IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Deceased. Division SATISFACTION AND RELEASE OF CLAIM The undersigned has received full payment of the claim which was filed in this proceeding by the undersigned against the above estate on or about , , or has otherwise settled or compromised said claim, and this Satisfaction and Release of Claim is executed to acknowledge discharge of the claim and to release the estate and the personal representative of the estate from all further liability with respect thereto. Signed on this _______ day of __________________________, ________. Claimant [Print or Type Names Under All Signature Lines] Bar Form No. P-3.1050 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com