[Name of County] County, VA - Widow's Pension Application:[Name of
Applicant]

Transcribed by [Name of transcriber] and submitted for use in the
USGenWeb Archives.

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Image can be viewed on the Library of Virginia website:

http://image.vtls.com/CP/html/03631.html

(Official Form)
APPLICATION OF A WIDOW OF A DECEASED SOLDIER, SAILOR OR MARINE FOR A
PENSION.

[Name of Applicant]
[Name of County] County, Virginia
Widow of: [Name of Soldier]
Member of: [Name of Soldier's Company, Division, Brigade]

Swore to:

Name of applicant's deceased husband: [Name of Soldier]

When and were, as nearly as can be ascertained, did the applicant's
husband die, and from
what cause?   [Description of death]

When and where were the applicant and her deceased husband married:
[Date of Marriage]

Has the applicant ever married again: [yes/no].

                         Signed: [signature of applicant]


I, [Name], Judge of the County Court for the County of [name of
county] do certify that [name of applicant], whose name is signed to
the foregoing application, personally appeared before ;me in open
court, and, having the said application fully read and explained to
her, as well as the statements and answers therein made, [he/she] the
said [name of applicant] made oath before me that said statements and
answers are true.

Given under my hand this [Date of application].

                              Signed: [signature of notary]


------------------------

[Name of county] County
No. 36

VIRGINIA:

County of [name of county], TO-WIT:

I, [name], Judge of the County Court for the County of [name of
county], do certify that I have carefully enquired and examined into,
and am fully satisfied from the evidence adduced before me that each
and all of the facts set forth in the within application are true;
that the applicant is the identical person name in the application;
that the application is for the reasons approved, and it is therefore
certified that [name of applicant]is entitled to receive annually
from the State of Virginia the sum of [amount] dollars.

Given under my hand this [date of application]


                    Signed: [Signature of notary]