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2210.XXX
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Text File
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1991-06-27
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676b
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25 lines
#2210
@001 Enter the name of the SELLER:
@221/@221/@221 Enter type of business:
Retail Sales
Wholesale Sales
KEY IN VALUE
@222 Enter street address of business:
@223 Enter the city, state of business:
@002 Enter the name of the buyer:
@224/@224 Generally describe items to be sold:
The inventory of goods of SELLER
KEY IN VALUE
@225/@225 List the undisputed creditors:
See attached sheet
KEY IN VALUE
@226/@226 List of the disputed creditors:
See attached sheet
KEY IN VALUE
@227/@227/@227 List title of officer:
Owner
President
KEY IN VALUE
@228 Enter the state where the affidavit is prepared:
@229 Enter the county where the affidavit is prepared: