Vehicle Accident Damage Release
This Vehicle Accident Damage Release is tailored for use in the state of [State Name]. Please fill in the blanks with the appropriate information to ensure validity under [State Name] laws.
Release of Liability
In consideration for the payment of [Amount] dollars, I, [Releasor Name], residing at [Releasor Address], hereby release and discharge [Releasee Name], along with their agents, employees, and insurers, from any and all claims, liabilities, and damages related to the vehicle accident that occurred on [Date of Accident] at [Location of Accident].
I understand that by signing this release, I relinquish my right to seek further compensation for any injuries or damages resulting from the aforementioned accident.
Terms of Release
- The total sum is the full compensation for any and all damages I sustained.
- I acknowledge that I have had the opportunity to consult with legal counsel before signing this release.
- This release is binding upon my heirs, executors, and assigns.
Signatures
By signing below, I affirm that I have read and understood this release, and I voluntarily agree to its terms:
______________________________
[Releasor Name]
Date: [Date]
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[Releasee Name]
Date: [Date]
This document shall be governed in accordance with the laws of [State Name].