Application for insurance to New York Life Insurance Company
Dated 5 April 1930 at Lexington Kentucky, C.L. Atchison agent
Signed Walter C. Scott
$1000 ordinary life with Double Indemnity
Not married
Residence: Guston Ky, Meade County
Ocupation: Student
Duties: Student in University of Kentucky
Other occupation: farming
Born at Meade County Ky on 11 April 1909
Beneficiary: Ruth F. Scott, mother, Rt 2 , Guston Ky
Age at nearest birthday: 21
Aerial flights? once in 1929
Passenger, pilot, Reservist? Passenger, no
Physicians in last 5 years? Dr. Stith, Brandenburg, Ky, 1927. 
Severe bowell irritation (very hard to read writing)
Part II signed by J.M.Pryor M.D. Medical Examiner.

Register of Change of Beneficiary:
May 21, 1935 Amanda L. Scott, wife of the insured
May 8, 1940 Insured's executors, administrators, or assigns
Jan 20, 1941 Irene Smith Scott, wife of the insured
Oct 15, 1945 Ruth F. Scott, mother of the insured
Feb 25, 1947 Delean Brown Scott, wife of the insured





Application for Insurance to Kentucky Central Life and Accident 
Insurance Company, Ancorage Kentucky     -- Part One
Dated 13 Nov 1941 at Danville Kentucky W.L. Smith Agent
Signed: Walter Charles Scott

Address: 232 North Third Street Danville Kentucky, Boyle County
lived at present address 2 years
Previous residence address: Meade County Kentucky
lived at previous address 30 years
Birth date 11 April 1909
Age at nearest birthday: 33
Kind of insurance: End Age 85, with Double Indemnity
Other insurance: NY Life, issued 1930, $1000 with DI; NE 
Mutual issued 1927, $1000 no DI
Amount of this insurance: $11.63 S.A.
Aerial flights: 7 hours solo time
More flights? not soon - probably not at all

Beneficiary: Irene Smith Scott age 39, wife
Occupation: Soil Conservation Service
Duties: Contacting Farmers
Kind of business: agricultural - demonstration
Employer: Soil Conservation Service
Employer's address: Dayton Ohio
Former Occupation: Farmer, Student

Applicaton to Ky Centeral Life   ---  Part Two
Dated 22 November 1941
Signed: Walter Charles Scott
also Signed by B. Earl Caywood M.D.

Height and weight:  6 ft 1/4 inch; 181 pounds
Weight stationary 4 to 5 years
No to listed diseases, and vices with note:  Usual childhood 
diseases; 10 years ago diagnosed nervous indigestion, X-Ray 
negative for ulcers; Acute Sinusitis, one event, 1940, Charles 
Caldwell phisician, Danville, Ky.

Family record:
Father died at age 50 of Uremia after 2 month illness
Mother good health age 54
Wife good health age 40
Sisters age 30,27, 24 good health
Brothers age 22,19,17 good health

Note:  Irene Smith Scott apparantly turned 40 between 13 
November and 22 November 1941

Attached sheet shows beneficary change to:
Ruth F. Scott, mother of the insured on 23 October 1945
Delean Brown Scott, Wife of the insured on 11 February 1947