Fla. Stat. § 727.104
(b) The assignment shall be in substantially the following form:
ASSIGNMENT ASSIGNMENT, made this _____ day of _____, (year) , between _____, with a principal place of business at _____, hereinafter "assignor," and _____, whose address is _____, hereinafter "assignee."
WHEREAS, the assignor has been engaged in the business of __________;
WHEREAS, the assignor is indebted to creditors, as set forth in Schedule A annexed hereto, is unable to pay its debts as they become due, and is desirous of providing for the payment of its debts, so far as it is possible by an assignment of all of its assets for that purpose.
NOW, THEREFORE, the assignor, in consideration of the assignee's acceptance of this assignment, and for other good and valuable consideration, hereby grants, assigns, conveys, transfers, and sets over, unto the assignee, her or his successors and assigns, all of its assets, except such assets as are exempt by law from levy and sale under an execution, including, but not limited to, all real property, fixtures, goods, stock, inventory, equipment, furniture, furnishings, accounts receivable, bank deposits, cash, promissory notes, cash value and proceeds of insurance policies, claims and demands belonging to the assignor, wherever such assets may be located, hereinafter the "estate," as which assets are, to the best knowledge and belief of the assignor, set forth on Schedule B annexed hereto.
The assignee shall take possession and administer the estate in accordance with the provisions of chapter 727, Florida Statutes, and shall liquidate the assets of the estate with reasonable dispatch and convert the estate into money, collect all claims and demands hereby assigned as may be collectible, and pay and discharge all reasonable expenses, costs, and disbursements in connection with the execution and administration of this assignment from the proceeds of such liquidations and collections.
The assignee shall then pay and discharge in full, to the extent that funds are available in the estate after payment of administrative expenses, costs, and disbursements, all of the debts and liabilities now due from the assignor, including interest on such debts and liabilities. If funds of the estate shall not be sufficient to pay such debts and liabilities in full, then the assignee shall pay from funds of the estate such debts and liabilities, on a pro rata basis and in proportion to their priority as set forth in s. 727.114, Florida Statutes.
In the event that all debts and liabilities are paid in full, any funds of the estate remaining shall be returned to the assignor.
To accomplish the purposes of this assignment, the assignor hereby appoints the assignee its true and lawful attorney, irrevocable, with full power and authority to do all acts and things which may be necessary to execute the assignment hereby created; to demand and recover from all persons all assets of the estate; to sue for the recovery of such assets; to execute, acknowledge, and deliver all necessary deeds, instruments, and conveyances; and to appoint one or more attorneys under her or him to assist the assignee in carrying out her or his duties hereunder.
The assignor hereby authorizes the assignee to sign the name of the assignor to any check, draft, promissory note, or other instrument in writing which is payable to the order of the assignor, or to sign the name of the assignor to any instrument in writing, whenever it shall be necessary to do so, to carry out the purpose of this assignment.
The assignee hereby accepts the trust created by the assignment, and agrees with the assignor that the assignee will faithfully and without delay carry out her or his duties under the assignment.
| __________ Assignor | |
| __________ Assignee |
STATE OF FLORIDA COUNTY OF __________
The foregoing assignment was acknowledged before me this _____ day of _____, (year) , by _____, as assignor, and by _____, as assignee, for the purposes therein expressed.
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known _____ OR Produced Identification _____
Type of Identification Produced_______________
(d) The schedules shall be in substantially the following forms:
SCHEDULE A--CREDITOR LIST
| 1. List all secured creditors showing: | ||||
| Name | Address | Amount | Collateral | Whether or not disputed |
| 2. List all wages owed showing: | ||||
| Name | Address | Amount | Whether or not disputed | |
| 3. Consumer deposits: | ||||
| Name | Address | Amount | Whether or not disputed | |
| 4. List all taxes owed showing: | ||||
| Name | Address | Amount | Whether or not disputed | |
| 5. List all unsecured claims showing: | ||||
| Name | Address | Amount | Whether or not disputed | |
| 6. List all owners or shareholders showing: | ||||
| Name | Address | Percent of Ownership |
SCHEDULE B--LIST OF ASSETS List each category of assets and for each give approximate value obtainable for the asset on the date of assignment, and address where asset is located. I. Nonexempt Property
| Description and Location | Liquidation Value at Date of Assignment |
1. Legal description and street address of real estate, including leasehold interests: 2. Fixtures: 3. Cash and bank accounts: 4. Inventory: 5. Accounts receivable: 6. Equipment: 7. Prepaid expenses, including deposits, insurance, rents, and utilities: 8. Other, including loans to third parties, claims, and choses in action: II. Exempt Property
| Description and Location | Liquidation Value at Date of Assignment |
(2) Within 10 days after delivery of the assignment to the assignee, the assignee shall:
History.--s. 4, ch. 87-174; s. 2, ch. 89-54; s. 29, ch. 91-110; s. 939, ch. 97-102; s. 17, ch. 98-246.