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[preprinted form with handwritten insertions]

STATE OF MAINE[header]

Hancock[handwritten] SS.
At a Circuit Court of Common Pleas, begun and holden at Castine[handwritten] within and for the County of Hancock[handwritten] on the 2nd Tues[handwritten]day of July A.D. 1820.

On this Thirteenth[handwritten] day of July[handwritten] 1820, being the Third[handwritten] day of said term, personally appeared in open court being a court of record by the laws of said state, with power of fine and imprisonment Joseph Basteen[handwritten] aged 70[handwritten] years, resident in Orland[handwritten] in said county, who being first duly sworn according to law doth on his oath declare that he served in the revolutionary war as follows, to wit:

[handwritten]
as a private 12 months in 1776 in [?] laws [?] in Col James Garmons Regiment in the Massachusetts Line

[back to form]
of all which I made declaration before the Honorable Judge Crosby[handwritten] on the twelfth[handwritten] day of April[handwritten] 1818, and have received my pension certificate therefor, No. 14199[handwritten] and I do solemnly swear, that I was a resident citizen in the United States on the eighteenth day of March, one thousand eight hundred and eighteen, and that I have not since that time, by gift, sale, or in any manner whatever, disposed of my property, or any thereof, with intent thereby so to diminish it as to bring myself within the provisions of an act of Congress, entitled "An Act to provide for certain persons engaged in the land and naval services of the United States in the Revolutionary War," passed on the eighteenth day of March one thousand eight hundred and eighteen, and that I have not, nor has any person in trust for me, any property or securities, contracts or debts, due to me; nor have I any income, other than what is contained in the schedule hereto annexed, and by me subscribed.
Joseph Basteen[signature]

Sworn to and declared on the thirteenth[handwritten] day of July 1820[handwritten] before the Court[handwritten]
Attest Mason Shaw Clerk