Hillsborough County, Florida
Confederate Home Applications


Application for Membership

To The Florida Confederate Home.



State of Florida,
Duval County,

Before me a Notary Public in and for the State of Florida at Large, personally appeared George R Rice to me well known, who, being by me duly sworn, makes the following statement:

My name is George R Rice, I am 71 years of age, I reside in Hillsboro County, State of Florida, I enlisted on the 26 day of April 1861, in Captain John T. Leslie K Company, 4th Regiment and served faithfully in the Confederate Army until the end of the war. I never deserted said service and never served against the Confederate States and I have not taken the Oath of Allegiance to the United States before April, 1865. I am, and have been a bonifide resident of the State of Florida ever since January 1, 1893. I have no means of support and am physically disabled from making a living by reason of (Here state fully cause of disability.) Old age, entered home Sept. 1st 1917.
Wherefore I make application for admission as a beneficiary of the Confederate Home, located at Jacksonville, Florida, and I agree to observe all the rules prescribed by the authorities in charge of said Home.

Sworn to and subscribed before me this
__________day of _________, 19__.

Geo. R. Rice (his signature)



State of Florida,
____________ County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared James McKaywho being duly sworn says that the is well acquainted with the above named George R. Rice that he the said George Rice served faithfully in the Confederate Army and did not desert said service. That he has no means of support, and deponent believes him to be physically disabled from making a living. to the best of my knowled as to his meanes. He was a loyal confederate soldier.

Sworn to and subscribed before me this
23 day of August, 1917.
W. Lesley Cathcart
Notary Public, State of Florida at Large
My Commission expires Mar 1, 1920

James McKay (his signature)


PHYSICIAN'S AFFIDAVIT



State of Florida,
Hillsborough County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared _______________________________________, who being duly sworn says that he is a practicing physician duly authorized under the laws of Florida; that he has carefully examined ____________________________________the above-named applicant for admission to the Confederate Home and finds him to be (Here particularly describe his physical condition)________________________________________________. in consequence whereof he is physically disabled from earning a living.

Sworn to and subscribed before me this
____ day of ____, 19__.




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