FOR VALUE RECEIVED, the undersigned hereby sells and transfers all right, title and interest in and to the account (s) receivable described in schedule "A" annexed hereto to______________________________.
The undersigned warrants that the said account (s) are just and due and the undersigned has not received payment for same or any part thereof.
It is further
provided that if any said account does not make full payment within
____________ days, said account (s) may be retransferred to the undersigned and
the undersigned shall repurchase same for the balance then owing on said
account.
Dated this_____ day of________________,200(x).
IN WITNESS WHEREOF the said company has hereto affixed its corporate seal, attested by the hands of its duly authorized officers, on the day and year first above written.
___________________________________
COMPANY NAME
Macrotwin Company / www.FreeBusinessForms.com