Supplicant: Balthasar Gansmair
| Function | Amtsträger, weltlich, reichsstädtisch (uncertain, inferred) |
| Place of origin | Augsburg (uncertain, inferred) |
| Authority | Augsburg, Reichsstadt (uncertain, inferred) |
| Civil status | verheiratet |
| Proceedings: | Betrug, Bitte um kaiserliche Interzession |