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INITIAL:______________________

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PERSONAL AND SOLVENCY AFFIDAVIT =====================================================================================

I, THE UNDERSIGNED,

ID NUMBER,

DO HEREBY DECLARE UNDER OATH:

1. MY FULL NAMES AND IDENTITY NUMBER AS STATED ABOVE ARE CORRECT.

2. AM IN POSSESSION OF AN IDENTITY DOCUMENT ISSUED BY THE RESPONSIBLE GOVERNMENT AUTHORITY IN

ACCORDANCE WITH REGULATION 18(1) OF THE DEEDS REGISTRY ACT OF 1937, IN THE REPUBLIC OF SOUTH

AFRICA AND THE INFORMATION REFLECTED THEREIN IS CORRECT.

3. THAT I HAVE NOT ENTERED INTO A NOTARIAL CONTRACT WITH MY SPOUSE IN TERMS OF THE PROVISIONS OF SECTION 25(2) OF THE MATRIMONIAL PROPERTY ACT, 1984, AND THE MATRIMONIAL PROPERTY SYSTEM

APPLICABLE TO OUR MARRIAGE HAS NOT BEEN CHANGED BY AN ORDER OF COURT IN TERMS OF EITHER

SECTION 20 OR 21 OF THE SAID ACT.

4. AT THE DATE HEREOF I AM NOT INSOLVENT NOR HAS MY ESTATE EVER BEEN PROVISIONALLY OR FINALLY

SEQUESTRATED AND THAT ANY RECORD OR INTERDICT IN ANY DEEDS REGISTRY OR ANY OTHER PUBLIC

OFFICE, OF THE SEQUESTRATION OF THE ESTATE OF A PERSON BEARING MY NAME OR A NAME SIMILAR TO

MINE, DOES NOT APPLY TO ME.

5. THAT I AM A SOUTH AFRICAN RESIDENT.

6. THAT IM DULY AUTHORISED /HAS THE PERMISSION AND RIGHT TO SELL THE ITEM / VEHICLE / TRAILER 7. THAT I CONFIRM THE SALE OF THE VEHICLE TO ____________________________________________________________________________

___________________________________________________________________________________________________________ I CONFIRM THAT THE

VEHICLE IS NOT ENCUMBERED TO ANY OTHER PARTY AND THAT THE VEHICLE IS NOT FINANCED THROUGH

ANY FINANCE INSTITUTION.

8. I AM NOT INSOLVENT NOR PLANNING ON VALENTRY SURENDURING MY ESTATE TO THE BEST OF MY KNOWLEDGE I DO NO KNOW IF ANY THIRD PARTY HAS LODGED A ACTION TO SEQUESTRATE MY ESTATE.

9. THAT THE COMPANY IS NOT IN LIQUIDATION AND THAT NO APPLICATION FOR ITS LIQUIDATION IS PENDING AND THAT THERE ARE NO INTERDICTS OR INTERDICTS PENDING AGAINST THE COMPANY.

I CERTIFY THAT THE DEPONENT HAS ACKNOWLEDGED THAT HE/SHE KNOWS AND UNDERSTANDS THE CONTENTS OF

THIS AFFIDAVIT WHICH WAS SIGNED AND AFFIRMED/SWORN TO BEFORE ME AT JOHANNESBURG ON

2013, UNDER COMPLIANCE WITH THE REGULATIONS CONTAINED IN GOVERNMENT

NOTICE R1258 DATED 21ST JULY 1972 (AS AMENDED).

COMMISSIONER OF OATHS