AFFIDAVIT OF NO CREDITORS

. State of [STATE/PROVINCE]

City of [CITY]


In consideration of the terms and covenants of this agreement, and other valuable consideration, the parties agree as follows:


RECITALS

A. Affiant is the owner of the stock of merchandise located at [ADDRESS], [CITY], [STATE], more particularly described as follows: [DESCRIPTION], which Affiant proposes to sell and transfer to Company, of [ADDRESS], [CITY], [STATE].

B. This merchandise is not encumbered.

C. Affiant has no creditors.



IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date first above written.


COMPANY AFFIANT


Authorized Signature 　　　　　　　　　Authorized Signature

Print Name and Title 　　　　　　　　　Print Name and Title


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AFFIDAVIT OF NO CREDITORS