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War time forms Certificate of disability for discharge
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| Company Muster-in Roll
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Draft Exemption Forms!
Form 25 Certificate of Exemption for the Son of a Widow, or of an aged and infirm Parent or Parents, I, the subscriber,........resident of.......county, State of ....... hereby certify that I, being liable to military duty under the act of Congress "for enrolling and calling out the national forces," &c., approved March 3d, 1863, am the only son of......, a widowed, (or of ......, an aged parent,) dependent on my labor for support. We, the subscribers, do hereby certify that the above named ......is the only son of a widow (or of aged and infirm parents) dependent on his labor for support. ..................Personally appeared before me...... the above-named......and...... severally made an oath that the above certificate is correct and true, to the best of their knowledge and belief. ....................... Justice of the Peace Dated at......... Note1. The first of the above certificates must be signed by the person claiming exemption, and the second by two respectable citizens (heads of families) residents of the town, county, ar district in which the person resides, and sworn before a magistrate. Note 2. This certificate is to be used only in cases where the LABOR of the person claiming an exemption is actually necessary for the support of the person dependent on him. The exemption does not apply in cases where there is sufficient property to yield support, and the necessary business for collecting the income can be transacted by agents, trustees, or the like. Form 26 Certificate of a Person that he or she desires one of his or her sons exempted. I, the subscriber, the father (or mother) of ...... and......, resident of......, ...... county, State of ...... hereby certify that I am aged and infirm, and that I am dependent for support on the labor of my two son , above named; and that I elect that my ...... son ...... shall be exempt from the operations of the act of Congress, "for enrolling and calling out the national forces," &c., approved March 3, 1863 We, the subscribers, do hereby certify that the above named...... is aged and infirm, and dependent on the labor of ...... sons for support............... Personally appeared before me the above named ......, and......., and severally made an oath that the above certificates are correct and true, to the best of their knowledge and belief, ................ Justice of the Peace Dated at ......... Note 1. The first certificate must be signed by the parent making the election, and the second by two respectable citizens (heads of families) residents of the town, county, or district, in which the persons reside, and sworn before a magistrate. In case the father is deceased, the certificate is to be signed by the mother, and the fact of the fathers death is to be statedby the persons certifying. Note 2. This certificate is to be used only in cases where the LABOR of the person claiming exemption is actually dependent on him. The exemption does not apply in cases where there is sufficient property to yield support, and the necessary business for collecting the income can be transacted by agents, trustees, or the like. (Persons wishing to be exempted under the above form, No. 26, must make this claim and have their names stricken from the Rolls before the Draft. After that time it will be too late to take advantage of the exemption - Ed.) Form 27 Certificate that the person liable the draft is the only brother of a child or children dependent on his labor for support. I, the subscriber, ......, being liable to draft in the service of the United States hereby make affidavit that I am the only brother of ................., under the age of 12 years of age, having niether father nor mother, and dependent on my labor for support. We the subscribers,....and...., residents of ..........., .............county, State of ......., hereby certify that ...... who is liable to draft is the only brother of......., under 12 years of age, having neither father nor mother, and dependent on his labor for support............................. Personally appeared before me, the above-named...... and ......, severally made an oath that the above certificate is correct and true, to the best of their knowledge and belief. ..................... Justice of the Peace. Dated at ........ Note 1. This certificate is to be used in cases where the LABOR of the person claiming exemption is actually necessary for the support of the persons dependent on him. The exemption does not apply in cases where there is sufficient property to yield support, and the necessary business can be transacted for collecting the income by agents, trustees, or the like. Note 2. The first certificate must be signed by the person claiming exemption, and the second by two respectable persons (heads of families) resident in the town, county, or district with the person for whom exemption is claimed. Form 28 Certificate that two members of the family of the person liable for draft are already in the Military service of the United States. We, the subscribers, ......and...... residents of .......county, State of ........, hereby certify that two members of the family and household of........, county and State above mentioned, are in the military service of the United States, as non-commissioned officers, musicians or privates ..................... ..................... Personally appeared before me, the above named ........ and ........, and severally made oath that the above certificate is correct and true, to the best of their knowledge and belief. ...................... Justice of the Peace Dated at ....... Note 1. This is only intended to apply where the members of the family claiming exemption reside in the same family. If any of the members reside elsewhere, and have gone into the military service of the United States, no exemption on that account can be claimed. Note 2. This certificate must be signed by one of the parents if there be any; if not, by two respectable persons (heads of families) resident in the same town, county, or district with the person for whom the exemption is claimed, |
