DIY Legal Forms

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Assignment Of Accounts Receivable

(With Recourse)

FOR VALUE RECEIVED, the undersigned hereby sells and transfers all right, title and interest in and to the account[s] receivable as annexed; to [name]. [Undersigned], the undersigned warrants that said account[s] are just and due and the undersigned has not received payment for same or any part thereof.

It is further provided that if any said account does not make full payment within [--] days, said account[s] may be retransferred to the undersigned and the undersigned shall repurchase same for the balance then owing on said account[s].

Signed under seal on [Date].

_________________________

*** If Required By State Law ***

This Section for Notary:

Acknowledgment

STATE OF -------)

) ss: [date]

COUNTY OF ------)

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

[signature]

[Name of Notary Public]

My commission expires: [date]

(Seal)