This form is an Assignment of Money Due. The assignor agrees to grant to the assignee all title and interest in a certain debt or money due as described in the agreement. The form also provides that it is the responsibility of the assignor to collect the debt.
Assignment Due Form For Lic Policy In Chicago
Category:
State:
Multi-State
City:
Chicago
Control #:
US-00422
Format:
Word;
Rich Text
Instant download
Description
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To fill out this form, first gather all necessary personal and organizational information beforehand. Gov or call with any questions.We are pleased to provide the enclosed form in response to your inquiry about assigning your group insurance as collateral security for indebtedness. For individuals, this is your social security number (SSN). For other entities, this is your employer identification number (EIN). (2) The full name, and age, of the Assignee must be stated. (3) The actual consideration for the assignment received from the assignee should be written in. Your life insurance Contract includes an Accelerated Death Benefit Due to Terminal Ill- ness Rider. For additional information regarding the Dearborn Group Life Insurance claim process, please call our Customer Service team at . Forms on this website are PDFs with fillable fields.
