entirely as the same would have been held and enjoyed by me had this assignment and sale not been made.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my seal, at in the County of day of

this

In Presence of

and State of

19..

.(Seal.)

(Add Acknowledgment.)

No. 15.

Wisconsin, did obtain letters-patent of the United States for which letters patent are numbered

day of

in the year 19.

and bear date the

and,

Whereas, I am now the sole owner of the said patent and of all rights under the same in the below-recited territory; and,

of

County of

Whereas, State of Wisconsin, is desirous of acquiring an interest in the same: NOW, THEREFORE, To All Whom It May Concern, be it known that, for and in consideration of the sum of Dollars, the receipt of which is hereby acknowledged, I, the said have sold, assigned and transferred, and by these presents do sell, assign and transfer unto the said all, the right, title and interest in and to the said invention, as secured to me by said letters-patent, for, to and in the state of (or county of, or other territory definitely described). and for, to or in no other place or places; the same to be held and enjoyed by the said within and throughout the above-specified territory, but not elsewhere, for his own use and behoof, and for the use and behoof of his legal representatives, to the full end of the term for which said letters-patent are or may be granted, including extensions, as fully and entirely as the same would have been held and enjoyed by me had this assignment and sale not been made.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my seal, at in the County of day of

this

In Presence of

and State of 19.......

.(Seal.)

(Add Acknowledgment.)

No. 16.

ASSIGNMENT OF A LEASE.

Know All Men By These Presents, That I,

of

County, and state of Wisconsin, in consideration of dollars to me in hand paid, the receipt whereof is hereby confessed and acknowledged, do by these presents grant, convey, assign, transfer and set over unto and state of Wisconsin, a certain indenture of lease, bearing date the day of

of

County

years;

190...., executed by

County, and state of Wisconsin, to me for a term of

of

That this assignment shall take effect on the............ day of. 190.... and continue during all the rest, residue and remainder of said term of years mentioned in said indenture of lease, subject, nevertheless to the rents, covenants, conditions and provisions therein mentioned.

And I do hereby convenant, promise and agree to and with the said that the said assigned premises are now free and clear from all former and other gifts, grants, assignments, back-rents, encumbrances, liens, judgments, executions, assessments and encumbrances whatsoever, and that I now have the right to assign said lease. Witness my hand and seal this

No. 17.

BANKRUPTCY.

.day of

Proof of Unsecured Debt.

In the District Court of the United States for the

190...., (Seal)

District

At

in said district of

A. D. 190...., came

on the
of

day of county of

in said district of

in the

and made oath, and

says that the person by [or against] who a petition for adjudication of bankruptcy has been filed, was at and before the filing of said petition, and still is, justly and truly indebted to said deponent in the dollars; that the consideration of said debt is as follows:

sum of

that no part of said debt has been paid [exccpt.

that there are no set-offs or counterclaims to the same [except.

and that deponent has not, nor has any person by his order, or to his knowledge or belief, for his use, had or received any manner of security for said debt whatever.

Creditor.

Subscribed and sworn to before me this

day of

190....

No. 18.

BANKRUPTCY.

Poof of Secured Debt.

In the District Court of the United States for the

a petition for adjudication of bankruptcy has been filed, was at and before the filing of said petition, and still is, justly and truly indebted to said deponent in the sum of dollars, that the consideration of said debt

is as follows:

that no part of said debt has been paid (except

that there are no set-offs or counterclaims to the same (except

):

):

and that the only securities held by this deponent for said debt are the following:

BANKRUPTCY.

Poof of Debt Due Corporation.

In the District Court of the United States for the

Creditor.

District

in the county of

and State of

and that

he is duly authorized to make this proof, and says that the said the person by [or against] whom a petition for adjudication of bankruptcy has been filed, was at and before the filing of the said petition, and still is justly and truly indebted to said corporation in the sum of that the consideration of said debt is as follows:

said debt has been paid [except

dollars;

that there are no set-offs or counterclaims to the same [except ]; and that said coroporation has not, nor has any person by its order, or to the knowledge or belief of said deponent, for its use, had or received any manner of security for said debt whatever.

of said Corporation.

Subscribed and sworn to before me this

day of

A. D. 190.....

No. 20.

BANKRUPTCY.

Proof of Debt by Partnership.

In the District Court of the United States for the.

of

......District

and

on the

of

of

in the county of. :that the said

day of in the

and made oath

consisting of himself

and the person by (or

state of against) whom a petition for adjudication of bankruptcy has been filed, was at and before the filing of said petition, and still is, justly and truly indebted to this deponent's said firm in the sum of the consideration of said debt is as follows:..

has been paid [except

dollars; that

; that no part of said debt

]; that there are no set-offs or counterclaims

to the same [except .]; and this deponent has not, nor has his said firm, nor has any person by their order, or to this deponent's knowledge or belief, for their use, had or received any manner of security for said debt whatever.

Proof of Debt by Agent or Attorney.

In the District Court of the United States for the.

In the matter of

of

District

the person by (or against) whom a petition for adjudication of bankruptcy has been filed, was at and before the filing of said petition, and still is, justly and truly indebted to the said in the sum of dollars; that the consideration of said debt is as follows;

debt has been paid [except

; that no part of said

...); and that this deponent has not, nor has any person by his order, or to this deponent's knowledge or belief, for his use had or received any manner of security for said debt whatever. And his deponent further says, that this deposition can not be made by the claimant in person because

and that he is duly authorized by his principal to make this affidavit, and that it is within his knowledge that the aforesaid debt was incurred as and for the consideration above stated, and that such debt, to the best of his knowledge and belief, still remains unsatisfied.

Subscribed and sworn to before me this

day of

190....

No. 22.

BANKRUPTCY.

Affidavit of Lost Bill, or Note.

In the District Court of the United States for the

of

District

A. D. 190...., at in the county of

came

and State of

and makes oath and says that the bill of exchange (or note) the particulars whereof are underwritten, has been lost under the following circumstances, to wit,

and that he, this deponent, has not been able to find the same; and this deponent further says that he has not, nor has the said

or

any person or persons to their use, to this deponent's knowledge or belief, negotiated the said bill (or note) nor in any manner parted with or assigned the legal or beneficial interest therein, or any part thereof; and that he, this deponent, is the person now legally and beneficially interested in the same.

Dollars, to

of the first part, for and in consideration of
paid by

of

the second part, the receipt whereof is hereby acknowledged, ha bargained, sold, granted, transferred, assigned and conveyed, and by these presents do bargain, sell, grant, transfer, assign and convey unto the said part of the second part, executors, administrators and assigns, (here give a full description of the property sold).

do for

TO HAVE AND TO HOLD, the same unto the said part of the second part, executors, administrators and assigns forever. And heirs, executors and administrators, covenant and agree to and with the said part of the second part, that the lawful owner of said property, that the same is free from all incumbrances; and that ha good right to sell the same as aforesaid, and will warrant and defend the said property hereby sold unto the said part of the second part administrators and assigns against the lawful claims and demands of all persons.

executors,