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T>~><e HonoraUlc the fudges of t~~e Court of• Common Pleas of
Cumbcrlaud county, holding said Court at Carlisle, the ~ da of
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Respectfully represents,
'T'hat he has been arrested in execution and given bond conditioned for his appearance to take the benefit of the
Insolvent Laws of this Commonwealth, agreeably to the provisions of the 1~cts of Assembly in such case made
and provided; that he has resided within this State for six months and more, immediately preceding this, his
application; that he offers to deliver up to the use of his Creditors, all his property, real, personal, and mixed,
to which he is in any manner entitled; a Schedule whereof, together with a list of his creditors, and the nature
and amount of their debts, as far as he can ascertain them, with a statement of his losses, and the -ucaus whereby
he became insolvent; arc exhibited with, and annexed to, his Petition: he therefore prays to be allowed the bene-
fit of the several Acts of Assembly of the Commonwealth of Pennsylvania, made for the relief of insolvent
k}ebtors.
Schedule of Petitioner's Property.
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List of ~'ctitioner's Crcditor~, with the natnrc and amount of
his de~i~t~, to wit:
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~tatenient of Petitioner's losses, and the means whereby he
beea~ne insolvent.
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'nc~ aforesaid Petitioner being duly ~ . ~ A according to law, doth say, that all the facts
contained in the foregoing Petition, Schedule, List, and Statement, are true, to the best of hie knowledge and
belief.
_~...-; ..* ,' ~-~ end subscribed before 4 i~" • i'i
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~~ Iga~ r~~~ ~iti ~1 ~~ ~~~ • L'~l~~EiYt~~ That I, ~ ~~ > :.~
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the within nand Petitioner, do hereby assign, transfer, e ,
drliver up unto ~ __ ~j~
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c~i'+~e-of my creditors, in pursuancr, of the directions of the Act of Assembly, all my I/stale, real, personal, and
raised, reversions and remainders, which I now have, possess, claim, or am in any respect entitled to, in an}'
l,laec whatever, in trust, for themsclvc~, Gnd my other creditors. -~
Lt il;ilness ~ehereof, I have hereunto set t7iy hand and seal, this ~' C< <,_„ , _ .~~, clay of
i ~ ~ ' in the year of our Lord, one thousand tight hundred and thirty. ~~- x
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•aecrleel rnul clelir,~ered i~t the ~resenee of ' ~ .L C~ `; =~~<<'~ ~ l`~ S
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