BULK SALES AFFIDAVIT

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BULK SALES AFFIDAVIT State of County of ) ) The undersigned individual residing at [address], being duly sworn, deposes: 1. I am the [owner, president, or managing partner] of the business known as [name of company], hereinafter "Company" and I am the person who executed the attached bill of sale on behalf of the Company. 2. The Company is the sole owner of the property described in the attached bill of sale and has full right to sell and transfer the property involved. 3. All of the property described in the attached bill of sale is free and clear of all obligations and encumbrances. 4. There are no existing court judgments, nor any liens, replevin, attachments or executions, nor any petition in bankruptcy, nor has any arrangement proceeding been filed by or against the Company. In addition, the Company has not taken advantage of any law relating to insolvency. This affidavit is made to induce the Purchaser to accept the transfer of the goods described in the attached invoice. It is also to assure compliance with the bulk transfer provisions of the UCC as enacted in the State of [State] and to assure the Purchaser that there are no creditors of the Company who are entitled to the statutory notice of sale. [signature] State of County of ) ) On this date, [list names of person(s) who signed above] personally appeared before me and acknowledged that the above signature(s) are valid and binding. _____________________________ Notary Public My Commission expires:

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