STATE OF ALABAMA ) COUNTY OF BALDWIN ) RELEASE OF CLAIM TO: JUDGE OF PROBATE, BALDWIN COUNTY, ALABAMA You are hereby authorized to satisfy and cancel in full the claim filed by _________________________________, in the amount of $________________ against the Estate of __________________________________, Deceased. Witness my hand this __________ day of _____________, _______. _______________________________ CLAIMANT Subscribed and sworn to before me, this _________day of________________________, ________. _______________________________________ Notary Public My Commission Expires:_________________ American LegalNet, Inc. www.USCourtForms.com