For value received, I, _________, of _________, transfer
and assign to ______, of ________, as assignee, savings
account No._____, in my name with _______, and all moneys
due or to become due there under. I authorize ___________ to
pay over to assignee this sum out of moneys deposited in my
name in the above-mentioned account.
I warrant that I have made no prior transfer or
assignment of any part of the account assigned hereby and
that the balance thereof is now at least _______ Dollars
($________).
I have delivered to assignee herewith the savings
passbook issued in connection with this account, and I
authorize assignee to ask for, demand, collect, and give a
receipt for money in the assigned savings account, without
any previous demand or notice...