Fill and Sign the Assignment Account Form

Assignment of Particular Account Assignment made as of _________________________________________ (date) by ____________________________________________ (name of assignor) of ________________________________________________________________________ ________________________________________________________________________ (street address, city, county, state, zip code) , hereinafter called Assignor , to _____________________________________ (name of assignee) of ________________ ________________________________________________________________________ ____________ (street address, city, county, state, zip code) , hereinafter called Assignee . For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned A ssignor unconditionally assigns to Assignee, all Assignor’s right, title and interest in and to all amounts now due or to become due on the Account described in Exhibit A attached hereto, or the sales, services, loans, or other transactions that may be the basis of the said Account. Assignor gives to Assignee, his/her personal representatives and assigns, the full power and authority, for Assignee's own use and benefit, but at Assignee's own cost, to collect and give receipts for the assigned Account, and in Assignor's name or otherwise, to prosecute or compromise any suits or proceedings for such Account. The undersigned Assignor has executed this Assignment on this ______________ _____________________ (date) . ____________________________________ ____________________________________ (Name & Signature of Assignor)