LEGAL INSTRUCTOR. 17 



ment of the particular matter in precise and careful lan- 

 guage, in the ordinary style of making a written state- 

 ment ; sign your name to it; go before a commissioner 

 of deeds, judge, or any proper person : he will administer 

 the oath and add the following certificates :] 



^tate of , i 



and County of \ ^^' 



On this 1st day of July, in the year one thousand 

 eight hundred and forty, before me, personally appeared 

 [msert the name of the party signing the statement], 

 who, being by me duly sworn, did depose and say, that 

 he has read [or '-heard read," as the case may be] the 

 foregoing [if this certificate is put on the back of the 

 statement, say "within;" if attached, say "annexed"] 

 statement, and knows the contents thereof, and that the 

 same is true, of his own knowledge,* except as to the 

 matters which are therein stated to be on the informa- 

 tion or belief of the said [insert name of subscriber] the 

 subscriber aforesaid ; and as to these matters, he believes 

 it to be true. 



JOHN R. GRAFT. 



Justice of the Peace. 



* Should the statement set forth nothing but what is within the 

 knowledge of the subscriber, this clause, from the word "except** 

 to the conclusion, may be omitted. 



