Assignment of Life Insurance Policy as Collateral/Partial Sample
Assignee:
_________________________
_________________________
_________________________
Policy Number: ____________
Insurer:
_________________________
_________________________
_________________________
Insured:
_________________________
_________________________
_________________________
Debtor:
_________________________
_________________________
_________________________
A. For Value Received, the undersigned hereby assign,
transfer and setover to
Assignee, its successors and assigns, the insurance policy
identified by the Policy
Number issued by the Insurer and any supplementary
contracts issued in connection
therewith (said policy and contracts being herein called
the "Policy"), upon the life of
the Insured and all claims, options, privileges, rights,
title and interest therein and
thereunder (except as provided in Paragraph C hereof),
subject to all the terms and
conditions of the Policy and to all superior liens, if any,
which the Insurer may have
against the Policy. The undersigned by this instrument
jointly and severally agree
and the Assignee by the acceptance of this assignment
agrees to the conditions and
provisions herein set forth...
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