Cornelius Cook's Confederate Pension Application

VIRGINIA:
County of Shenandoah, TO-WIT:

I, E.D. Newman, Judge of the County Court for the County of Shenandoah, do certify that I have carefully enquired and examined, 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 named in the application; that the application is for these reasons approved, and is therefore certified that Cornelius Cook is entitled to receive annually from the State of Virginia the sum of fifteen dollars.

Given under my hand this 19^th day of April, 1888.

APPLICATION OF SOLDIER, SAILOR OR MARINE FOR A PENSION

I, Cornelius Cook, a native fo the State of Virginia, and now a citizen of Virginia, resident at Columbia Furnace in the county (or city) of Shenandoah in said State of Virginia, and who was a soldier from the state of Virginia, in the war between the United States and the Confederate States, do hereby apply for aid under the act of the General Assembly entitled "An act to give aid to soldiers, sailors, and marines of Virginia, maimed or disabled in the war between the States, and to the widows of Virginia soldiers, sailors and marines who lost their lives in said war in the military service." And I do solemnly swear that, while in the discharge of my duty in the service of the Confederate States, as a member of Company K 7th Virginia Calvary on or about the 1 day of June 1863, I was wounded in the battle of Brandy Station and that from the effects of such would I was disabled, as follows: Through my right arm and that by reason of such wound and disability I am now entitled to receive, under said Act, the sum of 30 dollars annually. I further swear that I do not hold any national, State, or county office which pays me in salary or fees over three hundred dollars per annum; nor have I an income from any other source which amounts to three hundred dollars; nor do I own in my own right, nor does my wife own, property of the accessed value of more than one thousand dollars; nor do I receive aid or a pension from any other State of from the United States; and that I am not an inmate of any soldiers' home.

I do further swear that the answers given to the following questions are true:

1st. What is applicant's age? Ans. 45

2d. In what battle or combat, or under what circumstances was the applicant wounded? Ans. In battle at Brandy Station wounded while engaged in fighting

3d. What was the precise nature of the wound received? Ans. in right just above elbow

4th. What limb, if any, did the applicant lose by reason of said wound? What eye, if any, did he lose? Ans.

5th. If no limb or eye was so lost, what is the precise nature of the disability occasioned thereby? Ans. I am totally disabled in right arm

6th. Is it total? It is

(a) Is it partial? and, if so, to what extent does it disable him from manual labor? Ans.

Given under my hand this 19^th day of April 1888.

I, E. D. Newman, Judge of the County Court for the County of Shenandoah, do certify that Cornelius Cook, whose name is signed to the foregoing application, personally appeared before me in open court, and, having the said application read and fully explained to him, as well as the statements and answers therein made, he the said Cornelius Cook made oath before me that the said statements and answers are true.

Given under my hand this Apr. 19^th day of , 1888

Fill out and file this Certificate with Auditor of Public Accounts after March 15 and before May 1, 1911. Certificate will be returned if received at Auditor's office before March 15, 1911.

1911

Soldier's Certificate

ACT 1888

To save trouble for Pensioner and Pension Department, please write plainly in spaces below, the County or City in which the Pension was FIRST GRANTED, the name of Pensioner, and present Postoffice Address.

County-City Shenandoah
Name Cornelius Cook
Postoffice Columbia Furnace

Filed in Auditor's office APR 4-1911.

Paid Warrant No. 8

(Fill out and file this Certificate with Auditor Publlic Accounts after March 15 and before May 1, 1911.)

ACT 1888

PENSION CERTIFICATE FOR A SOLDIER, SAILOR OR MARINE
(Do NOT use this Certificate for a Widow.)

I, Cornelius Cook, of the County of Shenandoah, in the State of Virginia, do solemnly swear that I am the identical person named in original or subsequent application, with disabilities therein rated, filed in the office of the clerk of the Circuit Court of Shenandoah County, for aid as a soldier, sailor or marine of Virginia, in the service of the said State, or of the Confederate States, during the war between the States, and that I am now an actual resident of the County of Shenandoah, in the said State, and that I do not hold any national, State, city or county office which pays me in salary or fees two hundred dollars ($200.00) per annum; nor do I receive from an ysource whatever money or other means of support amounting in value to the sum of two hundred dollars ($200.00) per annum; nor to I own in my own right, nor does anyone hold in trust for my benefit or use, nor does my wife own, nor does anyone hold in trust for her benefit, either real, personal or mixed property or estate, either in fee or for life, of the assessed value of seven hundred and fifty dollars ($750.00); nor do I receive any aid or pension from any other State, or from the United States, or from any other source, and that I am not an inmate of a soldiers' home, and I am without any means of support, either direct or indirect.

Subscribed and sworn to before me, Geo. W. Miley, clerk of the court, in and for the County of Shenandoah, this 1^st day of April 1911.

NOTE -- The above affidavit may be taken before any officer in this State authorized by law to administer an oath.

CERTIFICATE OF COMMISSIONER OF REVENUE

I, H.S. Wightmann, Commissioner of Revenue in the County of Shenandoah, in the State of Virginia, do certify that the pensioner (his wife, truste, or trustee for his wife) whose name is signed to the foregoing Certificate for aid under the act of the General Assembly of Virginia, approved March 5, 1888, and amendments, is charged on the land and personal property books of the said District with estate, real, personal or mixed, of the assessed value of $55.00

Given under my hand this 3^rd day of April, 1911.

ACT OF 1888

RERATING APPLICATION

To save trouble for Pensioner and Pension Department, please write plainly in spaces below the Name of Pensioner, the County or City in which the Pension was FIRST GRANTED, and present Postoffice Address.

Roll No.   14
County City Shenandoah
Name Cornelius Cook
Postoffice Columbia Furnace Va
Filed in Auditor's office            19
Paid Warrant No.          $
Date of Payment May 1 1911

RERATING LAW.

An ACT to provide for rerating pensioners classed on the pension rolls of the State as partially diabled.

Approved December 31, 1904

1. Be it enacted by the General Assembly of Virginia, That any person now on the pension rolls of Virginia, or who shall hereafter be placed thereon, and classed as partially disabled, may, if such pensioner shall thereafter become totally disabled by disease or the infirmities of age, make application to be rerated and placed on said pension roll under the class of totally disabled pensioners. If said application be approved by the pension board and the court or judge which originally granted pension to such person as for partial disability, the applicant shall be placed on the pension rolls under the class of totally disabled pensioners, and receive the sum now or hereafter provided by law to be paid to totally disabled pensioners. In ascertaining whethere or not such applicant has become totally disabled, the same proof and certificates concerning such disability shall be required as is required for an original application for a pension. The Auditor of Public Acounts shall prepare proper forms for carrying out the purposes of this act.

2. This act shall be in force from its passage.

NOTICE

No fee to be charged for services rendered applicant; penalty; exempt from levy, garnishment, or attachment.

That no fee or other compensation shall be charged or received by any clerk, attorney, officer, or other person for any service rendered to any applicant under the provisions of this act; and any person who shall purchase from a soldier, sailor, or marine, or from any widow of any deceased soldier, sailor, or marine, any claim allowed under the provisions of this act for a price or sum of money less than the full amount thereof shall be guilty of misdemeanor, and upon indictment and conviction thereof shall be fined or imprisoned, or both at the discretion of the court. The provisions hereby made for disabled soldiers, sailors, or marines, and widows of deceased soldiers, sailors, or marines, shall be exempt from levy garnishment, or attachment for any debt or pecuniary demand. (Section 17 Pension Law)

RERATING APPLICATION

NOTE -- This application must be approved by the Pension Board and the court or judge
which ORIGINALLY granted the pension for partial disability.

(See copy of law on last page of this form.)

I, Cornelius Cook, now on the pension rolls of the State of Virginia, classed as PARTIALLY disabled, do hereby apply to be rerated and classed as TOTALLY disabled. I do solemnly swear that since I was placed on said roll I have become TOTALLY disabled; that I am now, and have been for two years, an actual resident of the said State, and that I do not hold any national, State, city or county office which pays me in salary of fees two hundred dollars ($200.00) per annum; nor do I receive from any sources whatever money or other means of support amounting in value to the sum of two hundred dollars ($200.00) per annum; nor do I own in my own right, nor does anyone hold in trust for my benefit or use, nro does my wife own, nor does any one hold in trust for her benefit, either real, personal or mixed property or estate, either in fee or for life, of the assessed value of seven hundred and fifty dollars ($750.00)*; nor do I receive any aid or pension from any other State, or from the United States, or from any other source, and that I am not an inmate of a soldier's home, and I am without any means of support, either direct or indirect; that I am now permanently disabled from following ANY occupation for a livelihood, and that the answers given to the following questions are true:

1. What is your age? Ans. 68 years

2. What is your usual and ordinary occupation for earning a livelihood? Ans. Farming

3. How long have you followed such occupation or employment? Ans. From youth

4. Are you following such occupation or employment, or any other occupation or employment at the present time? If so, state the nature and extent of such employment. Ans. I am not

5. State specifically the nature of your disability or disease. Gun shot wound in right arm, Rheumatism and infirmities of age.

6. Are you totally disabled, because of such diseases or the infirmities of age, from following your usual and ordinary occupation or employment, or any other occupation or employment, by which to earn a livelihood? Ans. Yes.

7. If suffering from disease, state what physician or physicians have attended you for the same. Dr. S. J. Hoffman, Woodstock, Va.

8. Give here any other facts taht will support the justice of you claim. I have no income and am possessed of no property except a few household goods.

9. In what county or city, and when, was your pension first granted? Ans. Shenandoah

Subscribed and sworn to before me, Geo. W. Miley, D. Clerk of the Cir. Ct., in and for the County of Shenandoah, this 28th day of February, 1911.

CERTIFICATE OF PHYSICIAN.

I, S.J. Hoffman, a practicing physician in the County of Shenandoah in the State of Virginia, do certify that I am personally acquainted with the applicant, and that from a personal examination of him as to the disability set forth in his application, and the cause thereof, I am clearly of the opinion that he is disabled by reason of (physician will here state SPECIFICALLY the nature of the disability and the cause therof, and if such disability be total, whether the applicant is deprived thereby of all ability to pursue his usual and ordinary occupation, or any occupation for a livelihood, and if the disability be partial, to what extent the applicant is hingered thereby from pursuing such occupation as aforesaid. If the physician considers the disability total, he will, in additioin to the causes disclosed by examination, repeat the language underscored above. Gun shot wound in right arm, Rheumatism and infirmities of age. He is in my opinion unable to pursue his usual and ordinary occupation or any other occupation for a livelihood and I verily believe his disability is wholly due to causes assigned in the said application and in this certificate, and I have no personal interest in the allowance of the applicant's claim.

Given under my hand, this 10th dau of March, 1911.

CERTIFICATE OF COMMISSIONER OF REVENUE

I, H.S. Wightmann, Commissioner of the Revenue in the County of Shenandoah in the State of Virginia, do certify that Cornelius Cook or his wife or his trustee, or trustee for his wife, whose name is signed in the foregoing application under the act of the General Assembly of Virginia, approved December 31, 1908, is charged on the land and personal property books of the said District with estate, real, personal and mixed, of the assessed value of *$55.00.

Given under my hand, this 1^st day of March, 1911.

APPROVAL OF PENSION BOARD.

I, R.G. Anderson, chairman of the Pension Board of Shenandoah County, do certify that the foregoing application has been examined and approved by said Board, and that the original application was allowed in this County.

In testimony whereof I hereunto set my hand, this 10th day of March, 1911.

This Court, from an examination of the foregoing application, affidavit, certificates, etc., being satisfied that the claim is just, doth approve the same this 13 day of March, 1911.

*The actual amount due or unpaid upon any deed of trust or mortgage to secure the payment of a debt shall be deducted from the assessed value of the property of claimants under this act.

In computing the value of the estate held by any person or for his or her benefit, all property conveyed by deed for consideration not deemed valuable in law or parted with by gift since march 2, 1902, shall be considered as his or her estate.

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