ASSIGNMENT OF SAVINGS ACCOUNT

For value received, I, _____________________, of ___________________, transfer and assign to ______________, of ___________________, as assignee, savings account No. 
__________, in my name with _____________________, and all moneys due or to become due thereunder. I authorize ____________________ to pay over to assignee this sum out of 
moneys deposited in my name in the above-mentioned account.

<p>	I warrant that I have made no prior transfer or assignment of any part of the account assigned hereby and that the balance 
thereof is now at least _____________ Dollars ($________).

I have delivered to assignee herewith the savings passbook issued in connection with this account, and I authorize assignee to ask for, demand, collect, and give a receipt for 
money in the assigned savings account, without any previous demand or notice.  I agree to do whatever assignee may reasonably require to assure payment to assignee, to the 
extent hereby assigned, of the money in the account.

Dated _____________________, 20___.

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