Declaration of Solvency

Your name*

Your address*

Statement of assets and liabilities*

Purpose of this declaration*

Date of execution*

Format:

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DECLARATION OF SOLVENCY I, [declarant_name], residing at [declarant_address], do hereby solemnly affirm and declare as follows: 1. That I am solvent and able to meet my financial obligations as they fall due. 2. That my current financial position is as follows: [net_worth_statement] 3. That this declaration is made for the purpose of [purpose]. 4. That the contents of this declaration are true and correct to the best of my knowledge and belief. DECLARANT [declarant_name] Date: [execution_date]

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Declaration of Solvency

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