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GENERAL RELEASE
TO ALL TO WHOM THESE PRESENTS SHALL COME OR MAY CONCERN,
KNOW THAT, ____________________________, duly authorized to do business in
the State of New York, with offices located at
_____________________________________________________;
In consideration of the receipt of a ___________________, Vehicle Identification
Number _______________________ (the "Vehicle"), from the COUNTY OF SUFFOLK, as
RELEASEE;
____________________________, as RELEASOR, hereby release and discharge the
RELEASEE, RELEASEE'S agents, officers, employees, heirs, executors, administrators,
successors and assigns from all actions, causes of action, suits, debts, dues, sums of money,
accounts, reckonings, bonds, bills, contracts, controversies, agreements, promises, damages,
judgments, claims, and demands whatsoever, in law or equity, whether known or unknown,
which against the RELEASEE, the RELEASOR, RELEASOR'S heirs, executors, administrators,
successors and assigns ever had, now have or hereafter can, shall or may have, for, upon, or by
reason of any matter, cause or thing whatsoever from the beginning of the world to the day of the
date of this RELEASE, related to claims of any kind or any nature whatsoever which were
raised, or could have been raised, relating to the seizure and release of the vehicle, the condition
of the vehicle and the personal property contained therein by the RELEASEE, including but not
limited to any and all claims for personal attorneys' fees and any and all claims against any
personnel and/or official of the RELEASEE.
AGENCY NAME
AGENCY ADDRESS
YEAR and MAKE
VIN NUMBER
AGENCY NAME
AGENCY NAME
VIN NUMBER
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RELEASOR further represents and warrants that he/she has read this general release in
its entirety, understands all of its terms and their significance, has had the opportunity to consult
with his/her attorney and voluntarily assents to all the terms and conditions contained herein.
The disposition of this action and this GENERAL RELEASE are not evidence of nor an
admission of any wrongdoing whatsoever by the RELEASEE.
This RELEASE may not be changed orally.
In Witness Whereof, the RELEASOR caused this RELEASE to be executed on the ____
day of , 20___
____________________________
By: _________________________________
STATE OF _________________, COUNTY OF __________________: ss:
On this day of , 20___, before me, the undersigned,
______________________, personally appeared, personally known to me or proved to me on the
basis of satisfactory evidence to be the individual whose name is subscribed to the within
instrument and acknowledged to me that he/she executed the same in his/her capacity, and that
by his/her signature on the instrument, the individual, or the person upon behalf of which the
individual acted, executed the instrument.
______________________________
NOTARY PUBLIC
AGENCY NAME
AGENCY NAME
VIN NUMBER
AUTHORIZED AGENT NAME and
TITLE HERE; SIGN ABOVE LINE