RELEASE
CLAIMS BASED ON CONTRACTUAL OBLIGATIONS
Release executed on __________ (date), by
__________________________________ (name) of
_____________________________________________________ (address), here referred
to as releasor, in favor of ____________________________________, of
_________________________________________________________ (address), here
referred to as releasee.
In consideration of ______________ (the sum of
__________ Dollars ($__________ ), receipt of which from releasee is
acknowledged or recite other consideration), releasor, for __________ (himself
or herself) and ___________ ( __________ (his or her) heirs, executors and
administrators), has remised, released and forever discharged, and by these
presents does, for __________ (himself or herself) and ___________ (his or her)
heirs, executors and administrators), remise, release, acquit, satisfy and
forever discharge ___________________________________ (releasee), __________
(__________ (his or her) successors, heirs, executors and administrators), of
and from all, and all manner of action and actions, cause and causes of action,
suits, debts, dues, sums of money, accounts, reckonings, bonds, bills,
specialties, covenants, contracts, controversies, agreements, promises,
variances, trespasses, damages, judgments, executions, claims and demands
whatsoever, in law, or in equity, which against releasee, releasor ever had,
now have, or which releasor's successors, heirs, executors or administrators,
hereafter can, shall, or may have, for, upon or by reason of any matter, cause,
or thing whatsoever.
In witness whereof, releasor executes this release
at ____________________________ (designate place of execution) on the day and
year first above written.
_____________________________________ ______________________
Signature Date
(Attach statement of attorney, if desired)