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Employee Mutual Release

BE IT KNOWN, for good consideration, and in further consideration of the mutual releases herein entered into, that [Company[ and [Employee] do hereby completely, mutually and reciprocally release, discharge, acquit and forgive each other from all claims, contracts, actions, suits, demands, agreements, liabilities, and proceedings of every nature and description both at law and in equity that either party has or may have against the other, arising from the beginning of time to the date of these presence, including but not necessarily limited to any incident or claim resulting from employment with said Company. This release shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives.

Signed this [Date].

Signature

Company

Signature

Employee

*** If Required By State Law ***

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)