Assignment of Insurance Policy



For good and valuable consideration received, I, ___________________, hereby irrevocably transfer and assign to _____________________________ all legal and beneficial right, title and interest in and to the policy of insurance standing in my name and known as Policy No._______ issued by the _______________________ Insurance Company. I also assign all cash values, proceeds and benefits arising thereunder.

I warrant that I have full authority to transfer said policy, and shall execute all further documents as may be required, by the underwriter.

This assignment shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives.

 

 

Signed this _____day of ____________, 20__.

 

 

_______________________________

Policy Owner

 

 

In the presence of:

 

_______________________________

Witness

_______________________________

_______________________________

Address