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Bulk Sales Affidavit
(SALES OF ASSETS & LIST OF CREDITORS)
State of _____________
County of ___________
____________, of lawful age, being first duly sworn, on oath states:
That he/she is the Seller in that certain contract for the sale of assets dated __________, 20 _ between himself/herself, 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 Creditor ________________.
Business Address ________________.
Amount Of Claim ________________.
Admitted or Disputed ____________.
*** If Required By FederaL or State Law ***
This Section for Notary:
State of _________
County of ________ [COUNTY]
On [DATE] before me, [NAME OF NOTARY], notary, personally appeared [NAME OF PERSON(S) INVOLVED], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.
My commission expires: _____