Release of Assignment of Wages
Whereas, on (date), (Name of Assignor), as Assignor, of (street address, city,
state, zip code), hereinafter called Assignor, executed a written assignment to (Name of
Assignee), of (street address, city, state, zip code), hereinafter called Assignee; and
Whereas, in said Assignment, Assignor assigned his wages of $____________,
earned in the employ of (name of employer), to secure an indebtedness described in
the Assignment; and
Whereas, on (date), said indebtedness was fully paid and satisfied;
Now, therefore, Assignor hereby agrees that said Assignment is by this
instrument released and discharged.
Witness my signature this the _______ day of ___________________, 20____.