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Text File  |  1991-06-27  |  676b  |  25 lines
  1. #2210
  2. @001 Enter the name of the SELLER:
  3. @221/@221/@221 Enter type of business:
  4. Retail Sales
  5. Wholesale Sales
  6. KEY IN VALUE
  7. @222 Enter street address of business:
  8. @223 Enter the city, state of business:
  9. @002 Enter the name of the buyer:
  10. @224/@224 Generally describe items to be sold:
  11. The inventory of goods of SELLER
  12. KEY IN VALUE
  13. @225/@225 List the undisputed creditors:
  14. See attached sheet
  15. KEY IN VALUE
  16. @226/@226 List of the disputed creditors:
  17. See attached sheet
  18. KEY IN VALUE
  19. @227/@227/@227 List title of officer:
  20. Owner
  21. President
  22. KEY IN VALUE
  23. @228 Enter the state where the affidavit is prepared:
  24. @229 Enter the county where the affidavit is prepared:
  25.