ASSIGNMENT OF MONEY DUE

For good and valuable consideration, the undersigned hereby assigns, transfers and delivers to [NAME]
(the "Assignee"), all sums due or which shall become due and owing to the undersigned from [YOUR
COMPANY NAME] (the "Assignor") by reason of a certain agreement dated [DATE] by and between the
undersigned.

Signed under seal this [DAY] day of [MONTH], [YEAR].

Witness Assignor

Notice of the above assignment is hereby acknowledged on [MONTH], [YEAR].

Obligor

For value received, which is acknowledged, [YOUR COMPANY NAME] (the "Assignor") hereby assigns
all interest and benefit in the attached statement of account (the "Account") to [NAME] (the "Assignee").

The Assignor warrants to the Assignee that:

a) The Account is due and owing in its full face amount;

b) No payment has been made on the Account; and,

c) There is no defense to or right of set-off or counterclaim against the Account.

Given under seal on [DATE].

Signed, Sealed and Delivered in the Presence of:

For the Assignor The Assignee

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