GENERAL RELEASE-INDIVIDUAL TO ALL INTERESTED PARTIES KNOW THAT , Releasor In consideration of the sum of ($ ) Received from , Releasee, the adequacy and receipt whereof is hereby acknowledged by Releasee, releases and discharges the Releasee, the Releasee's executors, administrators, heirs, successors and assigns (hereinafter collectively sometimes referred to as "Releasees") from all causes of actions, actions, debts, sums of money, accounts, bonds, bills, covenants, contracts, controversies, promises, agreements, trespasses, variances, judgments, damages, executions, claims, demands whatsoever, in law, equity and/or admiralty, which against the said Releasees, the Releasor, his/her executors, administrators, successors and assigns have, ever had or may have in the future, by reason of any matter, cause or thing whatsoever from the beginning of time to the date hereof. The words "Releasor" and "Releasee" include the singular and the plural wherever construction of this instrument dictates. This Release may only be changed in writing. IN WITNESS WHEREOF, the Releasor has executed this Release on the day of WITNESS: ________________________________ By: _____________________________ American LegalNet, Inc. www.USCourtForms.com ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York, County of On the day of before me, the undersigned, personally appeared in the year , ss: , ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York, County of On the day of in the year before me, the undersigned, personally appeared , ss: , , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of New York, County of , ss: , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE *State of , County of , ss: *(Or insert District of Columbia, Territory, Possession or Foreign County) On the day of in the year , before me, the undersigned, a Notary Public in and for said State, personally appeared , the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in On the day of in the year before me, the undersigned, personally appeared , (if the place of residence is in a city, include the street and street number if any, thereof); that he/she/they know(s) to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s) on the instrument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual make such appearance before the undersigned in the (add the city or political subdivision and the state or country or other place the acknowledgement was taken). SECTION: Title No. BLOCK: LOT: TO COUNTY OR TOWN: RETURN BY MAIL TO: American LegalNet, Inc. www.USCourtForms.com GENERAL RELEASE Individual ________________________________ _________________________________ Dated: Prepared By The Law Offices Of: American LegalNet, Inc. www.USCourtForms.com