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For consideration, [Name] of [Address], hereinafter referred to as "First Party", and [Name] of [Address], hereinafter referred to as "Second Party", do hereby release each other from all claims and obligations, known or unknown, to this date that they may have against each other arising from the following transaction or incident:
Neither party has made any representations nor promises, other than those contained in this release or in some further writing signed by the party making the representation or promise.
Neither party has assigned any claims or obligations covered by this release to any other party.
Both parties signing this release intend that it both bind and benefit themselves and any successors.
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]