CCC-252 Instrument of Assignment

Form Approved - OMB No. 0560-0183
This form is available electronically.

CCC-252

See Page 2 for Privacy Act and burden statements.

U.S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation

(06-11-98)

INSTRUMENT OF ASSIGNMENT
DATED (b)

CONTRACT NUMBERED (a)
KNOW ALL MEN BY THESE PRESENTS: That
I (We)

(c)

(d)

this (e)

day of

received, do hereby assign to

, for value

(f)

(g)

of (h)
all right, title, and interest, to all monies due or to become due from the United States or from any agency or department thereof, or
any corporation whose stock is wholly owned by the federal government, under Contract No.
dated

(j)

(i)

.

I (We) stipulate that such monies payable from the U.S. under such contract are being assigned to a bank, trust company, federal lending
agency, or other recognized lending institution, unless such contract was made with a corporation whose stock is wholly owned by the
federal government, in which case such contract may be assigned to a prior lienholder, or, with the prior approval of the contracting
officer, to an individual.
I (We) further stipulate that the rights of the assignee to the proceeds of this contract are subject to, inter alia, defenses arising under the
contract which the government could have asserted against the assignor absent the assignment.
I (We) further stipulate that no previous assignment has been made and agree that no additional assignments will be made under this
contract; that payments thereunder will be made by checks drawn to the order of the assignee; that the assignment shall remain in force
until released on written advice by the assignee.
(k)

Contractor
(l) By
(m)

(n)

Title

ATTEST:

(SECRETARY)

(o) RETURN TO:

(Affix Corporate Seal)

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability,
political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D. C. 20250-9410 or call (202) 720-5964
(voice or TDD). USDA is an equal opportunity provider and employer.

CCC-252

(Page 2) (06-11-98)

NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as amended.
The authority for requesting the following information is 7 CFR 1404.4 and the Commodity Credit Corporation (CCC) Charter Act. The information
will be used to establish the parties to which a payment received under a USDA or CCC contract will be assigned. Furnishing the requested
information is voluntary; however, without it monies payable from the U.S. under a USDA or CCC contract will not be assigned.. This information
may be provided to other agencies, IRS, Department of Justice, or other State and Federal Law enforcement agencies, and in response to a court
magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 USC 286, 287, 371, 641, 651, 1001; 15 USC
714m; and 31 USC 3729, may be applicable to the information provided.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection
of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0183. The time
required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. RETURN
THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.