I'll be using a this form (Xs replace the names on the dcoument). Sorry if it's a lot to read. It's 6 pages, but I just copy-pasted here, so some spacing may be weird.
General Release of Liability
THIS GENERAL RELEASE (this "Agreement") dated this 1st day of April, 2019 BETWEEN:
XXXXXXXXXX (the "Releasor") OF THE FIRST PART AND
XXXXXXXXXXX(the "Releasee") OF THE SECOND PART IN CONSIDERATION OF
the covenants and agreements contained in this Agreement and other good and valuable consideration, the receipt of which is hereby acknowledged, the parties to this Agreement agree as follows:
Consideration
1. In consideration of the sum of $23,000.00 USD, paid by certified check, the receipt and sufficiency of which consideration is acknowledged, the Releasor releases and forever discharges the Releasee, the Releasee's spouse, heirs, executors, administrators, legal representatives and assigns from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims and demands for or by reason of any damage, loss or injury to person and property which has been or may be sustained as a consequence of the dispute detailed below.
Initials: ______________________________ Page 1 of 6
Details of Dispute
2. The claim or dispute occurred on March 23, 2019 as a result of:
Concurrent Release
3. The Releasor acknowledges that this release is given with the express intention of effecting the extinguishment of certain obligations owed to the Releasor, and with the intention of binding the Releasor's spouse, heirs, executors, administrators, legal representatives and assigns. Full and Final Settlement
4. For the above noted consideration, the parties to this Agreement further agree not to make claim or take proceedings against any other person or corporation which might claim contribution or indemnity under the provisions of any statute or otherwise.
5. It is declared that the terms of this settlement are fully understood; that the amount or type of consideration stated is the sole consideration for this Agreement and that the sum is accepted voluntarily for the purpose of making a full and final compromise, adjustment and settlement of all claims for injuries, losses and damages resulting or which may result from the above noted dispute.
6. This Agreement contains the entire agreement between the parties to this release and the terms of this release are contractual and not a mere recital.
No Admission of Liability
7. It is agreed that the payment is not deemed to be an admission of liability on the part of the Releasee. Release/Waiver Agreement Page 2 of 6
Initials: ______________________________
Governing Law
8. This Agreement will be construed in accordance with and governed by the laws of the State of Florida.
Initials: ______________________________
IN WITNESS WHEREOF the Releasor and Releasee have duly affixed their signatures under hand and seal on this 1st day of April, 2019.
Initials: ______________________________
Initials: ______________________________
NOTARY ACKNOWLEDGMENT - RELEASOR STATE OF FLORIDA COUNTY OF ____________________ The foregoing instrument was acknowledged before me this 1st day of April, 2019, by XXXXXXX, who is personally known to me or who has produced ____________________ as identification. ________________________________
Notary Public
________________________________
(print name)
Initials: ______________________________
NOTARY ACKNOWLEDGMENT - RELEASEE STATE OF FLORIDA COUNTY OF ____________________ The foregoing instrument was acknowledged before me this 1st day of April, 2019, by XXXXXXXX, who is personally known to me or who has produced ____________________ as identification. ________________________________
Notary Public
________________________________
(print name)
