Employee Assignment of Wages

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This Employee Assignment of Wages will effectively assign an employee's wages to a creditor. This assignment must be signed by the employee in the presence of a witness.

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This Employee Assignment of Wages will efficiently assign an employee's wages to a creditor. This assignment sets out the name and address of both the employee and the creditor. It also sets out the name of the employer and amount of wages which are assigned. It is imperative that this type of business assignment be clearly set out in writing. An Employee Assignment of Wages will prove invaluable in the event there are disagreements or misunderstandings surrounding the assignment of an employee's wages.

This Employee Assignment of Wages includes the following:
  • Parties: Sets forth the names of the employee, the creditor and the company for whom the employee works;
  • Assigned Wages: Sets out the amount of wages to be assigned to the creditor;
  • Signature: The employee must sign this document in front of a witness.

Protect yourself by using our attorney-prepared forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Employee Assignment of Wages
State Law Compliance: This form complies with the laws of all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Assignment of Wages

 

 

 
THIS ASSIGNMENT made as of Date (ie. July 31, 2000) between Name of Employee, of Address of Employee (the “Assignor”) and Name of Creditor (ie. Person Receiving Assignment of Wages), of Address of Creditor (the “Assignee”).
 
 
IN CONSIDERATION of the sum of two dollars ($2.00) and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereby agrees as follows:
 
1.   Subject to paragraph 2 below, the Assignor assigns and transfers to the Assignee all of the salary, wages, bonuses, commissions and other compensation or remuneration payable to the Assignee by  employer, Name of Employer and any other employer of the Assignor (collectively the "Assigned Wages").
 
2.   Notwithstanding the assignment referred to in paragraph 1 above, the amount of the Assigned Wages assigned to the Assignee by the Assignor shall not exceed the maximum amount permitted to be assigned by the laws of the jurisdiction of the place of employment of the Assignor, and nothing herein shall be construed or interpreted as effecting an assignment of any greater amount.
 
3.   This Assignment shall continue in full force and effect from the date hereof to the date upon which the Assignor has repaid in full to the Assignee all of the debts, liabilities and obligations owing to the Assignee, after which time this Assignment shall terminate. The Assignee shall have the right to notify any employer of the Assignor to comply with the terms of this Assignment.
 
4.   This Assignment shall be governed by and construed in accordance with the laws of the  of State of Employer (ie. Washington).
 
5.   This Assignment is the entire agreement between the Employee and the Employer relating to the subject matter hereof and stands in the place of any previous agreement, whether oral or in writing. The Employee agrees that no amendment to this Assignment shall be binding upon the parties unless it is in writing and executed by both parties.
 
6.   This Assignment will enure to the benefit of the successors and assigns of the Assignee.
 
IN WITNESS WHEREOF the Assignor have executed this Agreement as of the date first above written.
 
 
 
 
 
Witness
 
Name of Employee
 
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#28559
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Assignment of Wages

 

 

 
THIS ASSIGNMENT made as of Date (ie. July 31, 2000) between Name of Employee, of Address of Employee (the “Assignor”) and Name of Creditor (ie. Person Receiving Assignment of Wages), of Address of Creditor (the “Assignee”).
 
 
IN CONSIDERATION of the sum of two dollars ($2.00) and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereby agrees as follows:
 
1.   Subject to paragraph 2 below, the Assignor assigns and transfers to the Assignee all of the salary, wages, bonuses, commissions and other compensation or remuneration payable to the Assignee by  employer, Name of Employer and any other employer of the Assignor (collectively the "Assigned Wages").
 
2.   Notwithstanding the assignment referred to in paragraph 1 above, the amount of the Assigned Wages assigned to the Assignee by the Assignor shall not exceed the maximum amount permitted to be assigned by the laws of the jurisdiction of the place of employment of the Assignor, and nothing herein shall be construed or interpreted as effecting an assignment of any greater amount.
 
3.   This Assignment shall continue in full force and effect from the date hereof to the date upon which the Assignor has repaid in full to the Assignee all of the debts, liabilities and obligations owing to the Assignee, after which time this Assignment shall terminate. The Assignee shall have the right to notify any employer of the Assignor to comply with the terms of this Assignment.
 
4.   This Assignment shall be governed by and construed in accordance with the laws of the  of State of Employer (ie. Washington).
 
5.   This Assignment is the entire agreement between the Employee and the Employer relating to the subject matter hereof and stands in the place of any previous agreement, whether oral or in writing. The Employee agrees that no amendment to this Assignment shall be binding upon the parties unless it is in writing and executed by both parties.
 
6.   This Assignment will enure to the benefit of the successors and assigns of the Assignee.
 
IN WITNESS WHEREOF the Assignor have executed this Agreement as of the date first above written.
 
 
 
 
 
Witness
 
Name of Employee
 
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