DIY Legal Forms

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Rescission of Release

[date]

[name of Releasee]

[address of Releasee]

I hereby rescind the Release that I executed on [date]. This Release relieves you of all claims arising out of [description of claim that gave rise to the Release].

The reason for this Rescission is: [list of facts giving rise to the rescission].

The consideration that you gave me for the Release will be returned to you in the following manner: [manner of return].

[signature]

Releasor

Acknowledgment

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.

[signature]

[Name of Notary Public]

My commission expires: [date]

(Seal)