Common use of Description of Periodic Payments Clause in Contracts

Description of Periodic Payments. The Periodic Payments are as set forth in the attached Addendum No. 1, which is hereby incorporated in and made a part of this Agreement. This Qualified Assignment and Release Agreement is signed in one or more counterparts as of the Effective Date by the following: Assignor: Assignee: Mutual of Omaha Structured Settlement Company By: Authorized Representative By: Authorized Representative Title: Title: Claimant: By: Claimant Approved as to Form and Content: By: Xxxxxxxx’s Attorney Addendum No. 1 Description of Periodic Payments Initials Assignor: MOSSCO: Claimant: Attorney(s) for

Description of Periodic Payments. The Periodic Payments are as set forth in the attached Addendum No. 1, which is hereby incorporated in and made a part of this Agreement. This Qualified Assignment and Release Agreement is signed in one or more counterparts as of the Effective Date by the following: Assignor: _ Assignee: Mutual of Omaha Structured Settlement Company By: _ Authorized Representative By: Authorized Representative Title: Title: Claimant: _ By: _ Claimant Approved as to Form and Content: By: Xxxxxxxx’s Attorney Addendum No. 1 Description of Periodic Payments Initials Assignor: MOSSCO: Claimant: Attorney(s) for

Description of Periodic Payments. The Periodic Payments are as set forth in the attached Addendum No. 1, which is hereby incorporated in and made a part of this Agreement. This Qualified Assignment and Release Agreement is signed in one or more counterparts as of the Effective Date by the following: Assignor: Assignee: Mutual of Omaha Structured Settlement Company By: Authorized Representative By: Authorized Representative Title: Title: Assignor: By: Authorized Representative Title: Claimant: By: Claimant Approved as to Form and Content: By: Xxxxxxxx’s Attorney Addendum No. 1 Description of Periodic Payments Initials Assignor: MOSSCO: Claimant: Attorney(s) forPayments