Fill and Sign the Claim Damages 497331952 Form

Assignment of a Claim for Damages 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 sells, transfers and assigns to Assignee, all Assignor’s interest in any and all claims, demands, and cause or causes of action of any kind whatsoever which the undersigned A ssignor has or may have against _________________________ (Name of person or Names of persons) , arising from the following matter: (describe in detail) __________________________ ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________ . The undersigned Assignor agrees that Assignee may in his own name and for his own benefit prosecute, collect, settle, compromise and grant releases on the said claim in his sole discretion as he deems advisable. 1. This Assignment shall be governed by, construed, and enforced in accordance with the laws of ___________________ (name of state) . Assignor has caused this Assignment to be executed as of this ______________ (date) . ________________________________ (Printed Name of Assignor) ________________________________ (Signature of Assignor)