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WIDOW’S APPLICATION FOR PENSION
County of Hempstead
}
I, Laura A. Smith
do solemnly swear that I
am the widow of C.
K. Smith who
served as a soldier in
the army (or sailor in the navy) of the Confederate States, being a mem-
ber of Company
(K) 12th Regiment
of Ark. Infantry
from the State of Arkansas
or a member of the crew
of a ship
called ~
~ ~ ~ ;
that he was honorably discharged (paroled or released)
from such service on
or about the first
day of June
1865
and did not desert the
same; that I am now, and for the past twelve months been, a bona
fide resident of this
State; that I do not own property, real or personal, or both, or money or
choses in action, in
excess of the value of $400.00 (exclusive of household goods and wearing
apparel), nor have I
conveyed title to any property to enable me to draw a pension, and that I
am not in receipt of
any income, annuity, pension or wages for any services, the emoluments of
an office, in excess
of $150.00 per year; that my said husband died on
the
2 ant day of April 1902 at his home
in Hempstead County State of Arkansas
(Here state whether he died in the service or after close of war.)
And that I have not
since remarried, so help me God.
[page cut off]
State of Arkansas, }
SS.
County of Hempstead }
We, the undersigned, sitting as a Pension Board for Hempstead County,
do certify that we
have examined the application of the within named
Laura A Smith, for
pension, under Act of the General Assembly of
the State of Arkansas,
as approved March 11, 1901, and the proof in support of same, and find
that said applicant is
__[blank]___ the widow of a Confederate soldier, is __[blank]___
in indigent
circumstances, and
that her claim is ___[blank]__ just, and that she should __[blank]___
be allowed
$50.00 pension.
W. P. Stewart [Seal]
F. T. Wright [Seal]
R. H. Prince [Seal]
APPLICATION OF
Laura A. Smith
Widow
Smith C. K.
De Ann P.O.
Hempstead County
Examined and Appd
and $ 50
allowed and Auditor
authorized to draw warrant for same
Filed July 5th 1902
C. H. Goodbelt Claim
By E. R. R. ???
#5259
This 11
day of Aug
1902
J W ??? Sec’y of State
F. E. Marion? Auditor
QUESTIONNAIRE
To Supplement Pension Application
On File In The Auditor’s Office
It is necessary that
this Questionnaire be properly filled out, sworn to, and filed in the Auditors
of-
fice in order that
your name may remain on the Confederate Pension Roll. Under authority of a
ruling
of the State Pension
Board and Advisory Board, appointed by the Governor, at a meeting of said Boards
on the 7th
day of January, 1932.
1. What is your full
name? Laura Ann Smith
2. Your present address?
Fouke Miller Co Ark
3. When and where were
you born? On the 20
day of April
, 1861
County of Hepstead
[sic] Co State
of Arkansas
4. To whom, when and
where were you married to the Veteran whose war record you are now draw-
ing your Confederate Pension? (To be answered by widows only.) To
C. K. Smith On
the 5
day of Aug
, year 1874
of 1874
, County of Hepstead
[sic] , State of Ark
-
5. With whom do you make
your home? My daushter
[sic] Gertie Vann
Address Fouke Ark
6. What relation are
they to you? My daughter
7. Have you lived
continuously in Arkansas for the past five years? Yes
8. Do you own any
property, or interest in any property? None
If so, give value of same None
9. Do you have any
income other than Arkansas Confederate Pensions? No
If so, how much per month? None
10. How much of your pension
each month is spent for your benefit? $ All
State of Arkansas }
County of Miller
} SS.
Certificate of Confederate
Pensioner
I, Laura Ann Smith
, a resident of the County and State afore-
said, do solemnly
swear that I fully and clearly understand the questions above set forth and that
I have
truthfully and to the
best of my knowledge and ability given the answers set opposite each question.
Witness Name
her
J. E. Jenith
Laura X Ann Smith
mark Confederate
Pensioner
Subscribed and sworn
to before me this 13
day of Feb
, 1932
My com Expires
A. S. Elam
Jan 9th 1933
Miller Co Ark (County Clerk, or Notary Public
Any false statement
made in this Questionnaire will be considered as fraud, and the party making
such false statement is subject to prosecution.
[scans courtesy of
Johnnie Smith Griffin, email, 08 May 2008]
