Fill and Sign the Bill of Sale of Customer Accounts Form

Bill of Sale of Customer Accounts For and in consideration of $_________cash in hand paid, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned __________________________________ (Name of Seller) of ________________________ ______________________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Seller , does hereby sell unto __________________________________ (Name of Buyer) of __________________________ ______________________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Buyer all of Seller’s right, title to and interest in the following described customer accounts: (Describe Customer Accounts) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Seller warrants and represents to Buyer that all customers described above have consented to this sale and agreed to Buyer’s servicing said customers for the foreseeable future. Executed as of the day of ____________ , 20 __ . ____________________________________ ____________________________________ Printed Name & Signature of Seller STATE OF____________________________ COUNTY OF _________________________ Personally appeared before me, the undersigned authority in and for the said county and state, on this _____ day of __________________________, 20____, within my jurisdiction, the within named _________________________________ (Name of Seller) , who acknowledged that he executed the above and foregoing instrument. ____________________________________ NOTARY PUBLIC My Commission Expires: _________________________ Note: Form of acknowledgement may vary by state.