Fill and Sign the Assignment Assets Form

Assignment of Assets Assignment Agreement made as of _________________ (date) by ________________________ (Name of Assignor) of __________________________ ________________________________________________________ (street address, city, county, state, zip code) , hereinafter called Stockholder , and ________________________ (Name of Assignee) , a corporation organized and existing under the laws of the state of _______________, with its principal office located at ____________________________________________________________________ ___________ (street address, city, state, zip code) , referred to herein as Corporation . Whereas, Corporation was lawfully formed by Articles of Incorporation filed with the Secretary of State of __________________ (name of state) ; and Whereas, c ertain assets must be lawfully transferred to the Corporation so the Corporation may be capitalized; and Whereas, Stockholder wishes to transfer certain assets, as specified on Exhibit A , attached hereto and made a part hereof, to the Corporation; and Whereas, Corporation wishes to acquire certain assets, as specified on Exhibit A , attached, from Stockholder. Now, therefore, for and in consideration of the mutual covenants contained in this Assignment and Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned parties agree as follows: 1. Stockholder herewith transfers and assigns to the Corporation those assets specified on Exhibit A , attached hereto and made a part hereof. 2. The Corporation herewith issues to Stockholder ______ (number) of shares of stock in the Corporation, with a par value of $___________ per share, in consideration of the abovementioned transfer and assignment of assets. WITNESS our signatures as of the day and date first above stated. ________________________ (Name of Corporation) __________________________ By:_________________________ (P rinted Name of Stockholder) __________________________ __________________________ (P rinted Name & Office in Corporation) (Signature of Stockholder) ___________________________ (Signature of Officer) Attach Exhibit A