State of _________________________
County of _________________________
I, _________________________ , being of legal age, make the following statements and declare that, on my own personal knowledge, they are true:
1. I am the Seller of business assets of _________________________ , ______________________ located at _________________________ , City of _________________________ , State of _________________________ , under an Agreement dated _____________________________ , 20 ____ , with _________________________ , Buyer, of _________________________ , City of _________________________ , State of _________________________ .
2. This affidavit is provided to the Buyer, under provisions of the Uniform Commercial Code, as enacted in the State of _________________________ , for the purpose of providing creditors with notice of the intended sale under this Agreement.
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