© Copyright Envision Corporation. 2002. All rights reserved.

Protected by the copyright laws of the United States & Canada and by international treaties. IT IS
ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER
PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

AFFIDAVIT OF NO CREDITORS
©

C
o
p
y State of [STATE/PROVINCE]
r City of [CITY]
i
g
h
t In consideration of the terms and covenants of this agreement, and other valuable consideration, the
parties agree as follows:

E
n RECITALS
v
i A. Affiant is the owner of the stock of merchandise located at [ADDRESS], [CITY], [STATE], more
s particularly described as follows: [DESCRIPTION], which Affiant proposes to sell and transfer to
Company, of [ADDRESS], [CITY], [STATE].
i
o B. This merchandise is not encumbered.
n
C. Affiant has no creditors.
C
o
r
p IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date first above
written.
o
r
a COMPANY AFFIANT
t
i
______________________________________ ______________________________________
o Authorized Signature Authorized Signature
n
. ______________________________________ ______________________________________
Print Name and Title Print Name and Title
2
0
0
2
.

A
l
l

r
i

Affidavit of No Creditors Page 1 of 2

© Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. IT IS
ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER
PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

ACKNOWLEDGMENT

State of [STATE]

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.

Signature
Notary

(Seal)

Affidavit of No Creditors Page 2 of 2