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's Affidavit: No Creditors
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SELLER Name of Business: ______________ a _________________
By: ____________________________ Printed Name: ________________ Title: ___________________ Address: _____________________ _____________________
Seller's Affidavit: No Creditors
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Notarization
State of __________________ County of ________________
) ) ss. )
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]
Seller's Affidavit: No Creditors
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