An attorney should be consulted prior to the execution and delivery of the form set forth herein.
TO ALL INTERESTED PARTIES KNOW THAT
In consideration of the sum of ($) Received from , Releasee, the adequacy and receipt whereof is hereby acknowledged by Releasee, releases and discharges the Releasee, the Releasee’s executors, administrators, heirs, successors and assigns (hereinafter collectively sometimes referred to as “Releasees”) from all causes of actions, actions, debts, sums of money, accounts, bonds, bills, covenants, contracts, controversies, promises, agreements, trespasses, variances, judgments, damages, executions, claims, demands whatsoever, in law, equity and/or admiralty, which against the said Releasees, the Releasor, his/her executors, administrators, successors and assigns have, ever had or may have in the future, by reason of any matter, cause or thing whatsoever from the beginning of time to the date hereof.
The words “Releasor” and “Releasee” include the singular and the plural
wherever construction of this instrument dictates.
This Release may only be changed in writing.
IN WITNESS WHEREOF, the Releasor has executed this Release on the
day of , .
State of New York )
County of )
On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose names(s) is (are) subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the instrument, the
individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.
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