FFOR VALUE RECEIVED, the undersigned hereby sells and
transfers all right, title and interest in and to the
account(s) receivable as annexed; 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; provided, however, that said account(s) are sold
without recourse to the undersigned in the event of
non-payment.

Signed under seal this_ day of _, 20_.



Signature