Assignment Form

Assignment Form

THIS ASSIGNMENT made this __ day of ________, 19_____, by and between _____________________(“Assignor”), and ____________________________(“Assignee”):

WITNESSETH, that for valuable consideration in hand paid by the Assignee to the Assignor, receipt of which is hereby acknowledged,the Assignor hereby assigns and transfers to the Assignee all of his right, title and interest in and to all ______________________________________[description] set forth in________________________________of that certain _________________Agreement. Provided, however, no warranties of any kind whatsoever are made incident to this Assignment.

IN WITNESS WHEREOF, the Assignor has executed this Assignment on the day and year first above written.

Signed, sealed and delivered in the presence of:

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