I, ,
of of Address:

do solemnly and sincerely declare as follows: -

• The Bill of Sale dated____________________day of_________________________20_____ and made between _____________________of the one part and of the other part of which a copy was registered on the__________day of____________________ 20____ is still a subsisting security.



• And I make this solemn declaration by virtue of the provisions of the Oaths and Declarations Act (Cap.211), and subject to the penalties provided by that Act for the making of false statement in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular.