ASSIGNMENT OF INCOME
FOR VALUE RECEIVED, the undersigned
hereby assigns and transfers to [r-Name] of [r-Address], all rights to
proceeds, income, rentals, fees, profits or monies that shall be due the
undersigned from [s-Company], under a certain contract described as:
[Insert description]
Signed under seal this [s-Day] day
of [s-Month], [s-Year].
______________________________
[s-Name]
[s-Title]
[s-Company]
[s-Address]