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� SCHEDULE of the real and personal estate (necessary clothing and bedding excepted) belonging to me the subscriber, viz.: [handwritten] I have unexpended of my Pension Money the sum twelve Dollars and I have no other property real or personal excepting the cloth-ing I wear and an old Watch Previous to receiving a Pension I was sup-ported at the expense of the Town of Mount Desert Being unable to labour I have no annual income [underlined] whatever except my Pension as aforesaid his Charles +[mark] Branscum mark

SCHEDULE of the family residing with me Charles Branscum[handwritten] who, by occupation am a Labourer[handwritten] which I am un[handwritten] able to pursue by reason of debility and serious infirmities inclement to age[handwritten]

NAMES AGES Capacity of each to contribute to their support I have no Family but live with my Son Charles Branscum Junior [flourish mark] his Charles +[mark] Branscum mark