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�State of Maine County of Penobscot, ss, At a circuit court of common pleas {begun} and {holden} {at} Bangor within {a for } said county on the {fourteenth} Thursday of June {AD} 1820 On the twenty seventh day of June in the year of our lord eighteen hundred and twenty, personally appeared in open court, being a court of record within and for said county and State of Maine, established by law of the Commonwealth of Massachusetts, made and passed on the {twenty seventh} day of June A.D 1811, and recognized by the Constitution of the State of Maine William Forby aged fifty [eight] years, resident in Bangor in said county of Penobscot, who being first duly sworn according to law, doth, on his oath, declare that he served in the Revolutionary war as follows: I served as a private soldier in the Revolutionary War in the company commanded by [ Capt ] , Jackson in the second [Massachusetts] regiment commanded by Col. [ Sprauy ] in the [continental] [establishment] [under] a three year [continually] and was honorably discharged on the 21st day of 6 December 1783 as is [such] [forth] in my original declaration made on the 5th day of April 1818 on which declaration [pension] certificate numbered 9,074 was granted [Schedule] of the family of William Forbes who by [agree] [partisan] [war] [can] [hars.....] I am [faff...] with the [rh......] and [example] Name: My wife [ Lucey ] Forbes AGE: 41 years [Capacity] of each to [entrust] [to] [their] [support]: [slender] [condition] and sickly Name: Son Jefferson Forbes AGE: 19 years [Capacity] of each to [entrust] [to] [their] [support]:good health, works for me, goes to school Name: Son Daniel Forbes AGE: 18 years [Capacity] of each to [entrust] [to] [their] [support]: Unable to work on [casework] [of] [f..........] Name: Son George Forbes AGE: 16 years [Capacity} of each to [entrust] [to] [their] [support] Frequently with [billi...]cholis Name: Daughter Sally Forbes AGE: 11 years Name: Son Chad Henry Forbes AGE: 7 years[ Name: Daughter [Lucey] [Griffin] Forbes AGE: 2 years

And I William Forbes do solemnly swear, that I was a resident of the United States on the eighteenth day of March One Thousand Eight hundred and Eighteen, and 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 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 I have not, nor has any person in trust for me any property or securities, contracts or debts, due to me : nor I have any income, other than what is contained scheduled hereto annexed, and by me subscribed William Forbes

Schedule of [meals] and personal [estate] belonging [to] [me] [...........................]

[Meals Estate] None [Personal Estate]

1 pair of [omen] bought on credit and owe for [....] [...] whole value 3 [...] 1 [..] of [..] 2 years old 1 [..] 2 years old 1 [..] 1 years old 2 [.....]

I [..] [...] [...] [..] [..] amounts of $156,---- [ and have no debts due to ] [...] [...] [...] [...] [...] William Forbes

[Sworn] to a [declaration ] on the twenty seventh day of June [1820] [ before the courts] ATT; [Thomas Cobb]