From
http://www.insiderreports.com/Letters.ASP_Q_LtrID_E_56[Date]
[Address]
FOR VALUE RECEIVED, the undersigned hereby sells and
transfers all right, title and interest in and to the account(s)
receivable as annexed; to [Name of collection agency].
[Name], the undersigned warrants that 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 re-transferred to the undersigned and the
undersigned shall repurchase same for the balance then owing
on said account(s).
Signed under seal this [date] day of [month, year].
________________________________________
(clearly print name after signature)
LEGAL STUFF - this is for illustration purposes only and is not intended to be, nor should it be relied upon as, legal advise. You should consult with an attorney competent in the subject matter of inquiry before relying on this post.