BE IT KNOWN, that ______________________________________
________________________________________, (hereafter referred to
as the "First Party"), for and in consideration of the sum of
___________________________________________ ($ _______________ )
Dollars, or other valuable consideration received from or on
behalf of ______________________________________________________
________________________, (hereafter referred to as the "Second
Party"), the receipt of which is hereby acknowledged, do(es)
hereby remise, release, acquit, satisfy, and forever discharge
the said Second Party, of and from all manner of action(s),
cause(s) of action, suits,debts, sums of money, accounts,
reckonings, bonds, bills, specialties, covenants, contracts,
controversies, agreements, promises, variances, trespasses,
damages, judgments, executions, claims and demands whatsoever,
in law or in equity, which said First Party ever had, now has,
or which any personal representative, successor, heir or assign
of said First Party, hereafter can, shall or may have, against
said Second Party, by reason of any matter, cause or thing
whatsoever,from the beginning of time to the date of this

	IN WITNESS WHEREOF, the said First Party has hereunto
set his/her hand and seal this ________ day of ________________,

Signed, sealed and delivered
in the presence of:

____________________________       _____________________________

____________________________       ____________________________

State of _____________ )
                       ) ss.
County of ____________ )

     The foregoing instrument was acknowledged by me this ______ 
day of _____________, 19 ____ by:_______________________________
who is/are personally known by me or who has/have produced:_____
______________________ as identification and who did not take an 

                         ________________________________ (SEAL)
                         Notary Public 
                         State of
My Commission Expires:

This instrument was prepared by: