Assignment of a Claim for Damages

FOR VALUE RECEIVED, the undersigned hereby sells and

transfers to _, (Assignee) and its successors, assigns and

personal representatives, any and all claims, demands, and

cause or causes of action of any kind whatsoever which the

undersigned has or may have against _, arising from the

following type claim:


_


And the undersigned may in its own name and for its own

benefit prosecute, collect, settle, compromise and grant

releases on said claim as it in its sole discretion deems

advisable.

Signed under seal this _ day of _, 20_.





________________________________