[Petition for Composition.]

In the District Court of the United States,

The petition of______respectfully shows:

I. That a petition has been duly filed in this court, praying that the above-named debtor____may be adjudged bankrupt____, and that proceedings are now pending in this matter.

II. That the said debtor___________unable to pay________debts in full, and, subject to the priorities declared in the acts of Congress relating to bankruptcy, ha____proposed a composition to____creditors, in money, in full satisfaction and discharge of____respective debts, which said proposed composition is as follows, to wit: [here set forth the proposed composition] and that your petitioner____verily believe____that such proposed composition will be accepted by two-thirds in number and one-half in value of all of the creditors of said debtor____in satisfaction of debts to them respectively, as aforesaid.

III. That the schedule hereto annexed, marked "A," contains a true statement of the names and addresses, and of the amounts of the debts due to' each, of the creditors of said debtor____respectively, and where the debt, or any portion thereof, arises on a bill of exchange or promissory note, the said debtor____ha____stated in said schedule the amount of such bill or note, the date on which it falls due, the name of the acceptor and of the person to whom it is payable, and such other particulars as are within the knowledge of said debtor____

IV. That________Wherefore, your petitioner____pray____that a meeting of the creditors may be called under the direction of the court, pursuant to notice, for the purpose of acting upon a composition proposed by the debtor____to____creditors, as afore-said, and that if, at such meeting, the creditors shall legally accept such proposed composition, such further proceedings may be had herein as may be: authorized by law, or to the court shall seem proper.

I,____, the petitioner mentioned and described in the foregoing petition, do hereby make solemn____that the statements contained therein are true, so far as the same are stated of my own knowledge, and that those matters which are stated therein on information and belief are true, according to the best of my information and belief.

[List of Creditors to Accompany Petition.]

Schedule "A."

Referred to in annexed petition of____, and containing a true statement of the names and addresses of the creditors of____, the amount due to each creditor, the dates of notes and bills, and particulars in relation thereto.

[Order of Court for Meeting.]

In the District Court of the United States,

Upon reading and filing the petition of said____proposing a composition with,____creditors, it is ordered that a meeting of the creditors of said____be held before____, Esq., one of the registers in bankruptcy of this court, at his office in the city of____in said district, on the____day of ____, A. D. 187____, at o'clock,____M., for the purposes named in the 17th section of the amendment to the bankrupt law, approved June 22, A. D. 1874; and it is further ordered that said register [or clerk] give notice of the time, place, and purpose of such meeting by sending a written or printed notice thereof, by mail, to each known creditor of said ____By ____the____day of____A. D. 187____

____

I, ____clerk of the district court of the United States, for said ____district of____do____hereby certify the above and foregoing to be a true, correct, and complete copy of an order entered of record in said court on the____day of____A. D. 187____, in the matter of_____in bankruptcy, as appears from the records of said court now in my custody.

In Testimony Whereof, I have hereunto set my hand and affixed the seal of said court, at my office in____, in said [Seal.] district, this____day of ____A. D. 187____

[Proposition of Debtor.]

In the District Court of the United States,

____the debtor____above named, being unable to pay____debts in full, do hereby, pursuant to the provisions of the acts of Congress relating to bankruptcy, and subject to the priorities therein declared, propose a composition to____creditors of____cents on the dollar of the debts due from____to them respectively, to be paid in money at the times hereinafter stated, and to be evidenced and secured in manner following, that is to say: [here set forth the terms of the proposed composition.]

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

In the District Court of the United States,

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____

[Schedule "A" to Statement.]

Schedule "A."

Promissory Notes, Bills of Exchange, etc.

[Schedule "B" to Statement.]

Schedule "B."

Open Accounts.

[Schedule "C" to Statement.]

Schedule "C."

Real Estate and Intersts therein.

[Schedule "D" to Statement.]

Schedule "D."

Miscellanous Assets.

[Schedule "E" to Statement.]

Schedule "E".

Preferred Debts.

[Schedule "F" to Statement.]

Schedule "F".

Secured Debts.

[Schedule "G" to Statement.]

Schedule "G".

Unsecured Debts.

[Schedule "H" to Statement.]

Schedule "H".

Contingent Debts and Accommodation Paper.

[Affidavit to Statement and Schedules.]

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.

[Resolution Accepting Composition.]

In the District Court of the United States,

We, the undersigned, being a majority in number and three-fourths in value of the creditors of said____and who have proved our debts to the amounts affixed to our signatures respectively, assembled, either in person or by proxy, at the first composition meeting of said creditors in the above entitled matter, at the office of____, one of the registers in bankruptcy of said court. No____street, in the city of____, county of____, and state of____, and district aforesaid, this____, day of____, A. D. 187, pursuant to an order of said court, dated the____day of____A. D. 187____, for the purpose of said____proposing a composition to____creditors in satisfaction of the debts due from____to such creditors respectively, do hereby resolve as follows: That the composition proposed at this meeting, by said____of____cents on the dollar, in money, payable as stated in the proposal for composition, made at said meeting by said____shall be accepted in full satisfaction and discharge of the debts due to the creditors respectively, from said____

[Confirmation of Resolution.]

In the District Court of the United States,

Whereas, a majority in number and three-fourths in value of the creditors of said who were assembled, either in person or by proxy, at a meeting of the creditors held on the____day of____187____, at the office of____one of the registers in bankruptcy of said court, No____street, in the city of county of and state of____, and district aforesaid, did resolve to accept a composition then proposed by the said____which is as follows, to wit: [here set forth the terms of composition.]

Now we, the undersigned, being two-thirds in number and one-half in value of all the creditors of said____, having proved our debts respectively, do hereby, by our respective signatures, confirm the resolution so passed as aforesaid.

[Report of Register of Proceedings.]

In the District Court of the United States,

I,____one of the registers in bankruptcy in and for said district, do respectfully certify and report: That, pursuant to an order of this court directing the same, a meeting of the Creditors of the above-named debtor____was held before me, on the____day of____, A. D. 187____, at____o'clock in the____noon, at____my office, in the city of____in said district, to act upon a composition proposed by said debtor____

That more than ten days prior thereto [or, that____clerk, has caused to be mailed to each known creditor of said debtor____a notice of the time, place, and purpose of such meeting, as will appear by copy of said notice and the clerk's return thereon, which is herewith returned, marked "A," and made a part of this report], I caused to be mailed to each known creditor of said debtor____a notice of the time, place, and purpose of such meeting, a copy of which said notice is hereto annexed, marked "A," and made a part, of this report.

That, at the time and place appointed for said meeting, the debtor____duly and personally attended, produced____, books of accounts, and____duly Sworn and examined in relation to____affairs, and presented to the said meeting____proposed composition, in writing, duly signed by____, which said proposition for composition is hereto annexed, marked "B," and made: a part of this report.

That the said debtor____also presented to said meeting a sworn statement, showing the whole of____assets and debts, and the names and addresses of the creditors to whom such debts respectively are due, which said statement is hereto annexed, marked "C," and made a part hereof.

That thereupon a resolution was introduced accepting such proposed composition, and the same was then and there passed, and the said composition was then and there accepted by a majority in number and three-fourths in value of the creditors of the debtor-assembled at such meeting, either in person or by proxy. Said resolution is hereto annexed, marked "D," and made a part hereof.

That the schedule hereto annexed, marked "E," is a true statement of the: names and addresses of all the creditors assembled at said meeting, either in page 39 person or by proxy, and shows the residences of said creditors, the amounts of their respective claims, and the manner in which each of said creditors voted upon said resolution.

That thereupon the said resolution was duly confirmed by the signatures thereto of the said debtor____, and two-thirds in number and one-half in value of all the creditors of said debtor____, which said confirmation is hereto annexed, marked "F," and made a part hereof.

And I do further certify and report that all of the proceedings had before me were bona fide and regular in all respects. All of which is respect-fully submitted.

In the District Court of the United States,

The resolution of the creditors of said bankrupt, accepting his proposed composition, together with a statement of his assets and debts, having been presented to this court, it is ordered, this day of____A. D. 187____, that the matter of said resolution stand for hearing on the____day of____, 187____, at which time this court will enquire whether the said resolution has been passed in the manner directed by law; provided, a copy of this order be served upon, or mailed to, each of the creditors of said bankrupt at least five days before the said day of____187____

[Order of Court for Recording Composition.]

In the District Court of the United States,

At a stated term of the district court of the United States of America, for the____district of____held at the United States court rooms in the city of____, on the____day of____, in the year one thousand eight hundred and seventy____Present, the honorable____, district judge.

It appearing satisfactorily to the court, from the report of____, and from all the papers and proceedings herein, that an order was made herein on the____day of____A. D. 187____, whereby the clerk of this court was ordered to call a meeting of the creditors of said____, bankrupt, proposing a composition to____creditors, in accordance with section 17 of the Bankruptcy Amendment Act, approved June 22, 1874; that such meeting was called, and was held at said time; that said____bankrupt, was present at said meeting and answered all enquiries made of____and produced to said meeting a statement, verified by oath, showing____the whole of the assets and debts of said____bankrupt, and the names and addresses of the creditors to whom such debts respectively are due, in accordance with the requirements of said section 17; that the composition specified in the resolution hereto annexed was, at said meeting, proposed by said____, bankrupt; that the same was accepted by the passing, at said meeting, of said resolution, by a majority in number and three-fourths in value of the creditors of said____, bankrupt, assembled at said meeting, and was confirmed by the signatures thereto of the said____bankrupt, and of two-thirds in number and one-half in value of all the creditors of said bankrupt; that said resolution so passed and so confirmed, and said statement of assets and debts, were presented to this court; that on the____day of____A. D. 187____, an order was made herein, whereby the clerk of this court was ordered to call a meeting of the creditors of said ____, bankrupt, to be held on the____day of____A. D. 187____, for the purpose of said____enquiring, upon hearing, whether the said resolution accepting such composition was passed in the manner required by said section 17, and was confirmed by the signatures required by said section, and whether it is for the page 41 best interest of all concerned that the said resolution should be recorded, and that the said statement of assets and debts should be filed; that such last-mentioned meeting was held, as by said order required, on the____day of____A. D. 187____; that the said resolution was passed in the manner directed by said section 17, and has been confirmed by the signatures required by said section 17; and that it is for the best interest of all concerned that the said resolution accepting the composition proposed as aforesaid be recorded, and that the said statement showing the whole of the assets and debts of said____, bankrupt, be filed.

Now, therefore, it is ordered that the said resolution, accepting the composition proposed by said____, bankrupt, at a meeting of____creditors, held at the office of____on the,____day of____, A. D. 187____, be recorded, and that the said statement of assets and debts of said____bankrupt, produced by____to said last-mentioned meeting, be filed with the clerk of this court

Witness, the honorable____, judge of the said court, and the seal thereof, at the city of____[Seal.] in said district, on this____day of____, A. D. 187____Clerk.