This document is one of the methods to follow-up the final demand for payment. With this document, the past-due account is entirely turned over to either a collection agency or attorney for further collection procedures. This form is an actual assignment of the account to the firm who then actually owns the account and will continue any attempts at collection. It provides that the Assignee (the firm who will be taking over the collection procedures) pays your company (the Assignor, or the “one who assigns”) an amount for the rights to collect the Account. The fee paid is generally a percentage of the amount due. Under this method of collection, all future payments are to be paid to the Assignee firm. Another method for handling collection is provided in our “Appointment of Collection Agent” form.

Among others, this form includes the following provisions:
• Amount Owed
• Hold Harmless for Claims