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Reference to ledger or voucher.

SCHEDULE A. (2)

Creditors holding securities.

[N. B.-Particulars of securities held, with dates of same, and when they were given, to be stated under the names of the several creditors, and also particulars concerning each debt, as required by acts of Congress relating to bankruptcy, and whether contracted as partner or joint contractor with any other person; and if so, with whom.]

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[N. B.-When the name and residence (or either) of any drawer, maker, indorser or holder of any bill or note, etc., are unknown, the fact must be stated, and also the name and resi dence of the last holder known to the debtor. The debt due to each creditor in full, and any claim by way of set-off stated in the schedule

of

property.]

must be stated

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SCHEDULE A. (4)

Liabilities on notes or bills discounted which ought to be paid by the drawers, makers, acceptors or indorsers.

[N. B.-The dates of the notes or bills, and when due, with the names, residences, and the business or occupation of the drawers, makers, or acceptors thereof, are to be set forth under the names of the holders. If the names of the holders are not known, the name of the last holder known to the debtor shall be stated, and his business and place of residence. The same particulars as to notes or bills on which the debtor is liable as indorser.]

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[N. B.-The dates of the notes or bills, and when due, with the names and residences of drawers, makers, and acceptors thereof, are to be set forth under the names of the holders; if the bankrupt be liable as drawer, maker, acceptor, or indorser thereof, it is to be stated accordingly. If the names of the holders are not known, the name of the last holder known to the debtor should be stated, with his residence. Same particulars as to other commercial paper.]

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OATH TO SCHEDULE A.

UNITED STATES OF AMERICA,
District of

On this

SS.

day of A. D. 18-, before me personally came the person mentioned in and who subscribed to the foregoing schedule, and who, being by me first duly sworn, did declare the said schedule to be a statement of all his debts, in accordance with the acts of congress relating to bankruptcy.

Subscribed and sworn to before me this day of, A. D. 18—. [Official character.]

SCHEDULE B.-STATEMENT OF ALL PROPERTY OF

BANKRUPT.

SCHEDULE B. (1)

Real estate.

Location and description of Incumbrances Statement of
all real estate owned by thereon, if any, particulars re-
debtor, or held by him.
and dates lating thereto.

Estimated value.

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b.- Bills of exchange, promissory notes, or securities of any de-
scription (each to be set out separately)...
c.-Stock in trade, in business of

value of

at

of the

d. - Household goods and furniture, household stores, wearing apparel and ornaments of the person, viz...

e.- Books, prints, and pictures, viz....

f.- Horses, cows, sheep, and other animals (with number of

each), viz....

g.- Carriages and other vehicles, viz..

h-Farming stock and implements of husbandry, viz.

i-Shipping, and shares in vessels, viz....

k.-Machinery, fixtures, apparatus, and tools used in business, with the place where each is situated, viz.....

1.- Patents, copyrights, and trade-marks, viz..

M.

-Goods or personal property of any other description, with the place where each is situated, viz............

Total..

$

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Petitioner.

SCHEDULE B. (3)

Choses in action.

a.-Debts due petitioner on open account...

b.-Stocks in incorporated companies, interest in joint-stock companies, and negotiable bonds...

c- - Policies of insurance..

d.-Unliquidated claims of every nature, with their estimated value.....

e.- Deposits of money in banking institutions and elsewhere

Total....

Dollars. Cents.

Petitioner.

SCHEDULE B. (4)

Property in reversion, remainder, or expectancy, including property held in trust for the debtor or subject to any power or right to dispose of or to charge.

[N. B.- A particular description of each interest must be entered. If all or any of the debtor's property has been conveyed by deed of assignment, or otherwise, for the benefit of creditors, the date of such deed should be stated, the name and address of the person to whom the property was conveyed, the amount realized from the proceeds thereof, and the disposal of the same, as far as known to the debtor.]

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Petitioner.

SCHEDULE B. (5)

A particular statement of the property claimed as exempted from the oper ation of the acts of Congress relating to bankruptcy, giving each item of property and its valuation; and, if any portion of it is real estate, its location, description, and present use.

Military uniform, arms, and equipments....

Property claimed to be exempted by State laws; its valuation; whether real or personal; its description and present use; and reference given to the statute of the State creating the exemption

Total.....

Valuation.

Petitioner.

SCHEDULE B. (6)

BOOKS, PAPERS, DEEDS, AND WRITINGS RELATING TO BANKRUPT'S BUSINESS AND ESTATE.

The following is a true list of all books, papers, deeds, and writings relating to my trade, business, dealings, estate, and effects, or any part thereof, which, at the date of this petition, are in my possession or under my custody and control, or which are in the possession or custody of any person in trust for me, or for my use, benefit or advantage; and also of all others which have been heretofore, at any time, in my possession, or under my custody or control, and which are now held by the parties whose names are hereinafter set forth, with the reason for their custody of the

same.

Books.

Deeds.

Papers.

Petitioner.

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