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WAIVER Release and Quitclaim Vehicular Accident
WAIVER Release and Quitclaim Vehicular Accident
I/We further warrant that I/we will institute no further action against
the said _____________ and/or his driver _____________ arising
from, by reason of, or in connection with, the aforementioned
vehicular accident. I/We also manifest that the said payment /
settlement made by the said _____________ shall not be taken by us,
our heirs, our insurer or assigns, as a confession and/or admission of
liability on the part of the said _____________ or by his driver
_____________ in connection with the aforementioned accident.
AFFIANT AFFIANT
__________________ __________________
(ACKNOWLEDGMENT)