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robb25661

Junior Member
What is the name of your state (only U.S. law)? west virginia

release of all claims and demands
tha we the home owner being of lawful age and being competent toenter into this release for sole consideration of five thousnd dollars do hereby and for their their heirs excutors,administrators,successors and assigns release,acquit and forever discharge insurance company and their agents,servants,employees,successors,heirs,executors,administrators and all other persons,firms,corporations,corporatons associations or partnerships of and from any and all claims actions causes of action demands rights damages costs statutory interstloss of service expenses and copensation whatsoever which the unersigned now has of whichmay hereafter accrue on personal injuries and the consequences thereof resulting or to result from the event wich occurred onor about the 7th day of march 2011 wherein propery damage was sustained to the dwelling a chattaroy west virginia due to a sewage backupon or around said structure

it is futher understood and agreed the theparty or parties hereby released do not consent the this release admitno liability to the undersigned or othes shall not be stopped or otherwise barred from asserting and expressly reseve the right to assert any claim or cause of action such party or parties may have against the undersigned or others
 



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