Assignment Agreement Form

What is being Assigned?

What is being assigned?

The Assignor

Who is the Assignor?

a Business EntityIndividual(s)

An Assignor is the owner and GIVES the assignment.

How many Individuals?

Business Entity's Name

Individual(s)

Assignor's Name

Assignor's Mailing Address

Street Address

Address Line 2

City

State

ZIP Code

2nd Assignor's Name

2nd Assignor's Address:

Street Address

Address Line 2

City

State

ZIP Code

3rd Assignor's Name

3rd Assignor's Address:

Street Address

Address Line 2

City

State

ZIP Code

4th Assignor's Name

4th Assignor's Address:

Street Address

Address Line 2

City

State

ZIP Code

5th Assignor's Name

5th Assignor's Address:

Street Address

Address Line 2

City

State

ZIP Code

The Assignee

Who is the Assignee?

a Business EntityIndividual(s)

An Assignee is someone that RECEIVES an assignment.

How many Individuals?

Business Entity's Name

Individual(s)

Assignee’s Name

Assignee's Mailing Address

Street Address

Address Line 2

City

State

ZIP Code

2nd Assignee's Name

2nd Assignee's Address:

Street Address

Address Line 2

City

State

ZIP Code

3rd Assignee's Name

3rd Assignee's Address:

Street Address

Address Line 2

City

State

ZIP Code

4th Assignee's Name

4th Assignee's Address:

Street Address

Address Line 2

City

State

ZIP Code

5th Assignee's Name

5th Assignee's Address:

Street Address

Address Line 2

City

State

ZIP Code

Transfer

How is this Assignment being transferred?

Fixed Payment ($)No Payment (release)GiftOther

From the Assignee to the Assignor.

Payment Amount

$

The Payment must be made within

Days

For most assugnments, the payment and transfer period should be 5-10 business days.

The Assignment will be transferred in the following manner:

Outstanding Claims

Does the Assignment have any Claims, Liens or Encumbrances?

YesNo

Explain the claims made against the Assigment:

3rd Party Approval

Does a 3rd Party have to APPROVE this Assignment?

YesNo

For example, a lease contract cannot be assigned without approval from the landlord.

Do you know the NAME of the 3rd party?

YesNo

3rd Party's Name

When must the 3rd Party approve this Assignment?

Days

It is common for 7 days to be given to approve or reject the assignment.

Additional Terms

Are there any Additional Terms and Conditions?

YesNo

Enter the Additional Terms & Conditions:

Date

Do you know the Agreement Date?

YesNo

If not, you can always enter at a later time.

Date of Agreement

Which State is this Assignment taking place?

Otherwise known as the "State of Governing Law."