Other Account forms.

This agreement entered into this _________ day of _________, _________[date], between _________, referred
to as assignor, and _________ of _________, referred to as assignee:

Assignor desires to obtain accommodations and advances in money from time to time from assignee and
assignee has agreed upon the terms and conditions stated to make certain accommodations and advances.

In consideration of these premises, assignor assigns and agrees to deliver to assignee all the accounts
receivable obtained by it for goods and merchandise sold and delivered after this date, except sales for
_________. Assignor agrees to make special and specific assignment of each of these accounts receivable and
deliver the same to assignee within _________ days after the shipment of the merchandise represented therein.
The assignment is to be made in such form and accompanied by such representations, guarantees, and
agreements as the assignee shall prescribe.

Assignor further agrees to deliver with the invoices, bills of lading, railway receipts, or other satisfactory
evidence of actual shipment of the goods and merchandise represented in the invoices, and, when required to do
so, furnish satisfactory evidence of the actual receipt of the merchandise by the purchaser, and on demand to
bring and deliver to assignee all correspondence with the purchaser relative to the sale, delivery of, and payment
for the merchandise represented in the invoices and accounts receivable.

Title and right of possession of the accounts receivable is to remain in assignee and it shall have the right to
collect the same directly from the debtor. Whatever assignor does in connection with the collection of these
accounts, it agrees to do as the agent and representative of the assignee and in trust for assignee. Assignor
expressly agrees to indorse and deliver to assignee immediately upon receipt, all checks, drafts, notes, moneys,
securities, and collateral of any and every kind which shall come to assignor in payment or settlement of any
account receivable for goods and merchandise sold from and after this date.

Assignee shall have access at all times to the books, papers, and correspondence of assignor with every
opportunity to keep advised concerning the business of assignor, the character of its sales, and the standing of the
parties to whom it sells. Assignor agrees to promptly furnish assignee any information which it may receive
concerning the financial standing of any purchaser and suits pending or begun against the same and notify
assignee immediately of any material rejection or return of goods, setoff, or counterclaim made by any purchaser
or deduction or discount claimed by him or her against any of the accounts receivable or the merchandise
referred to therein.

Assignee reserves the right to place the proceeds of any collection to the account of the assignor without
allowing credit on any note or advancement made by it to the assignee, the intention being that as the accounts
receivable are paid assignee shall have the right to accept new and substituted accounts receivable and release
the proceeds of the accounts. This will enable assignee to grant a continuous line of credit without being called
upon to account by indorsements or otherwise for each and every credit so long as the uncollected accounts
receivable afford approved security for the amount advanced.

Assignor agrees to pay the assignee for its services in investigating the credit and financial standing of the
customers of assignor, in keeping the accounts and collecting the accounts receivable, whether done directly or
through the agency of assignor, an amount equal to one percent of the face value of all accounts assigned under
this agreement.

In consideration of the assignment and other covenants, assignee agrees to extend to assignor a credit with
interest at the rate of _________ percent per annum equal to _________ percent of the face value of all accounts
receivable approved by assignee against debtors of assignor not to exceed the aggregate sum of _________
dollars.
 In making up the estimates of the aggregate sum of _________ dollars neither past-due accounts nor any
accounts deemed by assignee as undesirable shall be considered, although the assignment of all accounts,
whether past due or otherwise, shall continue in full force and effect until actually paid by the debtor.

This contract may be canceled by assignee at any time without notice, and by assignor at any time by
payment of the amount of all advances with interest according to the terms of the notes given, and assignee
agrees to reassign all unpaid accounts.