BE IT KNOWN, that for consideration the undersigned, hereby sells, assigns, transfers and irrevocably sets over to ___________, Dollars ($ _____ ) of the sums on deposit in my name (Savings Account No. _________________________ ) in the ______________________ Bank ________________________, located at bank to pay over to ___________, assignee, said sum out of the money on deposit in said bank account in the undersigned's name.
This assignment shall constitute notice to the Bank of this assignment and direct authorization to such bank to act on this assignment.
IN WITNESS WHEREOF, the undersigned executed this assignment on, _____________, 20 _.
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