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SCHEDULE of the real and personal estate, (necessary clothing and bedding [?] belonging to me the subscriber, viz:

SCHEDULE of the family residing with me Theophilus Hopkins who, by occupation am a Farmer and Doctor which I am unable to pursue by reason of Lameness in my knee + Rheumatism

NAMES. AGES. Capacity of each to contribute their support. Patty Hopkins 46 Common ability Abigail Hopkins 16 Nothing - a cripple Polly Hopkins 14 Common ability Lavina Hopkins 12 Ditto Spencer Hopkins 10 Ditto Elmina Hopkins 8 Nothing Tabitha Hopkins nine months Ditto

                                                       Theophilus Hopkins  (signature)

(entire form is hand written)