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Text File  |  1992-11-05  |  640b  |  17 lines

  1.  
  2.                         RELEASE OF CLAIMS
  3.  
  4. In consideration of the sum of [amount]           Dollars,
  5. ($      ), the receipt of which is hereby acknowledged,
  6. [name of creditor] of   [address]   , City of             ,
  7. County of             , State of              , does hereby
  8. release and discharge the estate, administrator, executor
  9. and heirs of the decedent from any and claims that [name of
  10. creditor] has or may have in the future against the estate
  11. of [name of deceased], deceased.
  12.  
  13. Dated: _____________                  _____________________
  14.                                            [Signature]
  15. [Acknowledgement]
  16.  
  17.