The Pamphlet Collection of Sir Robert Stout: Volume 43
[Affidavit to Statement and Schedules.]
[ Affidavit to Statement and Schedules.]
United States of America,
____
District of____ ss.
On this____day of____A. D. 187____, before me personally came____, the person mentioned in, and who subscribed, the foregoing statement and the schedules marked respectively "A," "B," "C," "D," "E," "F," "G," and "H," and who, being by me first duly____, did declare the said statement and schedules to be a true statement of all his assets and debts, in accordance with the Revised Statutes of the United States, Title LXI, Bankruptcy, and the amendments thereto.