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� State of Maine Hancock S.S. On this 3rd Day of July 1820 personally appearing before me Wm Crosby one the Judges of the 3rd Eastern Circuit Court of Common Pleas within the counties of Hancock Washington and Penobscot being a court of record by the Court of said State with power of fine and imprisonment [fold of paper and blotting] Nicholas Coffin aged 50 years, resident in Belfast in said county, being first duly sworn according to law doth on his oath declare that he served in the revolutionary war as follow to wit from the year 1781 till the end of the war firstly in Cap'n [?] comp in the second Regiment New Hampshire line commanded by Col'l [?] after [?] in Cap'n Isaac Frye's in the [?] Regiment at the takeing of [?] afterward joining the [?] -- of which I made declaration before the Hon Wm [?] a Judge of the First Eastern Circuit Court of Common Pleas in [?] that on the 26th day of October 1818 and have received a pension certificate therefore but not numbered and

I Nicholas Coffin [handwritten & stricken] aforesaid [stricken] do solemnly swear that I was a resident citizen of the United States on the 18th day of March one thousand eight hundred and eighteen, 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 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.

Nicholas Coffin

Subscribed and sworn to before me [stricken] Sworn to and declared on this 3rd day of July 1820 Before me Wm Crosby [handwritten] one of the Justices of said Court