eight hundred and fifty

said

on the

eight hundred and fiftywilling that all h

Day of

and was

Day of

If the Prisoner

was bailed or

One thousand first committed

committed to the to another

removed by

One thousand Prison and and that your Petitioner is Habeas corpus

Real and Personal Estate and Effects or otherwise, the Fact must shall be vested in the Official Assignees of the Court; your be here stated. Petitioner therefore humbly prays your Honourable Court, If more that he may be discharged from Custody and have future Detainers,make Liberty of h Person against the Demands for which h is now in Custody, and against the Demands of all other according Persons who are or claim to be Creditors of your Petitioner, Facts. according to the Provisions of the Statute in that Behalf.

of

And your Petitioner will ever pray, &c.

185 in the Presence of

Subscribed by the said Prisoner on the

Day

fresh Statement

as to each

Form of Retainer and Acceptance to be endorsed on Petition of

me as my Attorney in the said Court, and I hereby declare that he is so employed by me at my Request.

admitted to practise on behalf of Prisoners in actual Custody, do hereby accept the above Retainer.

I hereby certify, That the Defendant

still remains in Custody at this Date, under and by virtue of
the above
And I do hereby further certify,
That there is no other Detainer against the said Defendant.
Signed by me, this

Day of

INSTRUCTIONS. This Account is to begin at or before the Time when the earliest Debt in the Schedule was contracted by the Insolvent; if he has at any Time been bankrupt, or petitioned under an Insolvent Act, it must be stated whether any Debts due under such Bankruptcy or Insolvency are still unpaid. (See below.) This my Account begins in or about the Month of my Schedule (No.

) was contracted by me in the Year 18

GENERAL BALANCE SHEET.

18

the earliest Debt in [Fill up the Blanks.]

In the Court of Bankruptcy and Insolvency.

I, the said do declare, That this my Schedule doth contain a full and fair Description of me, as to my Name or Names, Trade or Trades, Profession or Professions, together with my last usual Place of Abode, and the Place or Places where I have resided during the Time when my Debts were contracted, and also a full and true Description of all Debts due or growing due from me at the Time of filing my Petition, and of all and every Person and Persons to whom I am indebted, or who to my Knowledge or Belief claim to be my Creditors, together with the Nature and Amount of such Debts and Claims respectively, distinguishing such as are admitted from such as are disputed by me, and also a full, true, and perfect Account of all my Estate and Effects, Real and Personal, in possession, reversion, remainder, or expectancy, and also of all Places of Benefit or Advantage held by me, whether the Emoluments of the same arise from fixed Salaries or from Fees, or otherwise, and also of all Pensions or Allowances which I have in possession or reversion, or which are held by any other Person or Persons, for me or on my Behalf, or of and from which I derive or may derive any manner of Benefit or Advantage, and also of all Rights and Powers of any Nature and Kind whatsoever, which I am, or any other Person or Persons in trust for me, or for my Use, Benefit, or Advantage, are, in any Manner whatsoever, seised or possessed of, or interested in or entitled unto, or which I, or any other Person or Persons in trust for me or for my Benefit, have any Power to dispose of, charge, or exercise for my Benefit or Advantage; together with a full, true, and perfect Account of all the Debts due or growing due at the Time of making the said Vesting Order to me or to any Person or Persons in trust for me, or for my Benefit or Advantage, either solely or jointly with any other Person or Persons, and the Names and Places of Abode of the several Persons from whom such Debts are due or growing due, and of the Witnesses who can prove such Debts, as far as I can set forth the same; and that this my Schedule doth also contain a Balance Sheet of so much of my Receipts and Expenditures, and of the Items composing the same, as is required by this Honour

able

able Court in that Behalf; and doth fully and truly describe the Wearing Apparel, Bedding, and other such Necessaries of myself and my Family, and my working Tools and Implements, which are excepted by me from the Operation of the Statute, together with the Value of such excepted Articles respectively.

BALANCE SHEET OF RECEIPTS AND EXPENDITURES.
The Court requires

That this Account shall in no Case begin later than Four Calendar Months before the Prisoner's last Commitment to Custody.

That if he was before that Time arrested in any Suit which is still continued, it shall begin not later than the Time of such Arrest.

That if before those Periods, but since the Commencement of his Embarrassments, any Property has gone away from him by Sale, Assignment, Mortgage, Distress, Execution, or any Means other than the ordinary Course of Trade, the Account shall commence so as to include all such Transactions.

That the Blank in the Description of the Debtor's Side of the Account shall be filled with a Date early enough for Compliance with the above Directions.

That the specific Appropriation of each Sum received shall be separately shown, where the Case admits of it.

That the Date of each Item in the Account shall be given by stating the Day as well as the Year when the same can be ascertained.

That Money and other Property, which was in the Possession of the Prisoner or his Family or any other Person for his or their Benefit at the Time when he was last taken into Custody, shall in all Cases be made a specific Item or Items in the Account.