DIY Legal Forms

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Release of Liability by Estate

[Name and address], as Executor [or, Administrator] of the Estate of [name] (Releasor) executes this Release on [date] in favor of [name and address] (Releasee).

1. Consideration. This Release is being executed by Releasor for the consideration of the sum of ---------- dollars ($----------), receipt of which is acknowledged.

2. Subject Matter of Release. The Estate of [name] hereby releases Releasee, Releasee's heirs, assigns, and personal representatives from all claims or causes of action arising from [description of accident] that resulted in the death of [name].

3. Admission of Liability. The acceptance of this Release shall not be construed as an admission on the part of Releasee of liability from the events described above.

IN WITNESS WHEREOF, Releasor has set his hand this [date].






STATE OF -------)

) ss: [date]

COUNTY OF ------)

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.


[Name of Notary Public]

My commission expires: [date]