Sample Separation Agreement And Release Page 4

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proceeding, including any and all appeals or petitions therefrom.
17. In the event that any provision of this Agreement and Release should be held to be void,
voidable, unlawful or, for any reason, unenforceable, the remaining portions hereof shall remain
in full force and effect.
18. If this Agreement and Release is acceptable to you, please indicate your agreement by
signing and dating the enclosed copy of this Agreement and Release in the space provided below
and returning it to me on or before [specify date]. YOU WILL THEN BE PERMITTED TO
REVOKE THIS AGREEMENT AND RELEASE AT ANY TIME DURING THE PERIOD OF SEVEN
DAYS FOLLOWING THE EXECUTION HEREOF, AND THIS AGREEMENT AND RELEASE
WILL NOT BE EFFECTIVE OR ENFORCEABLE AND NO PAYMENTS WILL BE MADE
HEREUNDER UNTIL THE SEVEN–DAY REVOCATION PERIOD HAS EXPIRED. In the event
you elect to revoke this Agreement and Release, this Agreement and Release will be of no further
force or effect, and neither you nor the Company will have any further rights or obligations
hereunder.
19. You shall have Seven (7) calendar days following the execution of this Agreement in which to
revoke said Agreement. This Agreement may be revoked only in writing and only during the
seven (7) day period stated in this paragraph. To be effective, written revocation must, within the
Seven (7) day period, be hand–delivered or faxed to [specify]. This Agreement shall not become
effective or enforceable until the expiration of the revocation period.
20. THIS IS A LEGAL DOCUMENT. YOU SHOULD CONSULT WITH AN ATTORNEY PRIOR
TO SIGNING THIS AGREEMENT AND RELEASE AND THE ATTACHMENTS HERETO. BY
SIGNING THIS AGREEMENT AND RELEASE YOU ACKNOWLEDGE AND AFFIRM THAT YOU
ARE COMPETENT, THAT YOU HAVE BEEN AFFORDED A TIME PERIOD OF 21 DAYS TO
REVIEW AND CONSIDER THIS AGREEMENT AND RELEASE WITH AN ATTORNEY OF
YOUR CHOICE, THAT SUCH TIME PERIOD IS A REASONABLE AND SUFFICIENT TIME FOR
SUCH REVIEW, THAT YOU HAVE READ AND UNDERSTAND AND ACCEPT THIS
DOCUMENT AS FULLY AND FINALLY WAIVING ANY AND ALL CLAIMS, DEMANDS AND
DISPUTES AND DIFFERENCES OF ANY KIND WHATSOEVER WHICH YOU MAY HAVE
AGAINST THE COMPANY (AS DEFINED IN PARAGRAPH 3 ABOVE), INCLUDING ANY AND
ALL CLAIMS UNDER THE AGE DISCRIMINATION AND EMPLOYMENT ACT, THAT NO
PROMISES OR INDUCEMENTS HAVE BEEN MADE TO YOU EXCEPT AS SET FORTH IN
THIS AGREEMENT AND RELEASE, AND THAT YOU HAVE SIGNED THIS DOCUMENT
FREELY AND VOLUNTARILY, INTENDING TO BE LEGALLY BOUND BY ITS TERMS.
[Name of Employer]
By: [Name of Employer]
[Title]
Accepted and Agreed:
[Name of Employee]
On [specify date], before me personally came [Name of Employee], to me known and known to
me to be the individual described in and who executed the foregoing Agreement and Release,
and he duly acknowledged to me that he executed the same.
Note: This document is for informational purposes only and may not be appropriate for
your situation. Please consult an attorney for all legal matters.

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