RELEASE OF CLAIMS
In consideration of the sum of [amount] Dollars,
($ ), the receipt of which is hereby acknowledged,
[name of creditor] of [address] , City of ,
County of , State of , does hereby
release and discharge the estate, administrator, executor
and heirs of the decedent from any and claims that [name of
creditor] has or may have in the future against the estate
of [name of deceased], deceased.
Dated: _____________ _____________________
[Signature]
[Acknowledgement]