Confederate Pension Application
David R. Banta, Burnet County, Post Office Burnet
Comptroller’s File No. 10012
Approved Mar 17, 1904
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Form No. 1 -- Amended
APPLICATION
of Indigent Soldier or Sailor of the late Confederacy for pension under
the Act of May 12, 1899. Hereafter use no other blank but this.
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THE STATE OF TEXAS,
County of Burnet
To the Honorable County Judge of Burnet County, Texas.
Your
petitioner, D.R. Banta, respectfully represents that he is a resident
citizen of Burnet county, in the State of Texas, and that he makes this
application for the purpose of obtaining a pension under the act passed
by the Twenty-sixth Legislature of the State of Texas, and approved May
12, A.D. 1899, the same being an act entitled “An act to carry into
effect the amendment to the Constitution of the State of Texas,
providing that aid may be granted to disabled and dependent Confederate
soldiers, sailors, and their widows under certain conditions, and to
make an appropriation therefor,” and I do solemnly swear that the
answers I have given to the following questions are true.
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NOTE:--Applicant must make answer to all of the following questions, and such answers must be written out plainly in ink.
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Q. What is your name? Answer: David R. Banta
Q. What is your age? Answer: Seventy four years
Q. In what County do you reside? Answer: Burnet
Q.
How long have you resided in said County and what is your post office
address? Answer: About 32 years in all, only a few days the last
residence I have no permanent residence live with friends and children,
Burnet, Texas
Q. Have you applied for a pension under the
Confederate Pension Law heretofore, and been rejected? If so state when
and where. Answer: No
Q. What is our occupation if able to engage in one? Answer: Farmer. Not now able to engage in any.
Q.
What is your physical condition? Answer: I am weakened and debilitated.
Have bladder and other troubles and am weakened and worn out.
Q. If
your physical condition is such that you are unable by your own labor
to earn a support, state what caused such disability. Answer: Old age
and bladder trouble
Q. State in what company and regiment you
enlisted in the Confederate army, and the time of your service. Answer:
Company “D” 3rd Texas Regiment, Capt. McKee’s Co. Arizona Brigade
Q. If you served in the Confederate navy state when and where, and the time of your service. Answer: [left blank]
Q.
State whether or not you have received any pension or veteran donation
land certificate under any previous law, and if you answer in the
affirmative state what pension or veteran donation land certificate you
have received. Answer: [left blank]
Q. What real and personal
property do you now own, and what is the present value of such
property? Give list of such property and value. Answer: One pony value
$40.00
Q. What property, and what was the value thereof have you
sold or conveyed within two years prior to the date of this
application? Answer: One pony. Received for him $15.00
Q. What income, if any, do you receive? Answer: none
Q.
Are you in indigent circumstances; that is, are you in actual want, and
destitute of property and means of subsistence? Answer: yes
Q. Are you unable by your labor to earn a support? Answer: yes
Q.
Have you transferred to others any property of value of any kind for
the purposes of becoming a beneficiary under this law? Answer: no
Q. Did you ever desert the Confederacy? Answer: no
Q. Have you been continuously since the first day of January, 1880, a bona fide resident citizen of this State? Answer: yes
Wherefore
your petitioner prays that his application for pension be approved and
that such other proceedings be had in the premises as required by law.
(signature of Applicant) David R. Banta
Sworn to and subscribed before me this 23 day of Sept A.D. 1903
Ike D. White
County Judge, Burnet County, Texas
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AFFIDAVIT OF WITNESSES
(Note--There must be at least two credible witnesses)
THE STATE OF TEXAS
County of Burnet
Before
me, Ike D. White, County Judge of Burnet County, State of Texas, on
this day personally appeared W.W. Brooks and M.J. Bolt, who are
personally known to me to be credible citizens, who being by me duly
sworn on oath, state that they personally know David R. Banta, the
above named applicant for a pension, and that they personally know that
the said David R. Banta, enlisted in the service of the Confederacy,
and performed the duties of a soldier as claimed by him in the above
and foregoing application; that our source of such knowledge is as
follows: That we served in the same company or regiment in which said
applicant enlisted which was Company “D” 3rd Regiment Arizona
Brigade, Capt R.W. McKee’s Co. We enlisted in Burnet County Texas in
the fall of ‘62. We all resided in Burnet County and we were
personally acquainted with said Banta at the time and know applicant to
be the same person and know that said applicant never deserted the
Confederacy. and that they further know that the said applicant, is
unable to support himself by labor of any sort.
(Signature of Witness) W.W. Brooks
(Signature of Witness) M. J. Bolt
Sworn to and subscribed before me this 23rd day of Sept 1903
Ike D. White, County Judge Burnet County Texas
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AFFIDAVIT OF PHYSICIAN
THE STATE OF TEXAS
County of Burnet
Before
me Ike D. White, County Judge of Burnet County, State of Texas, on this
day personally appeared Dr. E.G. Dorr, who is a reputable practicing
physician of this County, who being by me duly sworn on oath, states
that he has carefully and thoroughly examined David R. Banta, applicant
for a pension, and finds him laboring under the following disabilities
which render him unable to labor at any work or calling sufficient to
earn a support for himself: chronic bladder trouble with rheumatism.
(Signature of Physician) E.G. Dorr
Sworn to and subscribed before me this 24rd day of Sept 1903
Ike D. White, County Judge Burnet County Texas
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CERTIFICATE OF COUNTY JUDGE
THE STATE OF TEXAS
County of Burnet
I,
Ike D. White, County Judge of Burnet County, State of Texas, do hereby
certify that on the 24 day of Sept A.D. 1903, before me came on to be
heard the application of David R. Banta for a pension under the
Confederate Pension Law of this State, approved May 12, A.D. 1899; that
the answers of said applicant to the questions propounded were made
under oath as the same appear in writing in the foregoing application;
that the affidavits of the witnesses who are credible citizens were
made before me as the same hereinbefore appear, and that the foregoing
affidavit of Doctor E.G. Dorr who is a reputable practicing physician
of this County, was made before me. I also certify that the said
applicant, David R. Banta, is not an inmate of the Texas Confederate
Home, nor otherwise disqualified under the provision of Secion 12, of
the Confederate Pension Law. I further certify that after considering
all the proceedings had before me relative to the said application for
a pension by the said David R. Banta, I find the said applicant is
lawfully entitled to the pension provided by the Confederate Pension
Law of this State, and I hereby approve said application.
Witness my hand and seal of office at Burnet this 24 day of Sept A.D. 1903
Ike D. White
County Judge Burnet County, State of Texas
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