Reverendissime in Christo Pater, eximie domine antistes, domine gratiose.
Obsequia nostra paratissima sint Reverendissimae Paternitati Vestrae pro fide et debito humiliter praemissa.
Gratiose Domine.
Accisa pro defensa communi et re publica Royal Prussia (Prussia Regalis), region, part of Prussia annexed to the Kingdom of Poland in 1466 under the provisions of the Second Peace of Thorn⌊harum terrarumRoyal Prussia (Prussia Regalis), region, part of Prussia annexed to the Kingdom of Poland in 1466 under the provisions of the Second Peace of Thorn⌋ ad annum proxime praeteritum de omnium statuum consensu unanimiter laudata, ex dominio V(estrae) C(elsitudinis) et districtibus Frawenbugensi, Tolkemitensi et Melsaccensi fideliter collecta excrevit in numerum inferius subiectum. Quam Reverendissimae Paternitati Vestrae per praesentem mittimus.
In qua etiam nostram devotionem rei publicae commodis sincere et prompte destinatam offerimus, Reverendissimam Paternitatem Vestram domino Deo et nos eiusdem gratiae ex sententia commendan(tes).
Frauenburg (Frombork, Varmia, Warmia), town in Ermland, on the Vistula Lagoon, Ermland bishopric see⌊FrawenburgkFrauenburg (Frombork, Varmia, Warmia), town in Ermland, on the Vistula Lagoon, Ermland bishopric see⌋ marcas CXCVIII, s(olidos) LII
Tolkemit (Tolkmicko), town in northern Poland, Pomerania, on the Vistula Lagoon, 20 km NE of Elbing ⌊TolkemytzTolkemit (Tolkmicko), town in northern Poland, Pomerania, on the Vistula Lagoon, 20 km NE of Elbing ⌋ marcas CCLXXIIII, s(olidos) LVIII
Mehlsack (Melzak), town in Ermland (Warmia), 32 km SE of Frauenburg (Frombork), today Pieniężno⌊MelsackMehlsack (Melzak), town in Ermland (Warmia), 32 km SE of Frauenburg (Frombork), today Pieniężno⌋ marcas CCCCXXIIII, s(olidos) XIII