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Retraction & Release Agreement

This Agreement made on [Date] is by and between [Name] of [Address], hereinafter referred to as Claimant, and [Name] of [Address], hereinafter referred to as as Publisher, on this [Date], do hereby agree as to the following:

On the [Date], Publisher published the following described item:

[Enumerate]

On the [Date], Claimant requested a retraction and release of the item published above for the following reasons:

(describe the reasons)

On the [Date], Publisher published a precise clarification of the item, the outline of which is:

(Describe or attach a seperate sheet marked as "Exhibit A")

The foregoing mentioned outline of this clarification is agreed upon by the parties.

Release of Claims. In consideration of the making of the retraction, Claimant herewith releases Publisher unconditionally from any and all claims related to the above described (book/publication) including but not limited to claims of libel, defamation of character, invasion of privacy, intentional interference with an advantageous business relationship or any other claim whether legal, equitable or statutory.

This release shall extend to all employees, agents, officers, shareholders, insurers and contractors Publisher and shall be binding on the heirs and assigns of Claimant.

Confidential Information. The terms and conditions of this retraction/release agreement shall be confidential, and may not be disclosed to third parties, except for:

(a) a response to a legal obligation to produce this document;

(b) in connection with insurance, risk retention or other bona fide business requirements of Publisher.

Each party hereto has had a chance to fully, adequately and completely review this agreement with legal representatives of their choice.

This agreement is not an direct admission by Publisher of the validity of any claims made by Claimant. There are no other terms or conditions relating to this retraction and release, other than those stated herein and this retraction and release states the entire agreement between the parties, and may only be altered by an instrument in writing.

Executed on the date as first above written at (City/State).

Signature

Publisher

Signature

Claimant

This Section for Notary:

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)