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His father was Dr. James Tilton, a native of the State of Delaware, and his mother was a Miss Fanny Gibson, a native of the eastern shore of Maryland.
His grand uncle, Dr. James Tilton, after whom his father was named, was the first surgeon-general appointed in the United States army, and was the first ember of Congress sent from the State of Delaware.
Tilton had the reputation of being one of the most faithful and efficient officers in the pension service.