AFFIDAVIT OF NO CREDITORS
______________________________________________

This Affidavit of No Creditors (the “Agreement”) is made and effective [DATE],

BETWEEN:                    [YOUR COMPANY NAME] (the "Company"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:

[YOUR COMPLETE ADDRESS]

AND:                              [AFFIANT NAME] (the "Affiant"), a corporation organized and existing 
under the laws of the [State/Province] of [STATE/PROVINCE], with its head 
office located at:



[COMPLETE ADDRESS]

In consideration of the terms and covenants of this agreement, and other valuable consideration, the parties agree as follows:

RECITALS

1. Affiant is the owner of the stock of merchandise located at [address], [city], [state], more particularly described as follows: [description], which Affiant proposes to sell and transfer to Company, of [address], [city], [state].
    
2. This merchandise is not encumbered.
    
3. Affiant has no creditors.

IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date first above written.

COMPANY                                                                   AFFIANT

_________________________________                    _________________________________

Authorized Signature                                                     Authorized Signature

__________________________________                 __________________________________

Print Name and Title                                                     Print Name and Title