GENERAL RELEASE

            BE IT KNOWN, that  ________________________________________ _________________________________, (hereinafter referred to as "First Party"), for and in consideration of the sum of __________________________________________ ($ ____________ ) Dollars, or other valuable consideration received from or on behalf of _______________________________________________________ ________________________, (hereinafter referred to as "Second Party"), the receipt of which is hereby acknowledged, do(es) hereby remise, release, acquit, satisfy, and forever discharge the said Second Party, of and from all manner of action(s), cause(s) of action, suits,debts, sums of money, accounts, reckonings, bonds, bills, specialties, covenants, contracts, controversies, agreements, promises, variances, trespasses, damages, judgments, executions, claims and demands whatsoever, in law or in equity, which said First Party ever had, now has, or which any personal representative, successor, heir or assign  of said First Party, hereafter can, shall or may have, against said Second Party, by reason of any matter, cause or thing whatsoever, from the beginning of time to the date of this instrument.

            IN WITNESS WHEREOF, the said Second Party has hereunto set hand and seal this ________ day of ___________________,

19_____.

Signed, sealed and delivered

in the presence of:


 

____________________________          _____________________________ Witness

____________________________          _____________________________ Witness

STATE OF  ______________


 

COUNTY OF ______________

I HEREBY CERTIFY that on this day, before me, an officer

duly authorized in the State aforesaid and in the County aforesaid, to take acknowledgments, personally appeared _____________________________________________, to me known to be the person described in and who executed the foregoing instrument and he acknowledged before me that he executed the same for the purposes set out therein.

            WITNESS my hand and official seal in the County and State last aforesaid this ________ day of  ____________________, 19_____.

______________________________ Notary Public

                                    State of______________

                                    My Commission Expires:

                                    ______________________________

This instrument was prepared By:

____________________________

____________________________

____________________________