GENERAL RELEASE
BE IT KNOWN, that CLAIMANT, in consideration of the sum of valuable
consideration received from tax deed file from and on behalf of
, Clerk of Court/Comptroller, the receipt of which is acknowledged,
does hereby remise, release, acquit, satisfy, and forever discharge the Clerk of Court/Comptroller, from all
manner of actions, causes of action, suits, debts, covenants, contracts, controversies, agreements, promises,
claims and demands whatsoever, which said CLAIMANT, ever had, now has, or which any, successor, heir or
assign of said CLAIMANT, hereafter can, shall or may have, against said , Clerk
of Court/Comptroller, by reason of any matter, cause or thing whatsoever, from the beginning of time to the
date of this instrument.
IN WITNESS WHEREOF, the said CLAIMANT, through its authorized representative has set hand and seal to
this release on , 20 .
CLAIMANT:
___________________________________
Signature Witness Signature
Printed Name
___________________________________
Title Witness Signature
Printed Name
STATE OF _________
__________COUNTY
The foregoing instrument was acknowledged before me on _____________________, 20_____, by
_______________________________________, who is personally known to me or has produced
___________________________________ as identification.
_____________________________
NOTARY PUBLIC at LARGE
