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[the following is a form with pre printed text and handwritten text; unless noted as handwritten, the form is text]
STATE OF MAINE [header]

Hancock[handwritten]
At a Circuit Court of Common Pleas, begun and holden at Castine[handwritten] within said for the County of Hancock[handwritten] on the third Tues[handwritten] day of March[handwritten] A.D. 1820[stricken]1

On this twentieth[handwritten] day of March[handwritten] 1820[stricken] 1821, being the first[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 Eleazer Dickey[handwritten] aged 63[handwritten] years, resident in Munroe[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 testimony]
as a private, for three years from 1778 to 1781 in Capt Benja Bostons comp'y in Col Herez Thornbu Regiment Massachusetts Line one year, in Captn Buxtons co[?] in the same regiment one year, one year in Capt Smith's company in Col Henry Jackson's Regiment Massachusetts Line one year

[return to form]
of all which made declaration before the Honorable Judge Crosby[handwritten] on the twentiethfifth[handwritten] day April[handwritten] 1818, and have received my pension certificate therefore, No.9072[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 no since that time, by gift, sale, or in any manner whatever, disposed of my property, or any part 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 scheduled hereto annexed, and by me subscribed.

Eleazer Dickey{signature]

Sworn to and declared on the twentieth[handwritten] day of March[handwritten] before Wm Crosby [handwritten]
Justice of Said Court[handwritten]
Wm Mason Shaw [handwritten]
Clerk[handwritten]