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You are notilied to make out, and hold in readiness for inc, a statement, in the following form, of all Lands, Town
Lots, Personal Property, Money, Credits (over und above your individual indebtedness), lnvestnients in Bonds, Stocks,
&c.. &c., or otherwise, in yottr possession or under your control, as <.)wner or llolder, or as llnshand, l'arent, (juardiztn,
Trustee Executor Adininistrator Receiver, Aoent, Attorne , Ne., &e., on the toth da of anuar , 18 . You will
· · . J . =>. . . Y . . Y Y . A
also he >rc>arcd to furnish the items xc. of btuttstics, as indicated h the bchedule on the hack of this notice.
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1).1/. ·r1' ....,...,..............,4.....,................ . ..,...............,....i.......,...,,.......4...... c..-A, 1 8 ..,.........,4.
‘ Sltztwmzi 0 Ltmt/y Tuzwz Lu/x ,[`)¢.'/'.S`t//l¢l/ I)/'ll.t'/'/l', 4l/Yuzrnr C)'¢'tI'lY.$` dw:. .mA br! iu ltlxtlflit//I 1./I
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A   .,.,.,.,...._,,...._.,..._.._...,4...,......,...............,4,............ mzzzzgt, fxr the your 18   c.V.. , be/wr_;//rg /0 .l.....,............... . .,....4......e,_,_,   .. __,____,_____,,,_,_____4___  
mn! /13*/m' @1* ....,   . ........ . ...,o.   . .4.._..   o,,.. A A AA . .... .. A.  .VV. . .»...... A AAAAAAAAA .
N cmneit. VAt.u1z.
.... Acres of land. Nearest resident .............. No. ward or election precinct . . . $ ......
.... Acres ol` land. Nearest resident .............. No. ward or election precinct . . . ......
.... Acres ol! land. Nearest resident .............. No. ward or election nrccinct . . . ......
l
.... Acres ot` land. Nearest resident .............. No. ward or election irecinct A A . ,.,,,,
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.... Town lots. Town or city .............. No. lot, plat, or street . . . ......
.... Town lots. Town orcity .............. No. lot, plat, or street . . . ..... .
. . . .'l`own lots. 'l`own or city .,.....,...... No. lot, plat, or street . . . ......
.... Toxvn lots. Town or city .............. No. lot, plat, or street . . . ......
.... llorses and mares ......A............................... . .....
.... Mules ......... . . . ............................... . .....
.... _laclts and jennets ...A,................................. . .....
.... Cattle and their value ovcr $50 ........... . ..r,............... . .....
.... (nl Store (to be listed as ot` the tst .-\pril each yer.;) ,......... . ........... . .....
(txt For listing btoics, cliange this lilank, i:i.tl.int; it t.· c;:.'o.a;i to tzint, x»;: xs; Aytzl e.ti.li year.
' • IZQL`.-\l.lZ.·\'l`leduct bona lide indebtedness owing as principal, and not as surety, created for a valuable
consideration .................................... . ..... . .... .
\'alue of pleasure carriages, barouches, buggies, stage coaches, gigs, omnibuses, and other vehicles for passengers ......
Value of gold, silver, and other metallic watches and clocks, gold and silver plate, and pianos ........ . .....
Total value of all the items .................................... 55 ......
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I, (A) ,__,,,_,_____,____,__A_,_____A,,,__,_AAAA_____,,_______A_,,__,,A_,,___,A , ,,____,_____A,______,__________________ , do solemnly (r)_ ________________________A___ that the list of taxable properly nlmvc
contains a {ull and complete list of all and every species of property belonging to ____________________________>_>__>___>__,____>r,___ _ ___`>r _ __,_,,,,_,, , ___o,,_____,___,___A,_,__,,
or in my possession subject to taxation ; and that no removal of property or omission has been made. or any method or device
adopted or practiced whereby to evade the payment of taxes by me, and that I will true and perfect answers ntalte to such ques-
tions as may be asked me concerning my taxable property, or that of others in my possession or about to be listed by me for them.
Sworn to and subscribed before me, tliis________ ____ day O{_______________________ _____ ______________ lg ___________   ‘
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(I:) This blank must bc filled with thc name of the person making thc ttffidavit. (c)'1`his blank must he Glled with the word "swoiu" or "aflirm.”
’ <¤Where the tax-payer owes as principal, and not as surety, more than he is required to list under thc cqualizatitm law, he is not required t0·
list any thing under that law.
I `