Bill Of Sale Form - State Of Tennessee

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State of Tennessee
County of
On this
day of
, 20
, before
me personally appeared
(if a corporation use
President (or other officer) of (Corporate Name) a
corporation”), contractor, to me personally known, who being duly
sworn by oath, did say that all of the persons, firms and corporations,
including general contractors and all subcontractors, who have fur-
nished services, labor or materials according to the plans or specifica-
tions, or extra items used in the construction or repair of buildings and
improvements on the real estate hereinafter described, have been paid
in full or will be paid in full no later than ten (10) days from the date a
bill is rendered for such services, labor or materials and that such work
has been fully completed and accepted by the owner, and further that
such owner has paid the contract price in full, the receipt of which is
hereby acknowledged. Affiant further says that no claims have been
made to affiant by, nor is any suit pending on behalf of any contractors,
subcontractors, laborers or materialmen, and further that no chattel
mortgages or conditional bills of sale have been given or are now
outstanding as to any materials, appliances, fixtures or furnishings
placed upon or installed in the aforementioned premises. Affiant as a
party does for a valuable consideration hereby agree and guarantee to
hold the owner of the real estate, the owner’s successors, heirs and
assigns, harmless against any lien, claim or suit by any general contrac-
tor, subcontractor, mechanic or materialman and against chattel mort-
gages or conditional bills of sale in conjunction with the construction of
such buildings or improvements on such real estate.
The real estate and improvements referred to herein are situated in
the County of
, State of Tennessee, and are described as
follows: (give street address)
Contractor
Sworn to and subscribed before me
on the date above first written.
Notary Public
My Commission Expires:

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