionary War and served as herein stated and we the said Justices do further certify that it appears to us that David L. Ballew (illegible) the above  certificate as a clergyman resident in the county of Rutherford and State of North Carolina and that James Gray (illegible) who has also sign the same is a resident in the same County and State and is credible persons and that these statements is verified to be (illegible)
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I Theo F. Birchett Clerk of the County Court of pleas and quarter sessions for the Court of Rutherford and State of North Carolina do Hereby certify that the foregoing contains the original proceedings in the matter of the application of David Dickey for a pension And I further Certify that Ambrose Mills and William Richardson are Justices of the peace for this county of Rutherford and State of North Carolina and that there act is entitled to full faith and credit.  (illegible)
And I further Certify (the Justices having omitted to do so) upon request made that it is a fact known to me that the applicant David Dickey is a very feeble, frail & almost helpless old man.
In Testimony whereof I have hereunto set my hand and seal of office this 6th day November 1832
T. F. Birchett
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17.621
David Dickey
N. Carolina
5.13.
Entq 7.
P 328

Th F Birchett clk
Rutherford Co NC
Page 8

Extracted Text

Brief in the case of David Dickey County of Rutherford in the State of N. Carolina
(Act 7th June, 1832)
David Dickey

1.Was the declaration made before a Court or a Judge, Justice of the Peace
2. If before a Judge, does it appear that the applicant is disabled by bodily infirmity? Yes
3. How old is he? 85
State his service, as directed in the form annexed
Period.
Vol In 1775 he thinks 
Duration of Service about 22 days
Rank as a Indian Spy and  Ranger
Name of General and field under whom he served: Col Neil, Capt Moffet
Vol
Period not Stated, Duration of Service  about (illegible).
Rank Waggon Master
Name of General and under whom he Served: Col. Hampton
Vol 
Period not stated
Duration of Services: States that being in active service from 1775 to the end of the War.
Rank: Sergeant Major
Names of General and field under whom he served: Capt. Simmons
5. In what battles was he engaged: Oconee River, Pacolate River.
6. Where did he reside when he entered  the service? Tryon Co; N. C
7. Is his statement supported by living witnesses, by documentary proof, by traditionary evidence, by incidental evidence, or by the rolls?  Traditionary.
8. Are the papers defective as to form or authentication? and if so, in what respect? Correct.
X Cerfity that the foregoing statement and the answers agree with the evidence in the case above mentioned.
(illegible) Examining Clerk.

2 M. Wag.
2 pr.
3 seig
1 pm
7
3 recall?
12
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(8-1776)
Ga. SERVICE                                 NUMBER
N. C.              Dickey, David           S.6798
S. C.

CONTENTS                                     carded

Mrs. John D. Reid,
407 E. Second St.,
Pana, Ill.

Madam;

I have to advise you that from the papers in the Revolutionary War pension claim, S.6798, it appears that David Dickey was born in 1747 in Augusta County, Virginia.
While residing in Tryon County, North Carolina, he enlisted in 1775 and served two months as an Indian Spy in Captain Moffett's Company, Colonel Neil's North Carolina Regiment.
He served three months as a private in Captain Leonard Marbury's Georgia Company, date of enlistment not on record, was in an engagement on Oconee River.
He enlisted in the winter of 1779 and served two months s Wagonmaster, under Colonel Hampton of the South Carolina Troops.
He enlisted in May 1780 and served three months as Ser-
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(8-1776)

Ga. SERVICE                                     NUMBER
N.C.             Dickey, Dávid                S.6798
S.C

CONTENTS                                             carded

geant Major in Colonel Hampton's South Carolina Regiment and was in an engagement on Pacolet River.
In 1781 he served one month as a private in Captain Simons' North Carolina Company. He also served in Captain McFadin's Company, Colonel William Porter's Regiment, no details given.
He was allowed pension on his application executed October 18, 1832, while a resident of Rutherford County, North Carolina.
In 1834, soldier was living with a son L or S. H. Dickey in Greenville District, South Carolina. There is no further family data on file.

Respectfully,

Commissioner.
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(8-1776)

Ga.  SERVICE                                         NUMBER
N.C.                 Dickey, David                  S.6798
S.C.

CONTENTS                                                 carded
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(8-1776)

Ga. SERVICE                                        NUMBER
N.C.               Dickey. David                  S.6798
S.C.

CONTENTS                                            carded
Page 13

(8-1776)

Ga.  SERVICE                               NUMBER
N.C,               Dickey, David          S. 6798
S.C.

CONTENTS                                               carded
Page 14

(8-1776)

Ga. SERVICE                                 NUMBER
N.C.                Dickey, David         S. 6798
S.C.

CONTENTS                                        carded
Page 15

407 E 2" St-
[illegible]
Oct. 8/1923.
Department of Pensions -
Washington, D. C.,
Gentlemen:
Can you tell me of any other David Dickey than the David Dickey born in Va in Augusta Co in the year 1747- in the revolutionary war -
received a pension - would it be to much trouble to tell me this David Dickey born in 1747 who received pensions in the war of the revolution where born etc.
[illegible] there any others born in Va. in 1747 other than David Dickey
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[illegible] Augusta Co. I have that already. Am collecting data for a family book and need records of different men of that time.
Thanking you in advance
Very truly
Charlotte Dickey Reid
Mrs. John D.
Can you tell me the names of the Dickeys born in Albemarle Co Va - who received pensions in revolutionary war? is there such a county now?
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407 East 2nd. St., Pana, Ill.,
Feb. 16, 1923.
Sec'y. Bureau of Pensions,
Washington, D.C.,
Dear Sir:-
Will you kindly tell me if the following men named herein received pensions for services in the war of the Revolution and send me a record of same John Dickey born 1740, George Dickey born 1742 Ebner Dickey born 1744 Robert Dickey born 1745, David Dickey born 1747 and William Dickey born 1756. All were born in Virginia I think with prob bly the exception of William who may have been born in S. C.. I should appreciate very much this information.
Yours very truly,
Charlotte Dickey Reid
(Mrs. John D.)
[Stamp]
PENSION OFFICE US G FEB 19 1923
[Stamp]
REC
FEB 19 1923
DIVISION
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Hanover, Indiana
Dec. 2nd '22
Dept. of Interior
Bureau of Pensions
Washington, D.C.
Dear Sir.-
I am tracing my ancestry to the Revolution, and would like a statement of the fact that David Dickey received pension for military services. This David Dickey was born in Augusta Virginia, Oct. 18th 1747. He enlisted
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in North Carolina.
His first wife Margaret Robeson died 4 months after marriage.
Mch. 28, 1775 -
His last widow was Margaret Stephenson whom he married Sept. 4 1788.
David Dickey's father, John Dickey, was born in 1703, married Martha McNeely, moved from North of Ireland to a colony in Virginia in 1737.
There few facts will no doubt aid you in identifying said David Dickey who is my great great Grandfather and thru whom I may claim to be a D.A.R.
Respectfully Yours,
Miss Eva Britan
Box 12 Hanover
Indiana
Page 20

Mrs. Cornelia A Norris
119 E Edenton St.
Raleigh, N. C.
wants abstract of David Dickey
N. C. S. 6798
Personal inquiry apr. 12. 1920.
Page 21

6498
INVALID.
File No. 6798
David Dickey
Sergt Rev War
Act: June 7th 22
Index:-Vol. [illegible], Page 96
[Arrangement of 1870.]
1920, apl 29 Hist. to Mrs. Cornelia A Norris 119 E. Edenton St. Raleigh NC Eu
1921 Dec 30 History to Mrs. John D Reed, 407 E 2nd St Pana Ills
1923 Jan. 4 hist to Mrs. Eva Britan Eu
1923 May 1 - Mrs. John D Reid informed [illegible]
1923 Oct 30 Mrs. John D Reid [illegible]
David Dickey born in S.C in 1747, that this record was furnished [illegible] again [illegible] same record not [illegible] twice
1923 Nov. 16 - Mrs. J. D. Reid - [illegible]
1924 Mar 27 Hist Mrs John D. Reid she stated that former Hist [illegible] to her.
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House of Representatives
Washington D.C.
Feby 29 1860

Hon. Geo. C. Whiting.

Sir.
Please examine in its entirety of the claims of the house of Col. "illegible" David Dickey & Jonathan Nesbit & communicate to me the results at your earliest convenience, I have not yet heard from the 3rd Auditor in review to this matter of Mrs. Pleasant Ballinger, widow of Edward.
I have the honor to be very respectfully.
"illegible"
J. D. "illegible"
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State of North Carolina  Before me John Mills
Rutherford County           Chairman of the Court

of pleas and quarter sessions and an acting Justice of the Peace in and for County aforesaid personally appeared John Moore Post master at White Oak in said County, who being sworn in due form of law, deposeth and saith that he is intimately acquainted with David Dickey who he (said Moore) understands is an applicant to be placed on the pension roll of the United States and that David Dickey being old and infirm and unable to attend to his ordinary business sold out his property in this County and removed to live with a son of his in Greensville District South Carolina above a year past.  The Deponent further saith that he has seen said Dickey two or more times since his said removal and thinks that from his weak and feeble state it would be difficult if not impracticable for him to travel back to this County.  The Deponent further saith that though he has no personal knowledge of the military service of the said Dickey in the Revolutionary War, he has for over thirty years past always understood it as being generally believed in the neighborhood that said Dickey did so serve and was a zealous and active defender of the rights of his Country and said Deponent further saith that he knows the said David Dickey to be a man of great respectability and whose word in oath(illegible) may be placed.
Sworn to and subscribed before me the 4th of March 1834 John Moore
Sworn to & subscribed before me this date as above. John Mills
I John Mills before named to hereby testify that I have known the above named David Dickey for forty five or fifty years past and that the above statement with regards to him is (illegible) 
JwMills
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at same time personally appeared before me James Gray a pensioner of the United States who being duly sworn oath that he is well  acquainted with David Dickey above named
and has been [ ] lived in the same neighborhood at and before the
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Since wrighting the above the Aplicant further Recollects that he served a three month tour in Capt. Leonar Malbuys Troop of horse in the State of georgia
The memory of the Applicant as to the length of time of his military servises as here in before discribed is that his said servises in the whole was not less than twenty two months as follows
as private 17 month
waggon master 2 "
Sergant Major 3 "

Sworn and Subscribed to the day and date with additions

John Weaver S.P D Dickey

PS. the applicant wishes to be placed on the So Carolina agency and direct an answer to Gowensville [carrot: P.O] Greensville [crossed out: indecipherable] So Carolina

[Begin writing in new hand]
State of North Carolina
Butterford County
I Theo F. Birchett clerk of the court of [?] and Quarter Servises in and for the County of Butterford do certify that John Mills before whom the affidavits of John Moore and James Gray on the other leaf of this sheet are certified to have been read, and who has also ratified to his personal knowledge of and acquaintance with David Dickey is an acting Justice of the Peace of said County duly commissioned and sworn, and that his Artifacts and attendance as such are instilled to credit. -
In testimony whereof I here send affirm the deal of the said crest and subscribe my edict of office the 10th day of March A.D. 1834
T. F. Birchett
Page 26

I James McDonald Clerk of the Court of Greensville District Certify that John Wever is a magistrate of above and that the foregoing Signature purporting to be his is genuine Testimony where of I Have herewith affixed my 
Seal of office and subscribe my name this 18th day of March in the year 1834
J McDaniel
Clerk of the Court
of Greensville District
Page 27

Illegible
Born in Penn carded
Page 28

12:379
North Carolina
David Dickey
I reside in the State of N Car:
who was a private in the       commanded
by Captain                   of the Regt commanded
by Col. Davidson in the N Car
line for 14 months

Inscribed on the Roll of North Carolina
at the rate of 50-Dollars illegible per annum
to commence on the 4th day of March, 1831

Certificate of Pension issued the 24 day of Apr 33
and illegible
Statesville N.C.

Arrears to the 4th of March 1832              100__
illegible allowance ending 4 September       25
                                                                 $125    
Revolutionary Claim Act June 7, 1832
Page 29

2522
INVALID.
File No. 2522
David Dickey
Prvt Rev War
Act: June 7 1832
Index:-Vol. A, Page 96
[Arrangement of 1870.]
Page 30

State of North Carolina ⎬ August Session A.D.     Iredell County                 | 1832
                                        | On this 25th day of
August 1832 personally appeared in open Court before a Court of Pleas and Quarter Sessions of said County now sitting David Dickey A Resident of Iredell County
and State of North Carolina aged 72
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 7, 1832.
That he entered the service of the United States under the following named officer and
served as herein stated.
That he was drafted to guard the jail in the year 1778 at Salisbury in which some Tories were confined and who were afterwards evacuated-- this was a service of two months afterwards he was ordered into the
service and marched to Colsons where there was a skirmish with the Tories, he thinks he was about ten days in this service, he next entered by order of his officers into the service under Capt James Bryan and Gen Davidson for a five months tour which was performed in the neighbourhood of Charlotte. After this he served a three months tour under Capt A. Armstrong, Col. Davidson and Gen Rutherford. This tour was performed by marching to the neighbourhood of Wilmington where he lay at the ten mile bridge for some time. Afterwards he served four months under Capt John Arnold
and General Wayne which tour was performed on the Ohio River after the Indians with whom they had an engagement. This last service was on the loose and he verily believes that his services in the war
Page 31

was fourteen months and a half or more.
He was born in Chester County Pennsylvania
in the year 1760 and has no record of his age.
He was living in Rowan County at the time he
final entered the service, and since the Revolution he removed to Kentucky and returned to Iredell County where he has lived for 26 years past. He was called into service as herein set forth, and served under the officers here stated. He never had any written discharge.
He refers to David and Robert Hair and
George S. Davidson
He hereby has no documentary evidence
and knows of no person at present by
whose testimony he can procure who can
testify to his service except such as on
hereto annexed. He hereby relinquishes any
claim whatever to a pension or amnesty receipt the present and declares that his name is not on the pension roll of the agency of any State
Sworn to and subscribed
the day and year aforesaid   David Dickey
A Simonton Clk
---
Page 32

We George L. Davidson, David Hair and Robert Hair Residing in (illegible) county in the state of North Carolina do Hereby certify that we are well acquainted with David Dickey who has subscribed and sworn to the above declaration that we believe him to be 72 years of age, that he is reputed and he lived in the neighborhood where he resides to have been a soldier of the Revolution and that we concur with that opinion.  David Hair in addition states that he (illegible) him David Dickey in the (illegible) of the county of Charlotte, that he was then under Capt Bryan.  That afterwards he served a tour of three months in the expedition to Wilmington.  Robert Hair says that he saw him the  said David Dickey frequently in the army during the Revolutionary War and was with I'm in the expedition to Wilmington.
George L. Davidson says that from (illegible) to him he knows Dickey was at (illegible) under my father Geo Davidson in the year 1780.
Page 33

And the Court further Certifies that it appears to them this Robert Harris [illegible] and George L. Davidson who [illegible] the presiding Certificate Resides in this County of [illegible] and State of North Carolina and in [illegible] and then this Statement in
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David Dickey
N.C
No. 9555

            [Changed to] Cavalry
Admit as a private of Infantry [lined through] 
    for five months      $16.66
   10 months Infantry   33.33      
                                     ------

                                   $49.99
Page 35

WAR DEPARTMENT,

Pension Office
183

Sir,
The evidence in support of your claim under the act of June 7, 1832, has
been examined and the papers are herewith returned. The following is a statement of
your case in a tabular form. On comparing these papers with the following rules and
the subjoined notes you will readily perceive that objections exist which must be removed
before a pension can be allowed. the notes and the regulations will show what is
necessary to be done. Those points to which your attention is more particularly directed,
you will find marked in the margin with a brace, (thus }). You will, when
you return your papers to this Department send this printed letter with them, and
you will by complying with this request greatly facilitate the investigation of your
claim.

The STATEMENT, showing the Service of David Dickey

[column heading] Period when the service was rendered.
1778 drafted

[column heading] Duration of the claimant's service,
[column sub-heading] Years. Months. Days.]
[line 1] 2 [months]
[line 2] about 10 [days]
[line 3] 5 [months]
[line 4] 3 [months]
[line 5] 4 [months]
[line 6] believes his services were 14 months and a half or more
[column heading] Rank of the claimant.
[line 1] Pri.
[line 2]   "
[line 3]   "
[line 4]   "
[line 5] Horse Company
[column heading] Names and Rank of the Company officers under whom he served.
[line 1] [blank]
[line 2] [blank]
[line 3] Capt Jas Byers
[line 4] Capt A. Armstrong=son.
[line 5] Capt. Jno. Arnold
[column heading] Name and Rank of the General and Field officers.
[line 1] [blank]
[line 2] [blank]
[line 3] Genl. Davidson
[line 4] Col. David [illegible]
[line 5] Genl. Rutherford Genl. Wayne
[column heading] Battles in which the applicant was engaged
[line 1] [blank]
[line 2] [blank]
[line 3] [blank]
[line 4] [blank]
[line 5] [blank]
[column heading] Country through which he marched.
[line 1] [blank]
[line 2] [blank]
[line 3] [blank]
[line 4] [blank]
[line 5] [blank]
[column heading] Place of abode when he entered the service, and age at the present period.
[line 1] [blank]
[line 2] [blank]
[line 3] 72 years Rowan Co. N.C.
[line 4] [blank]
[line 5] [blank]
[column heading] Evidence by which the declaration is supported.
[line 1] [blank]
[line 2] [blank]
[line 3] Traditionay Witness
[line 4] [blank]
[line 5] [blank]

I am, respectfully,
Your obedient servant,
J. L. EDWARDS,
Commissioner of Pensions.
Page 36

2

REGULATIONS UNDER THE ACT OF JUNE 7, 1832.

The following regulations have been adopted:
This law has been construed to extend, as well to the line, as to every branch of the Staff of the Army,
and to include under the terms "Continental Line," "State troops," "militia," and "volunteers," allpersons
enlisted, drafted, or who volunteered and who were bound to military service, but not those who
were occasionally employed with the army upon civil contracts, such as Clerks to Commissaries and to
Store Keepers, &c. Teamsters, Boatmen, &c. Persons who served on board of Private Armed Vessels are
also excluded from the benefits of the law, as well as persons who turned out as patrols, or were engaged
in guarding particular places at night, and were not recognized as being in actual military service.
Four general classes of cases are embraced in this laws
1. The Regular Troops.
2. The State Troops, Militia, and Volunteers.
3. Persons employed in the Naval service.
4. Indian Spies.
As rolls of the regular troops in the Revolutionary War exist in this Department, all persons, claiming
the benefit of this law as officers, non-commissioned officers, musicians or privates, will in the first
instance, make application by transmitting the following declaration, which will be made before a Court of
Record of the County where such applicant residen. And every Court having by law a seal and Clerk is
considered a Court of Record.

DECLARATION,
In order to obtain the benefit of the Act of Congress of the 7th of June, 1832.

State, Territory, or District of County } [illegible]


On this [blank] day of [blank] personally appeared (a) before [blank]
A.B. a resident (b) of [blank] in the county of [blank] and State, Territory or District
of [blank] aged (c) [blank] 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 provion made by the act of Congress, passed
June 7th, 1832. That he enlisted in the Army of the United States in the year (d) [blank], with [blank] and 
served in the [blank] (e) regiment of the [blank] line, under the following named officers: 

[Here set forth the names and rank of the Field and Company Officers; the time he left the service; (and if he served
under more than one term of enlistment, he must specify the particular period, and rank and names of his officers;) the
town or county and State in which he resided when he enered the service; the battles, if any, in which he was engaged,
and the country through which he marched. This form is to be varied so as to apply to the cases of officers and persons
who belonged to the militia, volunteers, navy, &c.]

He hereby relinquishes every claim (,f) whatever to a pension or an annuity, except the present, and he
declares that his name is not on the Pension Roll of any Agency in any State, or (if any) only on that of
the Agency in the State of [blank]
Sworn to and subscribed the day and year aforesaid. A. B.
[And then will follow the certificate of the Court.]
And the said Court do hereby declare their opinion (g) that the above named applicant was a revolutionary
soldier, and served as he states.
I [blank] of the Court of [blank]
do hereby certify (h) that the foregoing contains the original proceedings of the said Court in the matter of
the application of [blank] for a pension.
In testimony whereof I have hereunto set my hand and seal of office (i) this [blank]
day of [blank] &c.

If, on examination of the proper record the names of applicants, making such declaration, cannot be
found, they will produce such proof as the rule given in note (j) points out.
Every applicant who claims a pension by virtue of service in the State Troops, Volunteers or Militia,
except those who belonged to the New Hampshire Militia and State Troops of Virginia, will make and
subscribe a declaration similar to the foregoing, with the following additions, viz:
(k) We, A. B., a Clergyman, residing in the [blank] and C.D. residing in (the same)
hereby certify, that we are well acquainted with [blank], who has
subscribed and sworn to the above declaration; that we believe him to be [blank]
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.
Sworn and subscribed the day and year aforesaid.
[And then will follow the certificate of the Court.]
And the said Court do hereby declare their opinion, 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 A.B.
who has signed the preceding certificate, is a clergyman, resident in the
and that C.D., who has also signed the same is a resident in the [blank]
and is a credible person, and that their statement is entitled to credit.
Clerk of the Court of [blank] do hereby certify that the foregoing 
contains the original proceedings of the said Court, in the matter of the applicacation of [blank]
for a pension.

In testimony whereof, I have hereunto set my hand and seal
of office, this [blank] day of [blank] &c.
Every applicant will produce the best proof in his power. This is the original discharge or commission;
but if neither of these can be obtained, the party will so state under oath, and will then procure, if
possible, the testimony of at least one credible witness, stating in detail his personal knowledge of the services
of the applicant, and such circumstances connected therewith, as may have a tendency to throw light
upon the transaction.
If such surviving witness cannot be found, the applicant will so state in his declaration (l) and he will
also, whether he produce such evidence or not, proceed to relate all the material facts, which can be useful
in the investigation of his claim, and in the comparison of his narrative with the events of the period of his
alleged service, as they are known at the Department. A very full account of the services of each person
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will be indispensable to a favorable action upon his case. The facts stated will afford one of the principal means of corroborating the declaration of the applicant, if true, or of detecting the imposition, if one be attempted;
and unless, therefore, these are amply and clearly set forth, no favorable decision can be expected. All applicants will appear before some Court of Record in the County, in which they reside, and there subscribe and be sworn to, one of the declarations above provided, according to the nature of his case.
The Court will propound the following (m) interrogatories to all applicants for a pension, on account of service in the Militia, State troops, or Volunteers, except the Militia of New Hampshire and the State troops of Virginia.
1. Where and in what year were you born?
2. Have you any record of your age, and if so, where is it?
3. Where were you living when called into service; where have you lived since the Revolutionary war, and where do you now live?
4. How were you called into service; were you drafted, did you volunteer, or were you a substitute? And if a substitute, for whom?
5. State the names of some of the Regular Officers, who were with the troops, where you served; such Continental and Militia Regiments as you can recollect, and the general circumstances of your services.
    | To a Soldier. | Did you ever receive a 
    |                     | discharge from the service, 
    |                     | and if so, by whom was it 
    |                     | given and what has become 
6. |                     | of it?
    | To an Officer.| Did you ever receive a 
    |                     | commission, and if so, by 
    |                     | whom was it signed, and 
    |                     | what has become of it?
7. State the names of persons to whom you are known in your present neighborhood, and who can testify as to your character for veracity, and their belief of your services as a soldier of the Revolution.
The Court will see that he answers to these questions are embodied in the declaration, and they are requested to annex their opinions of 
the truth of the statement of the applicant.
The applicant will further produce in Court, if the same can be done, in the opinion of the Court, without too much expense and inconvenience to him, two respectable persons -one of whom should be the nearest clergyman, if one lives in the immediate vicinity of such applicant, who can testify, from their
acquaintance with him, that they believe he is of the age he represents, and that he is reputed and believed in the neighborhood to have been a Revolutionary soldier, and that they concur in that opinion. If one of these persons is a Clergyman, the Court will so certify, and they will also certify, to the character and standing of other persons, giving such certificates.
The traditionary evidence of service is deemed very important, in the absence of any direct proof, except the declaration of the party. And the Courts are requested to be very particular in the enquiry whether the belief is general, and whether any doubts have ever existed upon the subject.
Applicants unable to appear in Court by reason of bodily infirmity, may make the declaration before required, and submit to the examination, before a Judge or Justice of a Court of Record of the proper county, and the Judge or Justice will execute the duties, which the Court is herein requested to perform, and will also certify that the applicant cannot, from bodily infirmity, attend the Court.
Whenever any official act is required to be done by a Judge or Justice of a Court of Record, or by a Justice of the peace, the certificate of the Secretary of State or Territory, or of the proper Clerk of the Court or County, under his seal of office, will be annexed, stating that such person is a Judge or Justice of a Court of Record, or a Justice of the Peace, and that the signature annexed is his genuine signature.
No payments can be made on account of the services of any person, who may have died before the taking effect of the act of June 7, 1832; and in case of death subsequent thereto, and before the declaration herein required is made, the parties interested will transmit such evidence as they can procure, taken and authenticated before a Court of Record, showing the services of the deceased, the period of his death, the opinion of the neighborhood respecting such services, the title of the claimant, and the opinion of the Court upon the whole matter.

(a) The declarant must appear in open Court, unless prevented from doing so by reason of bodily infirmity; in which case the declarant will follow the rule laid down for his guidance.
(b) The declarant must make his declaration in the county where he resides. If he should fail to do so, he must assign a sufficient reason for not conforming to the rule.
(c) The age of the claimant must invariably be mentioned. 
(d) The declarant must mention the period or periods of the war when he served.
(e) Every continental officer or soldier must give the name of the Colonel under whom he served; otherwise a satisfactory examination of the claim cannot be had. Every claimant must state, with precision, the length of his service, and the different grades in which he served, in language so definite as to enable the Department to determine to what amount of pension he is entitled. In a case where the applicant cannot, by reason of the loss of memory, state precisely how long he served, he should amend his declaration by making an affidavit in the following words: 
"Personally appeared before me, the undersigned, a Justice of the Peace, &c. A. B. who, bring duly sworn, deposeth and saith, that, by reason of old age, and the consequent loss of memory, he cannot swear positively as to the precise length of his service; but, according to the best of his recollection, he served not less than the periods mentioned below, and in the following grades:--For _____ year __________ months, and __________ days, I served as a _______________. For __________ months and __________ days I served as a _______________; and for such service I claim a pension."
It is important, in all cases, to determine with precision the period for which each applicant served, and the particular rank he held, as the law directs the pension to be paid according to the grade of the pensioner and the length of his service. The use of the phrase about three or four months, is too indefinite, and all such qualifying expressions are objectionable. Some persons who apply for pensions merely state that they served two years in the militia, &c. without specifying the tours, the names of the officers, and other particulars respecting their service. This form of a declaration is highly objectionable. It must, in every case, be clearly shown under what officers the applicant served; the duration of each term of engagement; the particular place or places where the service was performed; that the applicant served with an embodied corps called into service by competent authority; that he was either in the field or in garrison; and for the time during which the service was performed he was not employed in any civil pursuit. 
(f) The law makes the relinquishment indispensable.
(g) The opinion of the Court is always required.
(h) The Clerk must give his certificate in every case. 
(i) The Clerk must affix his seal, and if it has no device or inscription by which it can be distinguished from any other seal, or if he has no public seal of office, the certificate of a Member of Congress, proving the official character and signature of the certifying officer, should accompany the papers.
          Mode of authenticating papers.
In every instance where the certificate of the certifying officer who authenticates the papers is not written on the same sheet of paper which contains the affidavit, or other papers authenticated, the certificate must be
attached thereto by a piece of tape or narrow ribbon, the ends of which must pass under the seal of office of the certifying officer, so as to prevent any paper from being improperly attached to the certificate.
                    Proof of Service.
(j) In a case where the name of the applicant is not found on the records of the Department, he must prove his service by two credible witnesses, who are required to set forth in their affidavits the time of the claimant's entering the service, and the time and manner of his leaving the same, as well as the regiment, company, and line to which he belonged. The magistrate who may administer the oaths must certify to the credibility of the witnesses, and the official character and signature of the magistrate must be certified by the proper officer, under his seal of office.
--The notes from (a) to (i) are all equally applicable to the cases of Militia men, Volunteers and State Troops. The proof required by rule in note (j) applies to continental troops only.
(k) This traditionary evidence in indispensable in militia cases.  
(l) If a witness cannot be found, the declarant must state the fact.
(m) The answers to the interrogatories must all be written, and sent to the War Department, with the declaration.