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Assignment of Salary

This Assignment is made on ______________ (Date), by and between __________________


(“Employee” and “Assignor”) at ________________________ (“Employee Address”), and the
Assignee (“Assignee”) __________________, at ________________________ (“Assignee
Address).
In consideration of forbearance on a debt, and other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:
Assignor assigns and transfers to Assignee Php. ______ per month, or other agreed
upon pay period, or _____% of all salary, wages, bonuses, commissions and other
compensation or remuneration payable to the Assignee (“Salary”) by his or her primary
employer, _________________, and any other secondary employer of the Assignor (collectively
the “Assigned Salary”).

_________________________ _______________________
Assignee Assignor
___________________
Date

SUBSCRIBE AND SWORN TO BEFORE ME, this _________ day of ___________


,2019 at _________ _ ______,Philippines. The affiant exhibited
before me this Community Tax Certificate No. _______________ ,Issued on _
__________________ __ at _ ________________________ _.

Doc. No. ______________


Page No._______________
Book No._______________
Series of _______________

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