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Assignment Of Receivables
FOR FAIR AND ADEQUATE CONSIDERATION, all rights, title, and interest in all moneys due or that may become due from __________________________ as listed on the attached statement of account, is hereby conveyed, transferred, and assigned from _______________, the undersigned, to _________________________________ (hereinafter referred to as the Assignee).
THE UNDERSIGNED WARRANTS: (1) That no payment on the annexed account has been made to the undersigned; (2) That the entire amount set forth in the annexed account is due and owing; and (3) No claim, offset, defense, or counterclaim against payment of the attached account exists and that no valid deduction may be made other than that which is set out in the annexed account, if any.
Signed under seal on this _____ day of __________, 20___.