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The TTonor~hlc the ~~u+i~c5 ~f the (yo><>Irt of Common Plus
of Cumberland c•ount~, holding said Court at (;arli5le~ the day of
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Respectfully represents,
1'bat he has been arrested in execution and given bm~cl cnnditioued fnr Lis appearance to
take the benefit of the L-~ulvcut I~i11~5 u1•this Commun~~calth, agrecal-ly to the. pro~~isiun4 of
the Acts of :~ssembl}- in Such ca~c made. and pro~-i~led ; that he has midcd within this State
fur six mnuths and mote, immedi;-tely preceding this, his application ; that he u(icrs to de-
liver up to the nse of his ('.reditors. all his property, real, personal. ~u-cl raised, In which ire
is in any manner eutil.led ; a Schedule whet•eof, together with a list of 1-is ca•editors, and the,
natnrc and amou^t of their debts, as far as he can ascertain them. with a statement of Lis
1u5..es, and the means whereby he became insolvent, arc exhibited with, and annexed to. his
Yetitiun : he, theretin•e prays to Lr, allowed the benefit of the several Acts of Assembly of the
C,otumuuwealth of Yeuusylvania, made for the relief of insolvent debtors.
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Schcaule of Pctitiloucr's Property.
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fist of hctitioner's Creditors, with the nature and amount
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Statement of Petitioner's ~~~ses, an~i tlic means whereby lie
k,eca~t~c iiiaoTvcut.
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~i~mberl~»c~ connY.y, ss.
The aforesaid Petitioner bc•in;; dnl3- ~~-'~ ~ ~ cucm•diug to law, loth s,-~, thai
all the facts contained in tl-e fore;;oing Petition, Srluc'ule, List., and Statement, ace true, to
the best f his knowlydyc and hc~lic;f.
-~~ dnd ercbscribed b~fui~e me
tlae ,'~" .dad of i~t~
~IIOLU ~YY ~Cil ~[1ll t~)f~C ~}~L'f~iflYr6~• 'T'hat T, ~l~-~•~. •> •/~ ~-~-~ ~ F~ _
tl-e witl-iu named Petitiojne~r, du hereby assign, transfer, set over, and deliver up uutcs
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i~rr- of my creditors, in pursuance of the directums Of t]1('. Act Of AfiSCmb]`•, all my l+atatr~.,
rr• -l, personal, and mixed, reversions and remainders, which I now ~-.ve. ~-+-ti~~•~5, cLtiim. or
am in any respect entitled to, iu any place whatever, in trust, for u~w~. and my otl-er
credifcrrs.
]~~ I~'itness whereof, I have hereunto set my hand and se.a), t}-i, -h,w.: -~ da.y uC
,~ : < , ~ ,", ~- in the year of out Lord, ouc thousand ~•.i ~ht huudred and t~l-
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Set~led avid delize~°ed ita presence of / ~ `'~~;
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