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Specific Release
SPECIFIC RELEASE
FOR ONE DOLLAR AND OTHER GOOD AND VALUABLE CONSIDERATION,
the undersigned hereby releases, forgives and forever discharges
_______________________ ; its successors, assigns and
personal representatives from any and all claims or liabilities
arising from:
Provided however that this release applies only to the
foregoing, and no other debt, obligation, agreement or liability
by and between the parties, any of which, if existing, shall
survive this release.
Dated:
______________________________
Form 620
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