5. How old are you? 25 Born:
6. Where were you born? SALINE DIST. C.N. I.T.
7. Are you married? 
8. Name and age of wife or husband: JOHN SIMINGTON
9. To what tribe of Indians does he or she belong? 
WHITE MAN
10. Name all your children who were living on May 28, 1906, giving their ages: 

Name, Age, Born.
(1) LORINA THOMPSON, 7, About 1900 
(2) JUDY RATLINGOURD, 3, About 1904

11. Give names of your father and mother, and your mother's name before marriage: 
Father
English name: WILLIAM MCDANIEL 
Indian name:

Mother
English name: JUDY MCDANIEL
Indian name:
Maiden Name: JUDY MORGAN

12. Where were they born? 
Father: CHEROKEE NATION I.T.
Mother: 

13. Where did they reside in 1851, if living at that time? 
Father: Not Known
Mother: Not Known

14. Date of death of your father and mother:
Father: ABOUT 1905
Mother: " 1896 

15. Were they ever enrolled for money, annuities, land or other benefits? If so, state when & where, and with what tribe of Indians: 
Yes, Cherokee Per Capita Payment In Saline Dist. C. N. I. T. In 1894 And Final Roll By Com. - To The Five Civilized Tribe

16. Name all your brothers and sisters, giving ages, and residence if possible:
(1) Nelson McDaniels, About 1879, Living, 
(2) Katie Cabe, 1881, Living
(3) Cal McDaniels, 1883, Living 
(4) BOB McDaniels, 1890, Living
(5) DAVE McDaniels, 1896, Living

17. State English and Indian names of your grandparents on both father's and mother's side, if possible: 
Father's Side 
Not Known 

Mother's Side
PATSY JOHNSON, GRANDMA 
NOT KNOWN 

18. Where were they born? CHEROKEE NATION EAST
19. Where did they reside in 1851, if living at that time? 

20. Give names of all their children, and residence,if possible: 
(1) Judy McDaniels, Dead
(2) Sam Spunk, Dead
(3) Rutha Ragsdale, Rose I.T.

21. Have you ever been enrolled for money, annuities, land or other benefits? If so, state when and where, and with what tribe of Indians: 
Cherokee Per Capita Payment In Saline Dist. C.N. I.T. and Final Roll By The Com To The Five Civilized Tribe

22. To assist in identification, claimant should give the full English and Indian names, if possible, of their parents and grandparents back to 1835:

REMARKS,

(Under this head the applicant may give any additional facts which will assist in proving his claim.) 

My Grandmother on mother side is living at present and i believe on Roll 1851 and Father William McDaniel is on final roll made by the com to The Five Civilized Tribe - and i believe on Western Cherokee Old Settler Pay Roll


I solemnly swear that the foregoing statements made by me are true to the best of my knowledge and belief. 

(Signature PATSY HER X MARK SIMINGTON

Subscribed and sworn to before me this 6 day of JUNE 1907

DW RAGSDALE 
Notary Public
My commission expires NOV 11, 1909. 

AFFIDAVIT

(The following affidavit must be sworn to by two or more witnesses who are well acquainted with the applicant.) 

Personally appeared before me CARRIE GRAYSON and SWIMMER PEGG'S, who, being duly sworn, on oath depose and say that they are well acquainted with PATSY SIMINGTON who makes the foregoing application and statements, and have known HER for 15 years and 15 years, respectively, and know HER to be the identical person SHE represents HERSELF to be, and that the statements made by HER are true, to the best of their knowledge and belief, and they have no interest whatever in HER claim. 

WITNESSES TO MARK SIGNATURES OF WITNESS

CARRIE GRAYSON 
SWIMMER PEGG 
.
Subscribed and sworn to before me this 6 day of JUNE 1907.

My commission expires NOV 11, 1909 
DW RAGSDALE
Notary Public