This Assignment of Specific Accounts as Security will assign a party’s specific accounts and book debts to another party (the “Assignee”). In this Assignment the party making the assignment (the “Assignor”) assigns all amounts due under these specific accounts to the assignee as general and continuing collateral security for all existing or future indebtedness owed by Assignor. This Assignment sets out the specific terms of the arrangement including a detailed list of assigned accounts. It is imperative that this type of transaction be clearly set out in writing. A written Assignment of Specific Accounts as Security will be important if there are disputes or misunderstandings between the parties regarding the security.

This Assignment of Specific Accounts as Security contains the following provisions:

• Assignor: Sets out the name of the person receiving the assignment;
• Accounts: Schedule A to this assignment sets out the specific accounts including the date of the account, name, address and phone number of account payer, amount owed and terms of payment;
• Other Documents: The Assignor shall at the request of the Assignee execute any and all other financial documents necessary to effect this assignment;
• Signature: The Assignor must date and sign this document in the presence of a witness.

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This attorney-prepared packet includes:

1. General Instructions
2. Assignment of Specific Accounts as Security

State Law Compliance: This form complies with the laws of all states