Ccc 36 assignment of payment 2022-2026

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  1. Click ‘Get Form’ to open the CCC-36 Assignment of Payment form in the editor.
  2. In Part A, enter the Producer's (Assignor's) Name and Address, followed by the Assignee's Name and Address. Ensure that both Tax Identification Numbers are accurately filled in.
  3. Move to Part B and select the applicable program(s) from the list provided. Fill in the Assigned Amount for each applicable year and include any relevant State, County, and Reference Number.
  4. In Part C, both the Assignor and Assignee must sign and date the form. If signing on behalf of someone else, indicate your title or relationship.
  5. If necessary, complete Part D for revocation of assignment by providing signatures and dates as required.

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