Release by Creditor Accepting Settlement

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This Release by Creditor Accepting Settlement is between a debtor and a creditor who agrees to accept a certain amount as full and final payment of a debt. This form can easily be tailored to fit your needs.

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This Release by Creditor Accepting Settlement is between a debtor and a creditor who agrees to accept a certain amount in settlement of all indebtedness. This release sets out the names of the debtor and the creditor and the amount which will be paid to the creditor (the settlement amount). It also sets forth that the creditor (also known as the releasor) forever discharges the debtor (also known as the releasee) from any future payments or obligations. A Release by Creditor Accepting Settlement will prove useful in the event there are future questions or concerns regarding the settlement of this debt.

This Release by Creditor Accepting Settlement includes:
  • Parties: Names of the releasor and releasee;
  • Payment: Sets forth the amount of payment to the creditor;
  • Settlement: Sets forth that the payment represents full and final settlement for all indebtedness;
  • Signatures: The creditor must sign and date this release in the presence of a witness.

Protect yourself and your rights by using our attorney-prepared forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Release by Creditor Accepting Settlement
State Law Compliance: This form complies with the laws of all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Release by Creditor

 

 
 
TO:
 
Name of Person Being Released from Obligation (the "Releasee”)
SETTLEMENT AMOUNT:
 
$Amount of Payment to Creditor (the “Settlement Amount”)
FROM:
 
Name of Creditor (the “Releasor”)
 
In consideration of the payment of the Settlement Amount by the Releasee to the Releasor and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, the Releasor hereby agrees as follows:
 
1.   That the Settlement Amount represents payment in full satisfaction of all indebtedness, liabilities and obligations of the Releasee to the Releasor; and
 
2.   That the Releasor hereby releases and forever discharges the Releasee and its, employees, officers, directors, successors and assigns of and from all actions, causes of action, damages, claims and demands whatsoever, which the Releasor had, now has or which the Releasor hereafter can, shall or may have for any reason whatsoever, including but not limited to all actions, causes of action, damages, claims and demands arising out of any indebtedness, liabilities or obligations owing by the Releasee to the Releasor.
 
3.   This Release shall enure to the benefit of the Releasee and its employees, officers, directors, successors and assigns, and shall be binding upon the Releasor and its heirs, executors, administrators, successors and assigns.
 
 
 
 
 
 
Date
 
Name of Creditor
 
 
 
 
 
Witness
 
Signature of Creditor
 
 
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#28672
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Release by Creditor

 

 
 
TO:
 
Name of Person Being Released from Obligation (the "Releasee”)
SETTLEMENT AMOUNT:
 
$Amount of Payment to Creditor (the “Settlement Amount”)
FROM:
 
Name of Creditor (the “Releasor”)
 
In consideration of the payment of the Settlement Amount by the Releasee to the Releasor and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, the Releasor hereby agrees as follows:
 
1.   That the Settlement Amount represents payment in full satisfaction of all indebtedness, liabilities and obligations of the Releasee to the Releasor; and
 
2.   That the Releasor hereby releases and forever discharges the Releasee and its, employees, officers, directors, successors and assigns of and from all actions, causes of action, damages, claims and demands whatsoever, which the Releasor had, now has or which the Releasor hereafter can, shall or may have for any reason whatsoever, including but not limited to all actions, causes of action, damages, claims and demands arising out of any indebtedness, liabilities or obligations owing by the Releasee to the Releasor.
 
3.   This Release shall enure to the benefit of the Releasee and its employees, officers, directors, successors and assigns, and shall be binding upon the Releasor and its heirs, executors, administrators, successors and assigns.
 
 
 
 
 
 
Date
 
Name of Creditor
 
 
 
 
 
Witness
 
Signature of Creditor
 
 

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