Release For Property Damage In Auto Accident (Fillible)
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3Release for Property Damage in Auto Accident
Releasor:____________________
Address: ____________________
____________________
Releasee:____________________
Address: ____________________
____________________
1. Releasor voluntarily and knowingly signs this release with the express intention of
eliminating Releasee's liabilities and obligations as described below.
2. Releasor hereby releases Releasee from all liability for claims, known and unknown,
arising from property damage sustained by Releasor in an automobile accident that
occurred on ____________ [date] at ____________________ involving a vehicle owned
by Releasee or driven by Releasee or Releasee's agent. Releasor understands that, as to
claims that are known to the parties when the release is signed, any statutory provisions
that would otherwise apply to limit this general release are hereby waived. Releasor also
understands that this release extends to claims arising out of this incident that are not
known by Releasor at the time this release is signed.
3. By signing this release, Releasor does not give up any claim that he or she may now or
hereafter have against any person, firm, or corporation other than Releasee and those
persons and entities specified in Clause 6.
4. Releasor understands that Releasee does not, by providing the value described below,
admit any liability or responsibility for the accident described in Clause 2 or its
consequences.
5. Releasor has received good and adequate value (consideration) for this release in the
form of: _________________________________________________.
6. By signing this release, Releasor additionally intends to bind his or her spouse, heirs,
legal representatives, assigns, and anyone else claiming under him or her. Releasor has
Release for Property Damage in Auto Accident
Page 1
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Parent category: Legal