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Back to Forms for 'Releases and Settlements'.





Release executed on __________ (date), by ___________________________________ (receiver) of ___________________________________________________ (address), here referred to as releasor, in favor of ________________________________ (name), of ___________________________________________________________ (address), here referred to as releasee.




Pursuant to court order entered in the action entitled __________________________ v. ____________________________, Civil No. __________, in the _________________ (specify court), on _______________ (date), releasor is the court-appointed receiver of ________________________________ (name of business).


In consideration of _______________ (the sum of __________ Dollars ($__________), receipt of which is hereby acknowledged or recite other consideration), releasor, for _______________ (himself or herself) and ____________________ (his or her) heirs, executors and administrators) and for ________________________________ (name of insolvent business) releases and forever discharges releasee, ____________________ (his or her) heirs, executors and administrators), from all claims, demands and causes of action that releasor may now have or that might subsequently accrue to releasor arising out of or connected with, directly or indirectly, that certain contract dated __________, entered into between ____________________________ (name of insolvent business) and releasee.


This release includes, but is not limited to, all claims and actions based on a breach of such contract as set forth and alleged in a ________________ (complaint or petition or declaration) filed in the action entitled _____________________________________ v _________________________, No. __________, now pending in the ____________ (specify court), which __________ (complaint or petition or declaration) is hereby incorporated by reference into this release for greater certainty.


By this release, releasor is specifically releasing only that claim against releasee (if applicable, add:  and  ______________ (his or her) heirs, executors and administrators).  Releasor expressly reserves any claim, right or cause of action that releasor, on behalf of __________ (himself or herself) or in ___________ (his or her) capacity as receiver, jointly and severally, has against any individual, organization or corporation other than the releasee named herein, and expressly reserves any right to proceed against any other party.


This release shall forever settle, adjust and discharge all claims of releasor, both individually and as receiver of _____________________________________ (name of insolvent business) against releasee, and the above-designated case shall be dismissed with prejudice, each party to bear that party’s own costs.


In witness whereof, releasor executes this release at ____________________ (designate place of execution) on __________ (date).



_____________________________________                   ______________________

Signature                                                                               Date




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