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I, [name] of [address] (Releasor), execute this Release on the
[date] in favor of [name] of [address] (Releasee).
1. Consideration. This Release is being executed by Releasor
in consideration of the sum of ---------- dollars ($----------) paid by
Releasee to Releasor, receipt of which is acknowledged.
2. Claim Being Released. Releasor releases Releasee from all
claims created by or arising out of [description of claim that has
given rise to the Release].
3. Release Binding. This Release binds not only Releasor in
respect to these claims, but also Releasor's heirs, assigns, executors,
administrators, and legal representatives.
IN WITNESS WHEREOF, Releasor has signed this Release on [date].
*** If Required By State Law ***
This Section for Notary:
State of _________
County of ________ [COUNTY]
On [DATE] before me, [NAME OF NOTARY], notary, personally appeared [NAME OF PERSON(S) INVOLVED], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.
My commission expires: _____