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RELESTAT (DOC)

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					                                     RELEASE OF CLAIMS

In consideration of the sum of [amount]       Dollars, ($   ), the receipt of which is hereby
acknowledged, [name of creditor] of [address] , City of           , County of         , State of
, does hereby release and discharge the estate, administrator, executor and heirs of the decedent
from any and claims that [name of creditor] has or may have in the future against the estate of
[name of deceased], deceased.

Dated: _____________              _____________________
                          [Signature]
[Acknowledgement]

				
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posted:2/25/2011
language:English
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