7. Affiant further states that all things required to be done under A.R.S. §47-9010 et. Seq. (Uniform Commercial Code –
Secured Transactions), have been done to entitle the affiant to lawfully dispose of or otherwise act with respect to liquor
license #___________________. Affiant further states he/she is aware that the Department of Liquor Licenses and Control is
making no determination of the secured party’s property interest in liquor license #________________ but is relying on
affiant’s documentation and this affidavit solely for the purpose of allowing the affiant to take action with the
department as to liquor license #_________________. Affiant agrees to hold the Department of Liquor Licenses and Control
harmless from any liability incurred by the department in reliance on the affiant’s representations and documentation.
Wherefore, Affiant further saith not.
I (
______________________________________________, declare that I have read this Affidavit and the contents and
print name)
all statements are true, correct and complete.
_________________________________________________________
(Signature of AFFIANT)
NOTARY
X
____
State of _____________________County of
_____________________
(Controlling Person/Existing Agent)
The foregoing instrument was acknowledged before me this
____________ of _____________________, ___________
________________________
My commission expires on:
Day
Month
Year
_______________________________________________
Signature of NOTARY PUBLIC
8/20/2015
Page 2 of 2
Individuals requiring ADA accommodations please call (602)542-9027