____________________ (shire)

This Bill of Sale is made the _____ day of ____________, 20 ___, by _______________, Inc., a _________________ (state) corporation.

For and in consideration of ________Dollars ($ ___ ), the receipt of which is hereby acknowledged, ______________________, Does hereby sell and convey to ________________, Inc. All the assets, property, rights, and interests of _________________, Inc. of every kind and description, tangible or intangible, and regardless of whether or not carried or reflected on the books and records of _______________, used in the operation of that business known as ______________ (store name), located at _____________ (address of store). The property conveyed hereunder is more fully described in ________ Purchase Agreement between _______________, (seller) and ____________, Inc. (buyer) dated _________, 20__, the terms of which are incorporated herein.

Furthermore, _________________, (seller) does hereby covenant and warrant to ____________________, (buyer) that it has free and clear title to the property conveyed hereunder, that it conveys title to all the property to _________________, (buyer) free and clear of all encumbrances whatsoever and that it will defend that title against the lawful claims of all persons whomsoever.

Furthermore, _______________________, (seller) has caused this instrument to be executed by its authorized officers and its corporate seal to be hereunto affixed on the date stated above.

_____________________ (Seller)

By: __________________________

Company Director

Attest: ______________________

Secretary

STATE OF _________________

COUNTY OF ________________

SWORN TO AND SUBSCRIBED BEFORE ME, this the ____ day of __________, 20 __.

____________________________

NOTARY PUBLIC

My Commission Expires: ________________