Release of Interest in Insurance Policy

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This Release of Interest in Insurance Policy will effectively release a party as an insured under a policy. This release is normally for use at the end of a lease in which the property owner has been named as an insured party.

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This Release of Interest in Insurance Policy will release an insured from an insurance policy. This type of release is normally signed at the end of a lease period in which a property owner had been listed on a renter's or tenant's insurance policy. It is important that this release be set out in writing. A written Release of Insurance Interest will prove invaluable in the event there are disagreements or misunderstandings as to the insured parties under an insurance policy.

This Release of Insurance Interest contains the following:
  • Owner/Address: Name of the property owner and address of the insured premises;
  • Release Request: Sets out the authorization to instruct the insurance company to remove a party from an insurance policy;
  • Signatures: This agreement must be signed in the presence of a witness.

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

This attorney-prepared packet contains:
  1. General Instructions
  2. Release of Interest in Insurance Policy
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 of Interest in Insurance Policy
 

 

 
 
TO:   Name of Property Owner
 
RE:   Address of Premises (the "Property")
 
 
The undersigned hereby releases any and all right, title and interest it may have in any insurance policy and any proceeds thereof relating to the Property.
 
You are hereby authorized to notify and instruct your insurers to remove our name from any such policy(ies).
 
 
Dated Date of Release.
 
 
 
 
 
 
Witness
 
Name of Party Releasing Interest
 
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#29004
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 of Interest in Insurance Policy
 

 

 
 
TO:   Name of Property Owner
 
RE:   Address of Premises (the "Property")
 
 
The undersigned hereby releases any and all right, title and interest it may have in any insurance policy and any proceeds thereof relating to the Property.
 
You are hereby authorized to notify and instruct your insurers to remove our name from any such policy(ies).
 
 
Dated Date of Release.
 
 
 
 
 
 
Witness
 
Name of Party Releasing Interest
 

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Excellent document that satisfied my needs, especially as I could edit it for my particular need.


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