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Release--Provision--Payment In Installments



RELEASE--PROVISION-PAYMENT IN INSTALLMENTS

It is agreed that consideration for this release shall be payable to releasor as follows: On execution hereof, the sum of $ [Amount paid for release] shall be paid; the balance of $ [Amount paid for release] shall be paid in [number of installments] equal monthly installments of $ [amount of each installment] each, the first installment to be due on [date first installment is due], and subsequent installments to be due on the [Day of the month installment are due] day of each month thereafter until the entire sum has been paid. All installments shall be payable at
[Address of payment].

Signature Date