Statement of Attorney, Releasor




I, ___________________________________ (name), Attorney at Law, with a law office at _____________________________________________________(address), declare that I am the attorney for _____________________________________ (name), releasor in the above release, that I have explained to my client all the terms of the release, and that my client has represented to me that he fully understands all the terms and their significance. _______________________________ (name), my client, has signed the release on my advice.

_____________________________________ _______________________

Signature Date




These forms are provided AS IS. They may not be any good. Even if they are good in one jurisdiction, they may not work in another. And the facts of your situation may make these forms inappropriate for you. They are for informational purposes only, and you should consult an attorney before using them.

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