Hillsborough County, Florida
Confederate Home Applications


Application for Membership

To The Florida Confederate Home.



State of Florida,
Hillsboro County,

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

My name is J. W. Massey, I am Sixty seven years of age, I reside in Hillsborough County, State of Florida, I enlisted on the _____day of _____1861, in Captain B. Holland's Company, K. 38 Tennessee Regiment and served faithfully in the Confederate Army until 5th day of May 1865 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.) A partial stroke of Parallasys.
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
15th day of Oct, 1912.
Jas M. Cathcart
Notary Public, State of Florida at Large
My Commission Expires Oct. 9th, 1915.

J. W. Massey (his signature)



State of Florida,
Hillsboro County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared J. W. Massey (Pension Certificate of)who being duly sworn says that the is well acquainted with the above named J. W. Massey that he the said J. W. Massey 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.

Sworn to and subscribed before me this
15th day of Oct, 1912.
Jas M. Cathcart
Notary Public, State of Florida at Large
My Commission Expires Oct. 9th, 1915.

Jas M. Cathcart (his signature)


PHYSICIAN'S AFFIDAVIT



State of Florida,
Hillsboro County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared T. B. Fitts M. D., who being duly sworn says that he is a practicing physician duly authorized under the laws of Florida; that he has carefully examined John W. Massey the above-named applicant for admission to the Confederate Home and finds him to be (Here particularly describe his physical condition Partial Paralysis and kidney trouble in consequence whereof he is physically disabled from earning a living.

Sworn to and subscribed before me this
15th day of Oct, 1912.
W. S. Cathcart
Notary Public, State of Florida at Large.
My Commission Expires Oct. 9th, 1915.

T. B. Fitts M.D. (his signature)
W. S. Cathcart (his signature)


Approved Oct 16, 1912.



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