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Individuals Release
INDIVIDUAL'S RELEASE
State of [State of Release]
County of [County of Release]
Release executed on [Date executed], by [Name of Releasor], of [Address of Releasor], here referred to as releasor, to [Name of Releasee], of [Address of Releasee], here referred to as releasee.
In consideration of $ [Amount paid], receipt of which from releasee is acknowledged, releasor voluntarily and knowingly executes this release with the express intention of effecting the extinguishment of obligations as herein designated.
Releasor, with the intention of binding [himself or herself], [Name of spouse of Releasor], [his or her] spouse, and [his or her] heirs, legal representatives and assigns, expressly releases and discharges releasee and [his or her] heirs and legal representatives from all claims, demands, actions, judgments and executions that releasor ever had, or now has, or may have, known or unknown, or that anyone claiming through or under [him or her] may have, or claim to have, against releasee or [his or her] heirs or legal representatives created by, or arising out of [Description of claim with respect to which release is executed], which occurred at [Place of occurrence] on [Date of occurrence] at [Time of occurrence].
In witness whereof, releasor has executed this release at [Designate place of execution] the day and year first above written.
Signature Date
Acknowledgement
(Attach statement of attorney, if desired.)