Assignment of Savings Account

For value received, I, __________(1)___________, of
________(2)___________, transfer and assign to
______(3)________, of _______(4)_____________, as assignee,
savings account No. _____(5)_____, in my name with
___________(6)__________, and all moneys due or to become due
thereunder. I authorize _______(7)_____________ to pay over to
assignee this sum out of moneys deposited in my name in the
above-mentioned account.

I warrant that I have made no prior transfer or assignment of
any part of the account assigned hereby and that the balance
thereof is now at least ______(8)_______ Dollars ($________).

I have delivered to assignee herewith the savings passbook
issued in connection with this account, and I authorize
assignee to ask for, demand, collect, and give a receipt for
money in the assigned savings account, without any previous
demand or notice. I agree to do whatever assignee may
reasonably require to assure payment to assignee, to the
extent hereby assigned, of the money in the account.

Dated __________(9)___________, 20__(10)_.

_____________(11)_____________

Notice

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.


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