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Assignment Of Savings Account
For value received, I, [Name] of [Address], transfer and assign to [Name] of [Address], as assignee, savings account No. [Number], in my name with [enumerate], and all moneys due or to become due thereunder. I authorize [Name] to pay over to assignee this sum out of moneys deposited in my name in the above-mentioned account.
I warrant that I have made no prior transfer or assignment of any part of the account assigned hereby and that the balance thereof is now at least $------.
I have delivered to assignee herewith the savings passbook issued in connection with this account, and I authorize assignee to ask for, demand, collect, and give a receipt for money in the assigned savings account, without any previous demand or notice. I agree to do whatever assignee may reasonably require to assure payment to assignee, to the extent hereby assigned, of the money in the account.
This Section for Notary:
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.
[Name of Notary Public]
My commission expires: [date]