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From DigitalMaine Transcription Project
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I Jacob Eustis on oath say and declare that I have no real nor personal estate nor any income [illegible] my necessary bedding and wearing apparrel excepted- except
two cows two heifers 2 years old two pigs
I owe more than $100 - I am a farmer but I am unable to labor - I have four children under age Joseph aged 19 years Leonard 7 years Lydia 15 Harriett [8?]
I cannot support myself and family without the aid of my pension.
Jacob Eustis [signed] [subscribed] Jacob Eustis [signed]