To: _________[Account debtor]

Subject: _________

Please take notice that moneys due and to become due under the purchase order described above have been assigned to the undersigned.

A duplicate executed original of the instrument of assignment is attached to this document.

Payments due or to become due under the contract should be made to the undersigned assignee.

Please return to us by mail _________ enclosed copy/copies of this notice, with appropriate notations showing the date and hour of receipt, and duly signed by the person acknowledging receipt on behalf of the addressee.

Yours very truly,

_________ Bank [Assignee]

By: _________

Receipt is acknowledged of the above notice and a copy of the above-mentioned instrument of assignment. These were received at _________ —.m. on _________[date].

The records of this office do not disclose receipt of notice of any other assignment covering any interest in the above-described contract or in any moneys due or to become due under the contract.

_________[Account debtor]

By: _________[Title]