State of _________________ 
General Release
This General Release ("Release") is made on _____ day of _______________, 20_____ between:
Releasor: ________________________, at ________________________________________ [Address]
(“Releasor”) and
Releasee: ________________________, at ________________________________________ [Address]
(“Releasee”). 
    1. Releasor and anyone claiming on Releasor’s behalf releases and forever discharges Releasee
       and its affiliates, successors, officers, employees, representatives, partners, agents and anyone
       claiming through them (collectively, the “Released Parties”), in their individual and/or corporate
       capacities from any and all claims, liabilities, obligations, promises, agreements, disputes,
       demands, damages, causes of action of any nature and kind, known or unknown, which Releasor
       has or ever had or may in the future have against Releasee or any of the Released Parties
       arising out of or relating to: _______________________________________________________
       ____________________________________________________________________ (“Claims”). 
    2. In exchange for the release of Claims, Releasee will provide Releasor a payment: (Check one)
                ☐ In the amount of $__________.
                ☐ Of __________________________________ [Item description].
       In consideration of such payment, Releasor agrees to accept the payment as full and complete
       settlement and satisfaction of any present and prospective claims. 
    3. This Release shall not be in any way construed as an admission by the Releasee that it has
       acted wrongfully with respect to Releasor or any other person, that it admits liability or
       responsibility at any time for any purpose, or that Releasor has any rights whatsoever against the
       Releasee. 
    4. This Release shall be binding upon the parties and their respective heirs, administrators, personal
       representatives, executors, successors and assigns. Releasor has the authority to release the
       Claims and has not assigned or transferred any Claims to any other party. The provisions of this
       Release are severable.  If any provision is held to be invalid or unenforceable, it shall not affect
       the validity or enforceability of any other provision. This Release constitutes the entire agreement
       between the parties and supersedes any and all prior oral or written agreements or
       understandings between the parties concerning the subject matter of this Release. This Release
       may not be altered, amended or modified, except by a written document signed by both parties.
       The terms of this Release shall be governed by and construed in accordance with the laws of the
       State of _________________.
    5. Both parties represent they fully understand their right to review all aspects of this Release with
       attorneys of their choice, that they have had the opportunity to consult with attorneys of their
       choice, that they have carefully read and fully understand all the provisions of this Release and
       that they are freely, knowingly and voluntarily entering into this Release.
SIGNATURES
Signature of Releasor      Date
Printed Name of Releasor
  
Signature of Releasee      Date
Printed Name of Releasee
Signed in the presence of:
____________________________________
Witness Signature
____________________________________
Witness Name
________________________________________________________________________
Address
____________________________________
Witness Signature
____________________________________
Witness Name
________________________________________________________________________
Address
NOTARY ACKNOWLEDGEMENT:
State of _________________     )
                                                    ) ss:
County of _________________  )
The foregoing instrument was acknowledged before me this _____ day of _______________, 20_____,
by the undersigned, ________________________, who is personally known to me or satisfactorily
proven to me to be the person whose name is subscribed to the within instrument.
____________________________________
Signature
____________________________________
Notary Public
My Commission Expires: _______________