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Schedule A (5)1

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.]

Reference to led- Names of hold- Residences (if un

ger or voucher.

ers.

known, that fact must be stated).

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United States of America, District ofOn this day of

Oath to Schedule A.

-SS:

A. D. 19-, 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. 19-.

[Official character.]

1See references to Schedule A(1).

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

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Location and description of all real estate owned by debtor, or held by him.

1See references to Schedule A(1).

Incumbrances thereon, if any, and dates thereof.

Total..

Petitioner.

4.-Cash on hand.

Schedule B. (2)1

Personal property."

b.-Bills of exchange, promissory notes, or securities of any

description (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.

1See references to Schedule A(1). As to the title to property, see 870.

C.

Total

Petitioner.

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

1See references to Schedule A(1).

As to the title to property, see 870.

Schedule B. (3)1

Choses in action. 2

Dollars. Cents.

Total.....

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 2

[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 or 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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What portion of debtor's property has been conveyed by deed of assignment, or otherwise, for benefit of creditors; date of such deed, name and address of party to whom conveyed; amount realized therefrom, and disposal of same, so far as known to debtor.

What sum or sums have been paid to counsel, and to whom, for services rendered or to be rendered in this bankruptcy...

Amount realized from proceeds of

property conveyed.

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Petitioner.

2As to the title to property, see 870. See also 360 as to preferred creditors, and 23 as to acts of bankruptcy

1 See references to Schedule A(1).

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