Statement Regarding Absence of Creditors
1. Sale of Business Assets I make this statement in connection with the sale by __________, Seller, to _________, Buyer, of the assets of the business known as ___________________. 2. No Security Interests The assets that Seller is transferring to Buyer today by a Bill of Sale are free of all security interests and other liens and encumbrances, except for the security interest granted today by Buyer to Seller. 3. No Creditors Seller has paid all debts and liabilities of Seller's business. There are no debts or liabilities of the [choose one: Seller/Seller's partners/Seller's members/Seller's shareholders] that affect Seller's assets or the right of Seller to transfer the assets to Buyer. 4. No Claims There are no claims or liens either disputed or undisputed against Seller [optional: or the Seller's [choose one: partners/ members/ shareholders] that affect Seller's assets or the right of Seller to transfer the assets to Buyer. 5. Indemnification If, contrary to Clauses 2, 3, or 4 of this Statement there are any security interests or other liens, debts, liabilities, or claims that affect the assets, Seller 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. _____________________, a _________________
By: ______________________________ Printed name: _________________
Statement Regarding Absence of Creditors
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Title: ________________ Address: ______________________ ______________________ Dated: ___________________________
Certificate of Acknowledgment of Notary Public
State of ___________________ ) ss County of _________________ ) )
On ____________, __________, before me, _____________________, a notary public in and for said state, personally appeared _____________________, personally known to me (or proved to me 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. ___________________________________ Notary Public for the State of ___________ My commission expires __________ [NOTARY SEAL]
Statement Regarding Absence of Creditors
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