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� [handwritten] State of Maine Hancock ss

On this eighth day of July 1820 personally appeared before me Wm Crosby one of the Judges of the Third Eastern Circuit Court of Common Pleas including the counties of Hancock Washington and Penobscot being a -

[pre-printed with handwritten insertions] court of record by the laws of said state, with power of fine and imprisonment, Benj Baxter[handwritten] aged 62[handwritten] years, resident in [?][handwritten] in said county, who being first duly sworn according to law doth on his oath declare that he served in the revolutionary war as follows, to wit:

[handwritten] one year as a private in 1776 in Capt Hinds company in Col Reeds Regiment in the New Hampshire Line

[pre-printed with handwritten insertions] of all which I made declaration before the Honorable Wm Crosby[handwritten] on the 29th[handwritten] day of Nov[handwritten] 1819[handwritten] and have received my pension certificate therefore, No. 1763[?8,6 or 0][handwritten] and I do solemnly swear, that I was a resident citizen in the United States on the eighteenth day of March, one thousand eight hundred and eighteen, and that I have no 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 provide for certain persons engaged in the land 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, 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.

Benjamin Baxter[signature]

Sworn to and declares on the eighth[handwritten] day of July[handwritten] before the[stricken] me[handwritten] Wm Crosby a Judge of Said Court