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Seller's Affidavit-No Creditors

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					                           Seller's Affidavit-No Creditors


State of __________________

County of __________________



I, __________________, state under oath:

1. Entity Selling Assets. I make this affidavit on behalf of:

    [ ] myself, a sole proprietor,

    [ ] __________________, a partnership,

    [ ] __________________, a limited liability company,

    [ ] __________________, a corporation, as Seller of business assets to
    __________________, Buyer.

2. No Security Interests. The assets that Seller is transferring to Buyer by a bill of sale
are free of all security interests and other liens.

3. No Creditors. Seller has paid all debts and liabilities of Seller's business. There are
no debts or liabilities of the individual owner(s) of Seller's business that affect Seller's
assets or the right of Seller to transfer Seller's assets to Buyer.

4. No Claims. There are no claims or liens (either disputed or undisputed) against
Seller, Seller's assets, or the individual owner(s) of Seller's business that affect Seller's
assets or the right of Seller to transfer Seller's assets to Buyer.

5. Indemnification. If, contrary to paragraphs 2, 3, or 4 of this Affidavit, there are any
security interests or other liens, debts, liabilities, or claims, Seller and the signer of this
affidavit will immediately remove the encumbrances or liens, pay the debts, liabilities, or
claims, and indemnify, defend, hold harmless, and protect Buyer from any loss or
liability arising out of such security interest, lien, debt, liability, or claim.

Dated: ______________________
SELLER

Name of Business: ______________

a _________________



By: ____________________________

Printed Name: ________________

Title: ___________________

Address: _____________________
         _____________________
                                     Notarization


State of __________________           )
                                      ) ss.
County of ________________            )



On ______________________, _______, before me, __________________________
___________________________, a Notary Public in and for said state, personally
appeared _____________________, personally known to me (or proved on the basis of
satisfactory evidence) to be the person whose name is subscribed to the within
instrument, and acknowledged to me that he or she executed the same in his or her
authorized capacity and that by his or her signature on the instrument the person, or the
entity upon behalf of which the person acted, executed the instrument.



                                      WITNESS my hand and official seal.



                                      ____________________________________

                                      Signature of Notary

                                      Notary Public for _____________________

                                      My commission expires: _______________

 [NOTARIAL SEAL]

				
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