This is an agreement whereby a party that is currently insured (the �Assignor�) wholly transfers their rights under an insurance policy to a third party (the �Assignee�). This is an irrevocable transfer of all legal and beneficial rights, title and interest in an insurance policy. After execution, the Assignor no longer has rights or benefits under the insurance policy. This document is ideal for small businesses or individuals located in Connecticut who want to transfer their rights under an insurance policy.
Docstoc Legal Agreements This is an agreement whereby a party that is currently insured (the � ) Assignor� wholly transfers their rights under an insurance policy to a third party (the � ). Assignee� This is an irrevocable transfer of all legal and beneficial rights, title and interest in an insurance policy. After execution, the Assignor no longer has rights or benefits under the insurance policy. This document is ideal for small businesses or individuals located in Connecticut who want to transfer their rights under an insurance policy. ® DISCLAIMERS: ALL INFORMATION AND FORMS ARE PROVIDED “AS IS” WITHOUT ANY WARRANTY OF ANY KIND, EXPRESS, IMPLIED, OR OTHERWISE, INCLUDING AS TO THEIR LEGAL EFFECT AND COMPLETENESS. They are for general guidance and should be modified by you or your attorney to meet your specific needs and the laws of your state. Use at your own risk. Docstoc, its employees or contractors who wrote or modified any form, are NOT providing legal or any other kind of advice and are not creating or entering into an Attorney -Client relationship. The information and forms are not a substitute for the advice of your own attorney. Use of this document and our service are deemed to be your acknowledge ment and agreement to the following: The disclaimers and links on this page and the back page(s); our Terms of Service (http://www.docstoc.com/popterm.aspx?page_id=15), and read more here (http://www.docstoc.com/popterm.aspx?page_id=114) for additional disclaimers and more. You also agree that if you are not the person using the document and services that you will provide such person(s) who will be with these front and back disclaimer pages. This document is not approved, endorsed by, or affiliated with any State, or governmental or licensing entity. Entire document copyright © Docstoc®, Inc., 2010 - 2013. All Rights Reserved ASIGNMENT OF INSURANCE POLICY BE IT KNOWN, for value received, the undersigned ________________________ [Instruction: Insert the name of Policy Holder/Assignor] hereby irrevocably transfers and assigns to ________________________________ [Instruction: Insert the name of the person to whom insurance policy is assigned/Assignee] all legal and beneficial right, title and interest in and to the within policy of insurance standing in my name and known as Policy No. ___________________ [Instruction: Insert the policy number] issued by the __________________ [Instruction: Insert the insurance company name] Insurance Company. I also assign all cash values, proceeds and benefits thereto arising, subject to the conditions of said policy and the requirement of the issuing underwriter: The undersigned warrants that it has full authority to transfer said policy, and shall execute all further documents as may be required, by the underwriter. This assignment shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives. Signed this ____ [Month] ____ [Date], 20____ In the presence of: ____________________________ ____________________________ Assignor Signature Witness Signature ____________________________ ____________________________ Assignor Name Witness Name © Copyright 2011 Docstoc Inc. registered document proprietary, copy not 2
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