March XX, 2012

Name

Agency

Address

City/State/Zip

Consent to Assign Rights to Payment

Re: Contract: Account Name

Dear _:

USE THIS OPENING PARAGRAPH IF NO DEFINITIVE SECTION OF CONTRACT THAT COVERS ASSIGNMENT

ACS hereby requests permission to assign accounts receivable amounts due to ACS under the above subject contract(s) beginning with March 2012 and continuing through the duration of the contract. The assignment will in no way affect ACS' performance obligations or any other duties under our contract.

USE THIS OPENING PARAGRAPH IF DEFINITIVE SECTION OF CONTRACT THAT COVERS ASSIGNMENT

Pursuant to Section _ of the above-referenced contract, ACS hereby requests permission to assign all account receivable amounts due to ACS under our contract beginning with March 2012 and continuing through the duration of the contract. The assignment will in no way affect ACS' performance obligations or any other duties under our contract.

Should you approve this request, the assignment would work as follows:

The process will be entirely seamless to Name of Client. ACS will continue invoicing you as usual for services rendered in accordance with the contract. Please continue to remit your payments to ACS according to your current practice and in accordance with the contract.

ACS will continue to retain all performance obligations described in our contract, and no other rights or obligations will be affected by this assignment.

If these terms are acceptable, please counter-sign this letter in the area provided below and return it to my attention as soon as possible, and preferably before March 14, 2012. Your signature will indicate that you have consented to the assignment of all future account receivable amounts for the above-specified account.

If you have any questions, please do not hesitate to contact me at _.

Very truly yours,

Name

ACS State & Local Solutions

Approved by Name of Client

Printed Name:

Date:

ACS State & Local Solutions, Inc. 8260 Willow Oak Corporate Drive ▪ Fairfax ▪ VA ▪ 22031