Assignment of Accounts Receivable
Assignment made on the (date), by (Name of Assignor) of (street address, city, state, zip
code), referred to herein as Assignor, and (Name of Assignee), a corporation organized and
existing under the laws of the state of ______________, with its principal office located at
(street address, city, state, zip code), referred to herein as Assignee.
1. Statement of Assignment
For value received, Assignor unconditionally assigns to Assignee, as of the respective
dates of shipments and sales, and the rendering of services, all of Assignor's interest in the
accounts, commercial paper, notes, and installment sales contracts described in Section 2 of
this agreement, together with any security or guarantees on such items, including proceeds of
credit insurance due and payable in connection with such items, with rights granted to Assignee
as follows:
A. To stoppage in transit;
B. In Assignee's own name and for Assignee's own benefit, to make collections
from the debtors on the accounts;
C. To endorse and deposit in its own bank account all commercial paper
received in payment of the accounts; and
D. In case such merchandise is not received or accepted by the purchasers, or is
returned, title to any account, contract, or merchandise created through the resale or
exchange of the merchandise, and all amounts due and to become due on any such
resale or exchange.
2. Schedule of Accounts Assigned
The following accounts are assigned:
Date of Name of Address of Invoice Due Date (Net Amount of Invoice
Invoice Debtor Debtor Number Cash) (Gross)
____________ ____________ ____________ ____________ ____________ $____________
____________ ____________ ____________ ____________ ____________ $____________
____________ ____________ ____________ ____________ ____________ $____________
For the express purpose of inducing Assignee, Assignee's successors, and assigns, to
purchase these accounts from Assignor, and to make payment for them, Assignor warrants that
the following statements are true, to Assignor's own knowledge:
3. Genuineness of Documents
The financial statements, invoices, orders, proofs of delivery, and other documents
submitted by Assignor to Assignee, together with all statements made in such documents, as
described in Section 2 of this agreement, are true and genuine.
4. Manufacture of Goods
A. The goods described in the invoices and statements of account described in
Section 2 of this agreement were manufactured strictly in accordance with specifications
required by the purchasers of such goods.
B. Prior to the effective date of this agreement, all the merchandise represented in
this agreement as sold to the purchasers was packed and shipped, and all services
rendered, to the purchasers, in accordance with bona fide orders and sales, and not in
accordance with any consignment agreement or sale on approval.
5. Shipment of Goods
The goods were shipped to the purchasers on their request, and in accordance with their
directions, on the days and via the carriers indicated in the invoices, statements, and proofs of
delivery described in Section 2 of this agreement.
6. Original Orders