BE IT KNOWN, that __________________________________, (hereafter referred to as the “First Party”), for and in consideration of the sum of _______________ ($ __________) Dollars, or other valuable consideration received from or on behalf of ________________________, (hereafter referred to as the “Second Party”), the receipt of which is hereby acknowledged, do(es) hereby remise, release, acquit, satisfy, and forever discharge the said Second Party, of and from all manner of action(s), cause(s) of action, suits, debts, sums of money, accounts, reckonings, bonds, bills, specialties, covenants, contracts, controversies, agreements, promises, variances, trespasses, damages, judgments, executions, claims and demands whatsoever, in law or in equity, which said First Party ever had, now has, or which any personal representative, successor, heir or assign of said First Party, hereafter can, shall or may have, against said Second Party, 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 First Party has hereunto set his/her hand and seal this ___ day of ____________, 20 __.
Signed, sealed and delivered in the presence of:
State of ________________
County of ________________
The foregoing instrument was acknowledged by me this ___ day of __________, 20__ by ___________________________who is/are personally known by me or who has/have produced: __________________ as identification and who did not take an oath.
State of _________________
My Commission Expires:
This instrument was prepared by: _____________________________
State Specific Release Forms
—-For State Specific Release Forms you can download in Word Format go to