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$ $ $ $ $ $ $ $ $ SCHEDULE #: DATE: CLIENT NAME: CLIENT NO.: AMOUNT OF INVOICE INVOICE NO. CUSTOMER NAME FOI USE ONLY ASSIGNMENT OF ACCOUNTS 801 S. Grand Ave., Suite 1000, Los Angeles, CA 90017 Tel: (213) 4304888 * Fax: (888) 3770286 Email: invoice@finone.com * Assignment Fax: (888) 377-0286 A/E PURCHASE INPUT VERIFICATION APPROVAL NUMBER * TITLE DATE SIGNED BY NAME (PRINT) $ GROSS SALES LESS RETURNS OR CREDIT MEMOS NET SALES *CREDIT APPROVAL NUMBERS MUST BE SHOWN ON INVOICE AS WELL AS ON SCHEDULE. SALES RETURNS MUST BE ASSIGNED ON SEPARATE SCHEDULES. TO: FINANCE ONE, INC., 801 S. GRAND AVE., SUITE 1000, LOS ANGELES, CA 90017 $ $ $ $ $ $ $ $ $ $ $ $ TITLE NAME (PRINT) The above named Client hereby sells, assigns, transfers and sets over to Finance One, Inc. and its successors and assigns (herein collectively called “Finance One”), in confirmation of Finance One’s title thereto, all of Client’s right, title and interest in and to the accounts receivable evidenced by the invoices listed above and attached hereto and all proceeds and collections thereof and all moneys due or to become due thereon,together with all guaranties and securities with respect thereto, and all the merchandise giving rise thereto or returned in connection therewith, including all of Client’s right of stoppage in transit and all other rights which Client may have as an unpaid seller (herein collectively called the “Accounts”). This Assignment of Accounts is made pursuant to and is subject to the provisions of the factoring agreement heretofore entered into by Client and Finance One (herein called the “Factoring Agreement”), which is hereby made a part hereof by this reference thereto. Client hereby makes, as of the date hereof, all of the same warranties, representations, covenants, agreements, guaranties, stipulations and undertakings as are made by Client in the Factoring Agreement with respect to each of the Accounts and the merchandise represented thereby and all other matters mentioned therein with the same force and effect as though the same were fully set out herein. Without limiting the generality of the foregoing, Client warrants that this Assignment of Accounts correctly sets forth undisputed choses in action now owing to Client for bona fide outright sales and deliveries of merchandise, which have been duly accepted by the customers listed above, that the same will be absolutely due and are not subject to offsets, discounts, deduction, counterclaims, liens or conditions.

VERIFICATION INPUT PURCHASE A/E E invoice

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Page 1: VERIFICATION INPUT PURCHASE A/E E invoice

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SCHEDULE #: DATE:

CLIENT NAME:

CLIENT NO.:

AMOUNT OF INVOICEINVOICE NO.CUSTOMER NAME FOI USE ONLY

ASSIGNMENT OF ACCOUNTS

801 S. Grand Ave., Suite 1000, Los Angeles, CA 90017

Tel: (213) 430‐4888  *  Fax: (888) 377‐0286

E‐mail: [email protected]   *  Assignment Fax: (888) 377-0286

A/EPURCHASEINPUTVERIFICATION

APPROVAL

   NUMBER *

TITLE

DATESIGNED BY

NAME (PRINT)

 $ 

GROSS SALES

LESS RETURNS OR 

CREDIT MEMOS

NET SALES

*CREDIT APPROVAL NUMBERS MUST BE SHOWN ON INVOICE AS WELL AS ON 

SCHEDULE.  SALES RETURNS MUST BE ASSIGNED ON SEPARATE SCHEDULES.

TO: FINANCE ONE, INC., 801 S. GRAND AVE., SUITE 1000, LOS ANGELES, CA 90017

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TITLENAME (PRINT)

The above named Client hereby sells, assigns, transfers and sets over to Finance One, Inc. and its successors and assigns (herein collectively called “Finance One”), in confirmation of Finance One’s title thereto, all of Client’s right, title and interest in and to the accounts receivable evidenced by the invoices listed above and attached hereto and all proceeds and collections thereof and all moneys due or to become due thereon,together with all guaranties and securities with respect thereto, and all the merchandise giving rise thereto or returned in connection therewith, including all of Client’s right of stoppage in transit and all other rights which Client may have as an unpaid seller (herein collectively called the “Accounts”). This Assignment of Accounts is made pursuant to and is subject to the provisions of the factoring agreement heretofore entered into by Client and Finance One (herein called the “Factoring Agreement”), which is hereby made a part hereof by this reference thereto. Client hereby makes, as of the date hereof, all of the same warranties, representations, covenants, agreements, guaranties, stipulations and undertakings as are made by Client in the Factoring Agreement with respect to each of the Accounts and the merchandise represented thereby and all other matters mentioned therein with the same force and effect as though the same were fully set out herein. Without limiting the generality of the foregoing, Client warrants that this Assignment of Accounts correctly sets forth undisputed choses in action now owing to Client for bona fide outright sales and deliveries of merchandise, which have been duly accepted by the customers listed above, that the same will be absolutely due and are not subject to offsets, discounts, deduction, counterclaims, liens or conditions.

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Authorized Representative of Client
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Rev. September, 2015