The Pamphlet Collection of Sir Robert Stout: Volume 43

[Statement Of Assets And Debts Filed By Debtor At Meeting.] — In the District Court of the United States

[ Statement Of Assets And Debts Filed By Debtor At Meeting.]

In the District Court of the United States,

For the____District of____

In the Matter of

____ In Bankruptcy.

Statement showing the whole of the assets and debts of said____and the names and addresses of the creditors to whom such debts respectively are due, on the_____day of____A. D. 187____

Assets. Cash on hand____ 'Stock and fixtures____ Promissory notes and bills of exchange, as per schedule "A"____ Open accounts, as per schedule "B" Real estate and interests therein, as per schedule "C" Miscellaneous assets, as per schedule "D"____ Total assets____ Debts. Preferred debts, as per schedule "E" Secured debs, as per schedule "F" Unsecured debts, as per schedule "G" Contingent debts and accommodation paper, as per schedule "H,"