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Penobscot SS State of Maine On this twentieth day of June in this year of our Lord Eighteen Hundred Twenty three, Personally appeared in open court to wit in the Supreme Judicial Court holden at Bangor within aforesaid County the same being a court of record which proceeds according to the course of the common laws with a jurisdiction unlimited in point of amount Jacob Hart of fact in manner said county aged sixty two years who being first duly sworn according to law doth on his oath make the following declaration in order to obtain the provisions made by the acts of the 18th March 1818 the 1st of May 1820 & the 1st of March 1823 that he the said Jacob Hart enlisted for the term of three years in the year 1780 as a private soldier in the company commanded by Benjamin Haywood in the Regiment commanded by Lieut. Col. Smith in the Massachusetts line on the continental establishment, that he was transferred to the company commanded by Capt. Adam Bailey in Col Ebenezer Sproul's Regiment & continued in said service until the close of the year 1783 when he was discharged from said service at West Point in the State of New York.

And I do solemnly swear that I was a resident citizen of the United States on the 18th of March 1818 & I have not since that time by gift sale or in any other manner disposed of my property or part thereof with intent thereby so to diminish it as to bring myself within the Provision of an Act of Congress Entitled an Act to Provide for Certain Persons Engaged in the Land & Naval Service of the United States in the Revolutionary War passed on the 18th day of March 1818 & that I have not now nor has any person in trust for me any property or services contacts or debts due to me nor I have any income other than that which is contained in the schedule hereto [?] and by [?] subscribed,

That since the exhibition of my first schedule, the following changes have been made in my property viz.,

Schedule "Schedule of amount personal estate belonging to me the subscriber [rest of words illegible].