GENERAL RELEASE 


                                        _____________, 19__ 



                In consideration of _____________________________ 
         ________________________________________________________ 
        
        to _______________ paid by ___________________ the 
        
        receipt whereof is hereby acknowledged _______ hereby remise, 
        
        release and forever discharge the said ___________________ 
        
        of and from all debts, demands, actions, causes of action, suits, 
        
        accounts, covenants, contracts, agreements, damages, and any and 
        
        all claims, demands and liabilities whatsoever of every name and 
        
        nature, both in law and in equity, which against the said 
        
        ________________ or _______________ heirs and 
        
        assigns __________________ now have or ever had from the 
        
        beginning of the world to this date and more especially on 
        
        account of __________________________________________________.  



        Witness ____________ hand and seal
                                                  _______________________
        Signed in the presence of 

        ___________________________________       _______________________ 



                                                        Form 614 







      

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