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General Release (United States)

This is a general release. The form provided here is simply a sample of what the actual form looks like.


BE IT KNOWN, that ________(1)_________, (hereinafter referred to as "Releaser"), for and in consideration of the sum of

_________(2)_________ ($_________) Dollars, and other valuable consideration received from or on behalf of

_________(3)________, (hereinafter referred to as "Release"), the receipt of which is hereby acknowledged, does hereby remise, release, acquit, satisfy, and forever discharge the said Release, of and from all manner of actions, causes of action, suits, debts, covenants, contracts, controversies, agreements, promises, claims and demands whatsoever, which said Releaser ever had, now has, or which any personal representative, successor, heir or assign of said Releaser, hereafter can, shall or may have, against said Release, by reason of any matter, cause or thing whatsoever, from the beginning of time to the date of this instrument.

IN WITNESS WHEREOF, the said Releaser has hereunto set hand and seal this

_(4)_ day of ________(5)_________, _______(6)_______.

Signed, sealed and delivered in the presence of:


_____________(7)________________ _____________(8)_______________


STATE OF ________(9)________

COUNTY OF _______(10)_______

I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid, to take acknowledgments, personally appeared

________(11)_________, to me known to be the person described in and who executed the foregoing instrument and acknowledged before me that it was executed for the purposes set out therein.


My Commission Expires: ___________(13)_______________

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