ASSIGNMENT OF SECURITY INTEREST
FOR VALUE RECEIVED, the undersigned
does hereby sell, assign and transfer to [r-Name], its successors or assigns,
all right, title and interest of the undersigned in and to a certain security
interest and debt thereto issued to the undersigned from [s-Debtor] [Debtor],
under date of [s-Date], all as annexed hereto.
Signed under seal this [s-Day] day
of [s-Month], [s-Year].
______________________________
[s-Name]
[s-Title]
[s-Company]
[s-Address]
