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ASSIGNMENT OF INSURANCE POLICY
For good and valuable consideration received, I, ___________________, hereby irrevocably transfer and assign to _____________________________ all legal and beneficial right, title and interest in and to the policy of insurance standing in my name and known as Policy No._______ issued by the _______________________ Insurance Company. I also assign all cash values, proceeds and benefits arising thereunder.
I warrant that I have full authority to transfer said policy, and shall execute all further documents as may be required, by the underwriter.
This assignment shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives.
Signed this _____day of ____________, 20__.
_______________________________
Policy Owner
In the presence of:
_______________________________
Witness
_______________________________
_______________________________
Address
Warning:
These forms are
provided AS IS. They may not be any good. Even if they are good
in one jurisdiction, they may not work in another. And the facts
of your situation may make these forms inappropriate for you.
They are for informational purposes only, and you should consult
an attorney before using them.
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