1、公司股东对债务清偿或债务担保情况的说明公司股东关于债务清偿/担保情况的声明StatementbyCompanyShareholdersRegardingDebtSettlement/GuaranteeStatus致：公司名称/相关方To:CompanyName/RelevantParty根据公司章程及股东协议要求，本人/本公司作为公司全称(以下简称公司”)的股东，现就截至年一月日的债务清偿或担保情况声明如下：PursuanttotheCompany/sArticlesofAssociationandShareholders7Agreement,lWe,asashareholderofFullC
2、ompanyName(hereinafterreferredtoastheCompany),herebydeclarethefollowingregardingthestatusofdebtsettlementorguaranteesasofDate:一、债务清偿情况DebtSettlementStatus1 .股东个人债务清偿SettlementofShareholdersPersonalDebts本人/本公司确认：截至本声明出具之日，不存在因个人债务未清偿导致公司资产被冻结、查封或强制执行的情形。l/Weconfirmthatasofthedateofthisstatement,there
3、arenocircumstanceswheretheCompany/sassetshavebeenfrozen,seized,orenforcedduetounresolvedpersonaldebts.2 .为公司债务提供的担保GuaranteesProvidedforCompanyDebts本人/本公司确认：l/Weconfirmthefollowing:O未以股东身份为公司任何债务提供个人担保。 NopersonalguaranteeshavebeenprovidedforanyCompanydebtsinthecapacityasashareholder.o已为公司以下债务提供担保(如
4、有，请列明)： GuaranteeshavebeenprovidedforthefollowingCompanydebts(ifapplicable,specify):债权人：Creditor:债务金额：元DebtAmount:CNY到期日：MaturityDate:担保状态：履行中已解除GuaranteeStatus:OngoingReleased二、股东对公司债务的连带责任JointLiabilityforCompanyDebts根据中华人民共和国公司法及公司章程，本人/本公司作为公司股东，确认:InaccordancewiththeCompanyLawofthePeople/sRepub
5、licofChinaandtheCompany/sArticlesofAssociation,l/Weasashareholderconfirm: 已履行完毕全部出资义务，不存在抽逃出资行为。 Allcapitalcontributionobligationshavebeenfulfilled,withnowithdrawalofcapitalcontributions. 如公司不能清偿到期债务，本人/本公司承诺在未实缴出资范围内对公司债务承担补充赔偿责任。 ShouldtheCompanyfailtorepayitsduedebts,l/weundertaketobearsupplement
6、arycompensationliabilitywithinthescopeofunpaidcapitalcontributions.三、法律效力声明Legal日feet本声明内容真实、完整,如有虚假,本人/本公司愿承担一切法律责任。Thisstatementistrueandcomplete.I/Weshallbearalllegalliabilitiesforanymisrepresentation.股东签字(盖章)ShareholderSignature(Seal):姓名/公司名称Name/Company:身份证号/统一社会信用代码ID/UnifiedSocialCreditCode:日
7、期Date:年月日使用说明Notes1 .根据实际情况勾选(V)或填写方括号内容；Check()orfillinbracketsasapplicable.2 .涉及担保的债务需列明债权人、金额及状态；Specifycreditor,amount,andstatusforguaranteeddebts.3 .机构股东需加盖公章，自然人股东需亲笔签字并提供身份证号；Institutionalshareholdersmustaffixofficialseal;individualshareholdersmustsignandprovideIDnumber.4 .本声明适用于股东会决议、融资尽调、债务重组等场景。Thistemplateissuitableforshareholderresolutions,financingduediligence,debtrestructuring,etc.提示：重大债务或担保建议另行出具法律意见书，并咨询专业律师。Note:Forsignificantdebts/guarantees,obtainalegalopinionandconsultaprofessionallawyer.
