(Petition by Debtor.] SCHEDULE A. (1.) Statement of all creditors who are to be Paid in Full, or to whom Priority is Secured, according to the provisions of the 28th Section of said Act. [Petition by Debtor.] SCHEDULE A. Creditors Holding Securities. (2.) IN. B.-Particulars of Securities held, with dates of same, and when given, to be stated under the names of the several creditors, and also Particulars concerning each Debt, as required by the 11th Section of the Act, and whether contracted as co-partner or joint-contractor with any other person; and, if so, with whom.] Reference to Ledger Names of Creditors. Ledger [A,] page [John Brown]. [150.] [Petition by Debtor.j SCHEDULE A. Creditors whose Claims are Unsecured. (3.) [N. B.-When the Name and Residence (or either) of any Drawer, Maker, Endorser or Holder of any Bill or Note, etc., are unknown, the fact must be stated, and also the Name, Residence, and Occupation of the last holder known to the Petitioner. The debt due to each creditor must be stated in full, and any claím by way of Set-off stated in the schedule of property. The Nature of each debt and demand, whether founded on Written Security, Obligation, Contract, or Otherwise, and also the True Cause and Consideration of such Indebtedness in each case and the Place where such indebtedness accrued.] Reference to Ledger Names of Creditors. or Voucher. Residences and Occupations. Amount. When and where Contracted. Nature and Consideration of the Debt, and whether any Judgment, Bond, Bill of Exchange, Promissory Note, etc. and whether contracted as co-partner or joint contractor, with any other Person; and, if so, with whom. C. [Petition by Debtor.] SCHEDULE A. -, Petitoner. (4.) Liabilities on Notes or Bills Discounted which ought to be Puid by the Drawers, Makers, or Acceptors. [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 petitioner should be stated, and his Business and place of Residence. The same particulars as to Notes or Bills on which the petitioner is liable as Endorser.] Nature of Liability, whether same was contracted as co-partner or joint-contractor, or with any other Person; and, if so, with whom. [N. B.-The Dates of the Notes or Bills, and when Due, with the Names, Residences, and Business or Occupation 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 Endorser thereof, it is to be stated accordingly. If the names of the Holder are not known, the name of the last Holder known to the Petitioner should be stated, with his Business and Place of Residence. Same particulars as to other commercial paper.] [N. B.-Here will follow oath to Schedule A, hereinafter prescribed.] [Petition by Debtor.] SCHEDULE B. Petitioner. (1.) Statement of all Real and Personal Estate and Effects Whatever, which are now in the Possession, Enjoyment, or under the Control of the Petitioner, or which are held by any other person, In Trust, for his use, or to the Possession or Enjoyment of which he is entitled at the date of filing Petition. [INTEREST IN LANDS.] Partionlar Description of all Real Estate owned by Petitioner, or held by him, and whether Encumbrances thereon, if any, and Dates thereof. under Contract or Lease. b.-Bills of Exchange, Promissory Notes, or Securities of any description (each to be set out separately).. c.-Stock in Trade, in my business of value of.... at , of the d.-Household Goods and Furniture, Household Stores, Wearing Apparel, and Ornaments of the Person... e.-Books, Prints, and Pictures........ f-Horses, Cows, Sheep, and other Animals. g.-Carriages, and other Vehicles... h.-Farming Stock, and Implements of Husbandry.......... .-Shipping, and Shares in Vessels....... K.-Machinery, Fixtures, and Apparatus used in Business; with the place where each is Situated..... -Goods or Personal Property of any other Description, with the place where Each is Situated... (2.) Dolls. Ch Petitioner. [Petition by Debtor.] SCHEDULE B. (3.) Choses in Action. a.-Debts due Petitioner on open Account .. d.-Stocks in Incorporated Companies, and Interest in Joint Stock Companies.... c.-Policies of Insurance... d.-Unliquidated Claims of every nature, with their Estimated Value Dolls. Cts Petitioner |