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Important Note:

Forms are to be used as a guide only to assist you. No liability is assumed for errors in substance or form. It is your responsibility to revise the forms to meet current law requirements and your particular situation. No liability is assumed for improper use of these forms.

 

ASSIGNMENT OF SAVINGS ACCOUNT

 

For value received, I, _______________________, of _____________________, transfer

and assign to ________________, of ______________________, as assignee, savings account

No. ____________, in my name with _______________________, and all moneys due or to

become due thereunder. I authorize ______________________ 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 _______________ 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 _______________________, 19_____.

          ____________________________