Supplicant: Maria Schwöllerin
| Function | Berufe, andere (uncertain, inferred) |
| Place of origin | Regensburg (uncertain, inferred) |
| Authority | Regensburg, Reichsstadt (uncertain, inferred) |
| Civil status | verwitwet |
| Proceedings: | Schuldforderung, Bitte um kaiserliches Mandat |