General Assignment

KNOW ALL MEN BY THESE PRESENTS: that I, [name], residing at [address], in consideration of ---------- dollars ($----------) and other good and valuable consideration, the receipt of which is acknowledged, do hereby sell, assign, and transfer to [name], residing at [address], all of my right, title, and interest in and to [interest being assigned].

TO HAVE AND TO HOLD the same unto the said [name], his heirs, executors, administrators, personal representatives, and assigns absolutely.

IN WITNESS WHEREOF, I have set my hand and seal this [date].

[signature] LS

Assignor

Witness:

[signature]

[Acknowledgment]

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