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SCHEDULE A. (4)1

Liabilities on notes or bills discounted which ought to be paid by the drawers, makers, acceptors, or indorsers.3

[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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SCHEDULE A. (5)

Accommodation paper.

[N. B.-The dates of the notes or bills, and when due, with the names and residences of the 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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[Official Character.]

United States of America, District of

On this

day of

OATH TO SCHEDULE A.

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-, A. D. 18-, before me personally came

the person men

tioned 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

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SCHEDULE B.-STATEMENT OF ALL PROPERTY OF BANKRUPT. 1

SCHEDULE B. (1)

Real estate.

Location and description of all real estate owned by debtor, or held Incumbrances thereon, if any, Statement of particulars re- Estimated

by him. (2)

and dates thereof. (a)

lating thereto. (a)

value.

C.

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1 B. A. § 7o (8); B. R. No. V. B. A. § 704. B. A, § 70a (2). * B. A. § 7a (8).

Petitioner.

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

c. - Policies of insurance (3).

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

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Dollars. Cents.

Total...

Petitioner.

'B. A. § 7a (8); B. R. No. V.

B. A. § 70a (6),

B. A. § 704 (5).

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