This release agreement made on [date] _____________________,
by [name of lessor] ____________________________________, of
[address] ____________________________________________,
City of ____________________,County of _____________ , State of _______ ,
herein referred to as "Lessor", and [name of lessee] __________________________,
of
[address] ___________________________________________,
City of ___________________ , County of _____________ , State of ________ ,
herein referred to as "Lessee".
On [date] ______________, a lease agreement was executed between lessor and lessee for the
premises located at [address] ,__________________________________
__________________________________________________________
a copy of which is attached hereto and made a part hereof.
[facts giving rise to this release]
The parties desire to settle all claims of lessor with respect to said lease and to
terminate all obligations of either party thereunder.
Therefore, in consideration of ($________ ) ______________________ Dollars,
from lessee, receipt of which is hereby acknowledged, lessor does hereby release lessee
from all obligations and duties of lessee set forth in the above referenced lease. and
lessor, for himself, his heirs, his legal representatives and his assigns also releases
lessee, his heirs, his legal representatives and his assigns from all claims, demands and
causes of action that lessor had, has or may have against lessee or against his heirs,
legal representatives or assigns in regard to said lease.
In consideration of the release set forth above, lessee hereby surrenders all rights in
and to the subject leased premises. That possession of said premises shall be delivered up
to lessor immediately upon the execution of this instrument, and that lessor is relieved
of any responsibilities or obligations under the aforementioned lease.
In witness whereof, the parties to this agreement have executed this instrument at
[place of execution] ____________________________________________
this _______ day of ________ , 199____ .
Witnesses
_____________________________ __________________________
(Seal)
_____________________________ __________________________
(Seal)
State of __________________ )
County of ________________ )
This day, before me, a Notary Public in said County, personally came ______________, and
_____________________, and acknowledged the signing of this document to be a voluntary
act.
IN WITNESS WHEREOF I have hereunto set my hand and official
seal.
My commission expires: __________________
___________________________
Notary Public