State: New York
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 thefuture, 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 caused this Release to be executed by its duly authorized officers on the day of ,
Witness:
By:
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York, County of , ss:
On the day of in the year
, before me,
the undersigned, personally appeared
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:
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
(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
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York, County of , ss:
On the day of in the year
, before me,
the undersigned, personally appeared
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 NEWYORK 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, personally appearedGENERAL RELEASE-INDIVIDUAL
TITLE NO.
SECTION
BLOCK
LOT
COUNTY or TOWN
GENERAL RELEASE
Individual
,Releasor
, Releasee
Dated:
Prepared By The Law Offices Of:
MISC NY: GENERAL RELEASE-INDIVIDUAL
