Assignment Agreement Template - Sample Page 2

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SCHEDULE
Claim Details:
1
Borrower:
MF Global UK Limited
Account Numbers:
____________________________________________
 No Yes (specify) ______________________
Collateral:
Total Amount:
____________________________________________
Additional Information:
____________________________________________
Assignment Details:
Assigned Claims:
Assignor’s Claim Amount (as at the date of assignment):
__________________
Traded Portion (amount):
_________________
Assignment Effective Date: _________________
FSCS Claim:
The Assignor has not filed a claim with the FSCS [and is
2
not an eligible claimant under the FSA rules]
Status of Claim (specify)
Borrower Claim
 Proof of debt filed
 No proof of debt filed and no deadline has expired for the submission of claims
 Claim is admitted
 Other (specify)
FSCS Claim
 No claim filed with the FSCS
 Assignor is not eligible to file claim with the FSCS
 Other (specify)
Administration Details
Assignor’s Receiving Account : [Insert account details]
Assignee’s Receiving Account: [Insert account details]
Addresses
Assignor
Assignee
1
Please note that the term “Borrower” may not be an accurate description of MF Global UK Limited in the
context of your claim against the company, however the term “Borrower” is incorporated into the LMA
Standard T&C’s to which this Assignment relates. Therefore, in order to properly give effect to those
terms, the Special Administrators suggest that MF Global UK Limited be referred to as “Borrower” in this
Assignment.
2
Please note that a claimant may be eligible to apply to the FSCS for compensation up to a limit of
£50,000. If the claimant has filed a claim with the FSCS, the claim against the Borrower will be assigned
to the FSCS and the Assignor will not be able to assign its claim to the Assignee.
2
EUW_ACTIVE:38277121763238.0003

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