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�

Han[?] State of Maine

On this 4th day of July 10/20[?] [?]ally appeared before me

I Eben' Allen[underlined, handwritten] afor[?, crossed out] do solemnly swear, that I was a resident citizen of 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 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 pro- vide for certain persons engaged in the and 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, not has any person in trust for me, any property or se- curities, contracts or debts, due to me: not have I any income, other than what is contained in the schedule hereto annexed, and by me subscribed.

Eben' Allen [handwritten] L[two words, ?] +

SUBSCRIBED and sworn to before me [crossed out]

one of the Justices of said Court. [crossed out]

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+Han[?]       State of Maine
+On this 4th day of July 10/20[?] [?]ally appeared
+before me
+I Eben' Allen[underlined, handwritten] afor[?, crossed out] do solemnly swear, that I was a resident citizen of 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 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 pro- vide for certain persons engaged in the and 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, not has  any person in trust for me, any property or se- curities, contracts or debts, due to me: not have I any income, other than what is contained in the schedule hereto annexed, and by me subscribed.
+Eben' Allen [handwritten] L[two words, ?] +
+SUBSCRIBED and sworn to before me [crossed out]
+one of the Justices of said Court. [crossed out]