Release Of All Claims Individual

RELEASE OF ALL CLAIMS INDIVIDUAL State of County of The undersigned, (name), of (address), here referred to as Releasor, for and in consideration of , the receipt of which is hereby acknowledged, and in further consideration of the execution by , Releasee, of a dismissal with pr ejudice of Releasees counterclaim against the undersigned in the case of v. , Civil Case No. , in the court, Releasor, being of lawful age, does hereby release, ac quit and forever discharge Releasee and all other persons and entities of and from any and all actions, causes of action, claims, demands, damages, costs, loss of services, expenses and compensation on account of, or in any way growing out of, any and all known and unknown personal injuries and property damage resulting or to result from the accident that occurred on or about (date), at or near (location). Releasor declares and represen ts that the injuries sustained are permanent and progressive and that recovery therefrom is uncertain and indefinite. Releasor further declares and represents that in making this release and agreement, it is understood and agreed that: (1) Releasor relies wholly upon Releasor222s own judgment, belief and knowledge of the nature, extent and duration of such injuries; and (2) Releasor has not been influenced to any extent whatever in making this release by any representations or statements regarding such injuri es, or regarding any other matters, made by the person(s), firm(s) or corporation(s) who are hereby released, or by anyone representing such person(s), firm(s) or corporation(s), or by any physician or surgeon employed or compensated by such person(s), fir m(s) or corporation(s). It is further understood and agreed that this settlement is the compromise of a doubtful and disputed claim, and that the payment made hereunder is not to be construed as an admission of liability on the part of Releasee, by whom li ability is expressly denied. It is the intention of the undersigned in signing this release to bind himself, (name of spouse), his spouse, and his heirs, executors, administrators and assigns. This release is for the benefit of Releasee and Releasees agents, successors, heirs, executors, administrators, assigns, and all others who may be liable to Releasor for damage to person or property arising out of the above - described accident. This release contains the entire agreement between and among the parties hereto, and the terms of this release are contractual and not a mere recital. I, the undersigned, have carefully read the foregoing release and know and understand the contents thereof. I sign this release voluntari ly as my own free act with full knowledge of its significance, intending to be legally bound thereby. 2001 251 American LegalNet, Inc. Signed at (Designate place of execution). Signature Date Executed in the presence of: 000 251 American LegalNet, Inc.