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Standard Release Form

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Standard Release Form
R E L E A S E OF C L A I M S
GENERAL RELEASE
The undersigned, hereinafter the Releasor(s), for and in consideration of
the sum of $ _________________, do, for ourselves and our respective heirs,
executors, administrators and assigns, do hereby completely and fully release and
discharge _________________________________________, hereinafter the
Releasee(s), of and from any obligation, liability or responsibility arising out of the claim
and/or action
(_____________________________________________________________________
______) which occurred on or about (date of accident).
It is understood and agreed that this settlement is in full compromise of a
disputed claim, and that neither this release nor the payment pursuant to this release
shall be construed as an admission of liability.
Standard Release Form
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