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�[typed form with handwritten insertions]
STATE OF MAINE.
Hancock[handwritten] ss....At a Circuit Court of Common Pleas for the third[handwritten] Eastern Circuit, begun and holden at Castine[handwritten] within and for the county of Hancock[handwritten] on the second Tuesday[handwritten] being the Eleventh[handwritten] day of July[handwritten] and by adjournment [black space] from day to day, on the thirteenth[handwritten] day of July[handwritten] in the year of our Lord one thousand eight hundred and twenty, before the Honorable William Crosby + James Campbell[handwritten] Judges of said Court.

ON this thirteenth[handwritten] day of July[handwritten] in the year 1820, personally appeared in open Court[handwritten] the same proceeding according to the course of the common law, having jurisdiction unlimited in amount, keeping a record of their proceedings, and having "the power of fine and imprisonment," and being a Court of Record for said Circuit, William Kitfield[handwritten] aged sixty three[handwritten] years, resident in Sedgwick[handwritten] in said Circuit, who being first duly sworn according to law, doth on his oath declare that he served in the Revolutionary War as follows, viz. as a Private[handwritten] in the company commanded by Capt. Dodge[handwritten] in the Regiment commanded by Colonel Baldwin[handwritten] in the line of State of Massachusetts[handwritten] on the Continental Establishment, as is more particularly mentioned and described in his original declaration, made on the Sixteenth[handwritten] day of May[handwritten] A.D. 1818[handwritten], and on which said declaration his Certificate of Pension, numbered 13.546[handwritten] was granted. And I do solemnly swear that I was a resident citizen of the United States on the 18th day of March 1818; and that I have not since that time by gift, sale, or in any manner 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 service of the United States, in the Revolutionary War," passed on the 18th day of March, 1818: 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; that my occupation and ability to pursue the same, together with the number and other particulars of my family, are in fact and in truth as is particularly described on the back hereof, also subscribed by me.
William Kitfield[signature]

Sworn to and declared, on the 13th[handwritten] day of July[handwritten] A.D. 1820
BEFORE William Crosby & James Campbell Judges of the said Court.
attest Mason Shaw Clerk

SCHEDULE of the real and personal estate, (necessary clothing and bedding excepted) belonging to me the subscriber, viz:
1 cow 15$ 2 sheep 3$ 2 yearlingd 9$ Plaugh 6/ $28.00
Chain 12/ Harrow 9/ 2 Scythes 6/ Shovel 3/ Hoe 1/6 - 5.25
Old Drawers + Bureau 4/50 2 chests Trunk + Box 9/ - 6.00
Pot 4/6 Kettle 6/ Tea Kettle 3/ Spider 3/ oven 4/6 3.50
Pot Hooks Handiron Shovel + Tongs 12/ 3 Tables 15/ - 4.50
Gun 3$ wheel 3/ Part of Clock 3$ Lookg Glass 6/ 7.50
Tea Pot. Coffee Pot. cups Bowls + Crockery ware 24/ - 4.00
Pewter Can + Pewter ware 12/ Coffee +spice mill 6/ - 3.00
warming Pan 6/ Flat Iron 3/ auger + Small Tools 6/ 2.50 
Pail Tubs bbls + wooden ware 15/ 6 chairs 9/ - 4.00
1 Tumbler + Glass ware 6/ Knifes Forks + Spoons 12/ - 3.00
Candle mould + tin ware 4/6 Grindstone 9/ - 2.25
Potatoes, Fish + other Provisions 12/ - 2.00
Basket Razon and sunry small articles - 3.00
Equity of Redemption of 50 acres of Land in P. Statement on other side 50.00
Income by Labour $10.00
138.50

SCHEDULE of the family residing with me William Kitfield[handwritten] who, by occupation am a Farmer[handwritten] which I am un[handwritten]able to pursue by reason of an Hernia or rupture with internal bleeding which is voided in large quantities attended with great debility[handwritten]
NAMES. AGES. Capacity of each to contribute to their support.
Sally Kitfield 62 very weak and feeble contribution - unable to labour but little
Aaron Kitfield 23 Hired man

William Kitfield[handwritten]