[With Recourse]

　　FOR VALUE RECEIVED， the undersigned hereby sells and transfers all right， title and interest in and to the account[s] receivable as annexed¹； to _.

　　_， the undersigned warrants that said account[s] are just and due and the undersigned has not received payment for same or any part thereof.

　　It is further provided that if any said account does not make full payment within _ days， said account[s] may be retransferred to the undersigned and the undersigned shall repurchase same for the balance then owing on said account[s].

　　Signed under seal this _ day of _， 19_.

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