For good and valuable consideration received, the undersigned being the
holder of an actual, asserted or prospective claim against
______________________________________ arising from:
do hereby covenant that I/we shall not commence or maintain any suit thereon
against said party whether at law or in equity provided nothing in this
agreement constitutes a release of this or any other party thereto.
This covenant shall be binding upon, and inure to, the benefit of the parties,
their successors, assigns and executors, administrators, personal
representatives and heirs.
The undersigned affixes and seals this __________ day of
________________________, 20____.
__________________________________
[NAME]
Signed in the presence of:
Witness:
___________________________
[WITNESS'S NAME]
STATE OF _______________
COUNTY OF _____________
On _________________________before me,____________________________, personally
appeared _____________________________, personally known to me (or proved to me
on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed the instrument.
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