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Back to Forms for 'Releases and Settlements'.




Releasor has read and understands the following statutory language of _____________

(cite statute): ___________________________________________________________

______________________________________________________________________________________________________________________________(reproduce all or pertinent part of statute, which may be worded as follows: A general release does not extend to claims that the creditor does not know or suspect to exist in the creditor’s favor at the time of executing the release and that, if known to the creditor, would have materially affected the creditor’s settlement with the debtor).
Having been so apprised, releasor nevertheless elects to and does assume all risk for claims heretofore or hereafter arising, known or unknown, relating to the above-described  _______________________________________________________ _____________________________________________________________(incident), and releasor expressly includes within the scope of this release all such claims, and waives any rights __________ (he or she) may have to dispute the scope of this release on the grounds of __________________________________ (cite statute quoted above) or as the same may be amended.



_________________________                    _____________________

Signature                                                     Date



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