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1992-01-02
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72 lines
BULK SALES AFFIDAVIT
State of _________________________________
County of ________________________________
____________________________, of lawful age, being first
duly sworn, on oath states:
_________________________________________
_________________________________________
_________________________________________
That he is the Seller in that certain contract for the
sale of assets dated ___________,19__ between himself, as Seller,
and ___________________ as Buyer;
That this Affidavit is made pursuant to the terms and
provisions of the Uniform Commercial Code and is furnished to the
above named Buyer in connection with the sale and transfer
described and referred to in the above mentioned contract;
That the following is a true, complete and accurate list
of all of the creditors of affiant and of all persons who, to the
knowledge of affiant, assert or have claimed to assert one or
more claims against affiant, together with the correct business
addresses of each such creditor or claimant and the amounts due
and owing to such creditors and claimants, to wit:
Name of Business Amount Admitted or
Creditor Address Of Claim Disputed
1.____________ ___________ ___________ ______________
2.____________ ___________ ___________ ______________
3.____________ ___________ ___________ ______________
__________________________
(Signature)
SUBSCRIBED and sworn to before me this _______ day of
_________, 19__.
_________________________
Notary Public
My commission expires:
_____________________________
[Notarial Seal] Form 337