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�[typed form with handwritten insertions] STATE OF MAINE. Hancock[handwritten] ss....At a [?] of the Supreme Judicial Court[handwritten] begun and holden at Castine[handwritten] within and for the County of Hancock[handwritten] on the second Tuesday[handwritten] being the twelvth[handwritten] day of June[handwritten] and by adjournment [blank space] from day to day on the thirteenth[handwritten] day or June[handwritten] in the year of our Lord one thousand eight hundred and twenty one[handwritten] before the Honorable [stricken] N. Weston Jr. Esq[handwritten] Judge of said Court.

ON this thirteenth[handwritten] day of June[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 state James Kavan[handwritten] aged seventy six[handwritten] years, resident in Penobscot[handwritten] in said state, 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. Killam[handwritten] in the Regiment commanded by Colonel Putnam[handwritten] in the line of the State of Massachusetts[handwritten] on the Continental Establishment, as is more particularly mentioned and described in his original declaration, made on the ninth[handwritten] day of December[handwritten] A.D. 1818 before the honorable Judge Nelson[handwritten], and on which said declaration his Certificate of Pension, numbered 18/053 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. Jame Kaven X[mark} his mark

Sworn to and declared, on the thirteenth[handwritten] day of June[handwritten] A.D. 1821. BEFORE Nathan Weston Jr [signature] } One of the Judges of said Court.

SCHEDULE of the real and personal estate, (necessary clothing and bedding excepted) belonging to me the subscriber, viz:

Pot- Kettle- Tea Kettle- ax 2- crockery wooden + Tin Ware all of the value of five dollars} 5.00 $7.00

I have no annual income except my Pension claim James X[mark] Kavan his mark

SCHEDULE of the family residing with me James Kavan who, by occupation am a Gardener which I am unable to pursue by reason of old age-debility and a Rupture

NAMES. AGES. Capacity of each to contribute to their support. I have no family and never was married

James X[mark] Kavan his mark