[Date]
[Addressee]
This assignment is made on [date] by [name of lien holder - assignor],
of [address], City of [city], County of [county], State of [state], herein
referred to as "Assignor", to [name of new debt collector - assignee],
of [address], City of [city], County of [county], State of [state], herein
referred to as "Assignee".
In consideration of [amount] Dollars, ($), receipt of which is hereby
acknowledged, assignor does hereby assign to assignee the mechanic's
lien on the property of [name of property owner], located at [address], [city],
[state], which has been duly recorded in the office of [name of govt. office],
in Volume [number], page [#], a copy of which is attached hereto.
Whereas, the intent of this assignment is to transfer to assignee full
power to collect that certain sum secured by said lien, assignor does
hereby appoint assignee his attorney in fact, with full authority to enforce
the lien herein assigned, and to collect and receive the debt secured by
said lien, as assignor would do if this assignment were not being made.
Any costs incurred by the assignee in enforcing the assigned lien, shall
be borne (not to be reimbursed) by the assignee.
In witness, whereof, assignor has executed this assignment at [place of
execution - address where this re-assignment is taking place], this [day]
of [month], [year]
_______________________________________
(clearly print name after signature)
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