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adjudication of bankruptcy has been filed, was at and before the filing of the said petition, and still is justly and truly indebted to said corporation in the sum of

dollars; that the consideration of said debt is as follows:

that no part of said debt has been paid [except

-); that there are no set-offs or counterclaims to the same [except

-); and that said corporation has not, nor has any person by its order, or to the knowledge or belief of said deponent, for its use, had or received any manner of security for said debt whatever.

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At
in said district of

on the
day of

A. D. 189_, cane

of

in the county of - in said district of

and made oath, and says that he is one of the firm of consisting of himself and

of

in the county of and State of ; that the said

the person by (or against ] whom a petition for adjudication of bankruptcy has , been filed, was at and before the filing of said petition, and still is, justly and truly indebted to this deponent's said firm in the sum of dollars; that the consideration of said debt is as follows:

that no part of said debt has been paid (except

-]; that there are no set-offs or counterclaims to the same (except

-]; and this deponent has not, nor has his said firm, nor has any person by their order, or to this deponent's knowledge or belief, for their use, had or received any manner of security for said debt whatever.

Creditor. A. D, 18

Subscribed and sworn to before me this

day of

[Offioial Character.)

[FORM NO: 35.)
PROOF OF DEBT BY AGENT OR ATTORNEY.

In the District Court of the United States for the

District of

In the matter of

In Bankruptcy.

Bankrupt

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day of

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At
in said district of
on the

A, D. 189—, came

of
in the county of

and State of attorney (or authorized agent) of

in the county of and State of or, and made oath and says that the person by .[or against] whom a petition for adjudication of bankruptcy has been filed, was at and before the filing of said petition, and still is, justly and truly indebted to the said

in the sum of dollars; that the consideration of said debt is as follows:

that no part of said debt has been paid [except

-] ; and that this deponent has not, nor has any person by his order, or to this deponent's knowledge or belief, for his use had or received any manner of security for said debt whatever. And this deponent further says, that this deposition cannot be made by the claimant in person because

and that he is duly authorized by his principal to make this affidavit, and that it is within his knowledge that the aforesaid debt was incurred as and for the consideration above stated, and that such debt, to the best of his knowledge and belief, still remains unpaid and unsatisfied. Subscribed and sworn to before me this

day of

A, D. 18–

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11

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of - attorney, (or authorized agent] of

in the county of and State of

and made oath, and says that the person by (or against] whom a petition for adjudication of bankruptcy has been filed, was, at and before the filing of said petition, and still is, justly and truly indebted to the said

in the sum of dollars; that the consideration of said debt is as follows:

that no part of said debt has been paid (except

that there are no set-offs or counter claims to the same [except

; and that the only securities held by said

for said debt are the following

; and this deponent further says that this deposition can not be made by the claimant in person because

and that he is duly authorized by his principal to make this deposition, and that it is within his knowledge that the aforesaid debt was incurred as and for the consideration above stated.

Subscribed and sworn to before me this

day of

A. D. 184,

[Official Character.]

[FORM NO. 37.) AFFIDAVIT OF LOST BILL, OR NOTE. In the District Court of the United States for the

District of

In the matter of

In Bankruptcy..

Bankrupt

came

On this day of

A. D. 18, at of in the county of and State of

and makes oath and says that the bill of exchange (or note), the particulars whereof are underwritten, has been lost under the following circumstances, to wit,

or

and that he, this deponent, has not been able to find the same; and this..
deponent further says that he has not, nor has the said
any person or persons to their use, to this deponent's knowledge or belief,
negotiated the said bill (or note), nor in any manner parted with or as..
signed the legal or beneficial interest therein, or any part thereof; and that

lie, this deponent, is the person now legally and beneficially interested in the same.

Bill or note referred to.

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[Official Character.] [FORM NO. 38.]

ORDER REDUCING CLAIM.
In the District Court of the United States for the

District of

In the matter of

In Bankruptcy.

Bankrupt

At
in said district, on the

day of

A. D. 18% l'pon the evidence submitted to this court upon the claim of against said estate (and, if the fact be so, upon hearing counsel thereon), it is ordered, that the amount of said claim be reduced from the sum of

as set forth in the affidavit in proof of claim filed by said creditor in said case, to the sum of

and that the latter-named sum be entered upon the books of the trustee as the true sum upon which a dividend shall be computed (if with interest, with interest thereon from the

day of A. D. 18—).

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Referee in Bankruptcy, (FORM NO. 39.)

ORDER EXPUNGING CLAIM. In the District Court of the United States for the

District of

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Upon the evidence submitted to the court upon the claim of against said estate [and, if the fact be so, upon hearing counsel thereon], it is ordered, that said claim be disallowed and expunged from the list of claims upon the trustee's record in said case.

Referee in Bankruptcy.

(FORM NO. 40.)

LIST OF CLAIMS AND DIVIDENDS TO BE RECORDED BY

REFEREE AND BY HIM DELIVERED TO TRUSTEE.

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A list of debts prored and claimed under the bankruptcy of

diridend at the rate of per cent this day declared thereon by
-, a referee in bankruptcy.

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