FOR VALUE RECEIVED, the undersigned hereby sells and transfers all right, title and interest in and to the account receivable as annexed; to _______________. The undersigned warrants that the said account are just and due and the undersigned has not received payment for same or any part thereof; provided, however, that said account is sold without recourse to the undersigned in the event of non-payment.
Signed under seal this ______________ day of ________ , 19____.

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