Affidavit of Harriet Tubman for Her Claim for a Pension

Abolitionist and former slave Harriet Tubman helped enslaved people escape to freedom along the Underground Railroad. During the Civil War, she served the Union side as a nurse, cook and spy, as well as the leader of a scout force of 10 men.

Transcript

GENERAL AFFIDAVIT

State of __________________________, County of ____________________________________________, ss:
In the matter of ______________________________________________________________________________
ON THIS _____________day of __________________________________, A. D. 18________, personally
appeared before me __________________________________________________in and for the afore-
said County, duly authorized to administer oaths ________________________________________
aged _______________years, a resident of _____________________________________in the County
of _____________________________________, and State of _________________________________________
whose Post-office address is _______________________________________________________________
_____________________________________, aged _______________ years, a resident of _______________
_______________________, in the County of ______________________________________________________
and State of ____________________________________, whose Post-office address is ____________
________________________________________________________________________________________________
well known to be reputable and entitled to credit, and who, being duly sworn, declared in relations to aforesaid
case as follows: _____________________________________________________________________________
(Note: Affiants should state how they gain a knowledge of the facts to which they testify.)

My claim against the U.S. is for three years service as a nurse and cook in hospitals, and as commander of several men (eight or nine) as scouts during the late war of the Rebellion, under directions and orders of Edwin M. Stanton Secretary of War, and of several Generals.

I claim for my services above named the sum of eighteen hundred dollars. The annexed copies have recently been read over to me and are true to the
best of my knowledge information and belief.

I further declare that I have no interest in said case and am concerned in its prosecutions. And allowance.
her
[Illegible] McCarty Harriet X Davis
M. Elsie McCarty. Late Harriet Tubman
(If Affiants sign by mark, two witnesses who write sign here.) mark
(Signatures of Affiants.)

---

STATE OF New York, County of Cayuga, ss:

Sworn to and subscribed before me this day by the above named affiant, and I certify that I read said affidavit to said affiant including the words __ erased, and the words __ added and acquainted her with its contents before she executed the same. I further certify that I am in nowise interested in said case, nor am I concerned in its prosecution; and that said affiant is personally known to me and that she is a credible person.

Annie McCarty
(Official Signature.)
[L. S.]
Notary Public
(Official Charnoter)

I, __, Clerk of the County Court in and for aforesaid County and State, do certify that ___ Esq., who has signed his name to the foregoing declaration and affidavit, was, at the time of so doing ______ in and for said County and State, duly commissioned and sworn; that all his official acts are entitled to full faith and credit, and that his signature is thereto genuine.

Witness my hand and seal of office, this __ day of __, 18_____


[L.S.]
Clerk of the ___

To be executed before a Court of Record or some officer thereof having custody of its seal, a Notary Public, or Justice of the Peace, whose official signature shall be verified by his official seal, and in case he has none, his signature and the official character shall be certified by a Clerk of the Court Record, or a City or County Clerk.

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GENERAL AFFIDAVIT
CLAIM OF
Harriet Davis
Late Harriet Tubman

AFFIDAVIT OF
Claimsman

FILED BY

Printed and For Sale by J. F. Sheiry, Claim Blank Printer,
633 D. Street, N. W. Washington, D. C.