GENERAL RELEASE:
I, ____________________, son of _________________________ residing at ________________________[address], _________[city], _________State,________ is hereby acknowledged, being of lawful age, do now release, acquit, and forever discharge Mr. __________________________, here referred to as defendant currently residing, at_________________________________________________________, from all legal and or civil actions, claims, demands, or damages both financial and or punitive damages accruing to me resulting from any known or unknown causes, injury, loss, or damage, sustained by me, in all and any cause under any consequences and or circumstances while in association with the above mentioned plaintive. The hereby-signed acceptance is in full accord and satisfaction of, and in compromise of, a disputed claim, and this release certificate is not an admission of liability on the part of defendant, but is made for the purpose of terminating any dispute and litigation between the parties. In witness whereof, I have executed this release at _________[designate place of execution] on _________[date].
[Signature] [Acknowledgment] [Witness]_______________________ Name: