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Mutual Release (Type 1)

Dated: __________

For non-monetary compensation received in the form of: __________ , the parties to this contract, _____________ and ____________, who have affixed their signatures below, do agree to mutually, consensually, cooperatively, and reciprocally release, unencumber, and discharge one another, as well as their heirs and assigns, of and from any and all claims, debts, and demands made one to the other incurred by or on any date previous to and including the date of this contract.

____________________________

By: ________________________

_____________________________

_____________________________

Witness

Seal