SCHEDULE A-& Accommodation paper.

[N. B.-The dates of the notes or bills, and when due, with the names and residences of the drawers, makers, acceptors, and indorsers thereof, are to be set forth under the names of the holders; if the debtor 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. Give same particulars as to other commercial paper.]

I, , the person who subscribed to the foregoing schedule, do hereby make solemn oath that the said schedule is a statement of all my debts, in accordance with the Act of Congress relating to bankruptcy, according to the best of my knowledge, information, and belief.

Incumbrances thereon, if any, Statement of particulars relating and dates thereof.

thereto.

Estimated value of debtor's interest.

SCHEDULE B.-STATEMENT OF ALL PROPERTY OF BANKRUPT.

held

Location and description of all real estate owned by debtor, or by him, whether under deed, lease or contract.

Total.......

Petitioner.

Petitioner.

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

c.-Unliquidated claims of every nature, with their estimated value........... d.-Deposits of money in banking institutions and elsewhere.........

Total.

Petitioner.

or right to dispose of or to charge.

[N. B.-A particular description of each interest must be entered, with a statement of the location of the property, the names and description of the persons now enjoying the same, the value thereof, and from whom and in what manner debtor's interest in such property is or will be derived. 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 as the proceeds thereof, and the disposal of the same, as far as known to the debtor.]