For the sum of ___________($. ), ___________________ (the “Assignor”) hereby sells and transfers all right, title and interest in and to the accounts receivable that are identified in the attached schedule to _______________________ (the “Assignee”) .
The Assignor warrants that said accounts are just and due and the Assignor has not received payment for same or any part thereof; and that if any said account does not make full payment within ____________ ( ) days, said accounts may be re-transferred to the Assignor and the Assignor shall re-purchase same for the balance then owing on said accounts.
Date: _____________________________________________________________
Assignor ___________________________________________________________
By: ______________________________________________________________
Name/Title
Assignee __________________________________________________________
