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Hawaii ________________________ Name of Assignor ________________________ Signature of Assignee ________________________ Name of Assignee ent and to pay to the Assignee any payments on this account which are received from Customer after this date. Dated: _________________________ , 20 ____ ________________________ Signature of Assignor etween the Assignor and the Customer. Assignor agrees to furnish the Assignee all information required by the Assignee in its collection efforts. Assignor agrees to notify the Customer of this Assignms Account Receivable to the Assignee for collection. 2. Assignor shall indemnify and hold harmless the Assignee from any and all claims arising from the Account receivable or the underlying contract b parties agree as follows: 1. The Assignee agrees to pay to the Assignor on this day the sum of $ _____________________ , in return for which the Assignor assigns all right, title, and interest in thi____________ , City of _________________________ , State of _________________________ . As of this Date, the Account Receivable balance is $ _________________________ . For valuable consideration, the_________ , State of _________________________ . It is regarding the Account Receivable due to the Assignor from a customer of Assignor, known as _________________________ , Customer, of _____________f _________________________ , City of _________________________ , State of _________________________ , and _________________________ , Assignee, of _________________________ , City of ________________e consulted for all serious legal matters. ASSIGNMENT OF ACCOUNT FOR COLLECTION This Assignment is made on _________________________ , 20 ____, by and between _________________________ , Assignor, over caused and on any theory of liability, whether in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of these materials. An attorney should bect, incidental, special, exemplary, or consequential damages (including, but not limited to, procurement of substitute goods or services; loss of use, data, or profits; or business interruption) howet your own risk. In no event will: i) FindLegalForms, Inc, its agents, partners, or affiliates, or ii) the providers, authors or publishers of the forms, be responsible or liable for any direct, indirials are provided "AS-IS." We do not give any express or implied warranties of merchantability, suitability or completeness for any of the materials for your particular needs. The materials are used af these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of these materials is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com. These maters are to be paid to the Assignee firm. Another method for handling collection is provided in our "Appointment of Collection Agent" form. Disclaimer No Attorney-Client relationship is created by use o (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 paymento 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 companyayment. 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 tInformation Assignment of Account for Collection Provided under agreement with copyright holder, © Nova Publishing Company 2004 This document is one of the methods to follow-up the final demand for p Hawaii