of

the Petitioner named in the Petition hereunto annexed, maketh Oath and saith, That the several Allegations in the said Petition are true. Sworn at this

Day of

18 before me

That your Petitioner, being a Trader within the Meaning of the Law of Bankruptcy, and being unable to meet his Engagements with his Creditors, has filed a Declaration of Insolvency in Manner and Form in that Case made and provided, and that your Petitioner verily believes that he can make it appear to the Satisfaction of the Court that his available Estate is sufficient to produce the Sum of Fifty Pounds at the least. Your Petitioner therefore humbly prays, That, on Proof of the Requisites in that Behalf, Adjudication of Bankruptcy may be made against him. And your Petitioner shall ever pray, &c. Signed by the Petitioner on the Day of Solicitor in the Matter of this Petition.

18 in the Presence of

If the Petition be by Partners, alter the Form accordingly, and state the Names of the several Petitioners in the Attestation or Attestations relating thereto respectively.

of

SCHEDULE (0.)
Certificate of Conformity.

Court of Bankruptcy and Insolvency.

was on the

Day of

In the Matter of) WHEREAS the said A.B. of
A.B.
duly adjudged and declared a Bankrupt, and the said Bankrupt did on the
Day of
last finish his Examination, and upon such Examination made a full Disclosure
a Bankrupt. and Discovery of his Estate and Effects, and in all things conformed, and, so far as the
Court can judge, there doth not appear any Reason to question the Truth or Fullness of such Discovery: Now
this is to certify, That on the
Day of
in the Year of our Lord One thousand eight
hundred and
at the Court of Bankruptcy and Insolvency in Dublin, at a public Sitting held for
the Allowance of this Certificate to the said Bankrupt (whereof and of the Purport whereof the Notice required
in that Behalf was duly given), and having regard to the Conformity of the said Bankrupt to the Law of Bank-
ruptcy, and to his Conduct as a Trader before as well as after his Bankruptcy, the Court did then and there
find the said Bankrupt entitled to such Certificate, and did allow the same.

Given under the Seal of the Court, at the Court of Bankruptcy and Insolvency in Ireland, this
Day of
in the Year of our Lord One thousand eight hundred and
Signed and sealed in the Presence of

SCHEDULE (P.)

To the Court of Bankruptcy and Insolvency.

A.B. (L.S.)
Judge.

[In Insolvency.]

Petition of Insolvency.

The humble Petition of

Sheweth,

State the recent Residences, Trades, &c. of very accurately; but

it need not always be

so for the Schedule.

of

That your Petitioner is now a Prisoner for Debt in the
and is there detained at the Suit of

If the Prisoner was and that your Petitioner was first arrested in the said Suit at

previously of

the fifty

on the

mitted to another Prison and removed

of Day of One thousand eight hundred and bailed or first comand was committed to the said on the Day of One thousand eight hundred and fiftyand that your Petitioner is willing that all by Habeas corpus or h Real and Personal Estate and Effects shall be vested in the Official Assignees of the otherwise, the fact Court; your Petitioner therefore humbly prays your Honourable Court, that he may be must be here stated. discharged from Custody and have future Liberty of h Person against the Demands for If more Detainers, which h is now in Custody, and against the Demands of all other Persons who are or make fresh Statement claim to be Creditors of your Petitioner, according to the Provisions of the Statute in that as to each according Behalf. And your Petitioner will ever pray, &c. Day of

Subscribed by the said Prisoner on the

to Facts.

185 in the Presence of

Form of Retainer and Acceptance to be indorsed on Petition of Insolvency.

I of

of

Court of Bankruptcy and Insolvency.

do hereby retain Mr.

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

Day of

185

an Attorney duly admitted to practise on behalf of

on this

Witness,

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.)

I, the said

In the Court of Bankruptcy and Insolvency.

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 or 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 derived 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 Honourable 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.

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 shewn, 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.

N.B.-Where there are cross Demands, the Party must be entered both as Creditor and Debtor, and "Set-off" must be written under the Amount.

Interest in Land.

Personal Property.

PROPERTY IN POSSESSION.

Real and Personal Estates and Effects which were in my Possession, Enjoyment, or Controul, or which were held by any other Person or Persons in trust for my Use, or to the Possession or Enjoyment of which I was entitled at the Time of subscribing my Petition, and which are not excepted from the Operation of the Act.

Freehold and Leasehold Property with local Description, Names of
Tenants and annual Rent of the same, and Statement of Incum-
brances (if any) thereupon, with the Dates thereof.

Household Goods and Furniture

Wearing Apparel

SUPPOSED
VALUE.

£. 8.

d.