Assignment of Insurance
Docstoc Legal Agreements
This Assignment of Insurance Policy affects the transfer of policy of
insurance along with incidental legal and beneficial rights from the holder /
Assignor to the lender/ Assignee.
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Entire document © Docstoc, Inc., 2010, 2011
© Copyright 2011 Docstoc Inc. registered document proprietary, copy not 1
ASSIGNMENT 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.
The undersigned also assigns 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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your customization to suit your specific circumstances and requirements. You will want t