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    Waiver Release and Quitclaim - Vehicular Accident (Sample)

    Uploaded by

    Bey Villanueva
    This document is a release, waiver and quitclaim regarding a vehicular accident. [1] The individual declares that in exchange for monetary compensation from another individual, they release and discharge that individual and their driver from any liability or claims related to damage caused to their vehicle in an accident on a specific date. [2] They also agree to not take any further legal action against the individual or driver related to the accident. [3] The payment is not an admission of liability by the individual or driver regarding the accident.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Waiver Release and Quitclaim - Vehicular Accident (Sample)

    Uploaded by

    Bey Villanueva
    7K views2 pages
    This document is a release, waiver and quitclaim regarding a vehicular accident. [1] The individual declares that in exchange for monetary compensation from another individual, they release and discharge that individual and their driver from any liability or claims related to damage caused to their vehicle in an accident on a specific date. [2] They also agree to not take any further legal action against the individual or driver related to the accident. [3] The payment is not an admission of liability by the individual or driver regarding the accident.

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    WAIVER RELEASE AND QUITCLAIM - VEHICULAR ACCIDENT (SAMPLE).docx

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    © © All Rights Reserved

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    This document is a release, waiver and quitclaim regarding a vehicular accident. [1] The individual declares that in exchange for monetary compensation from another individual, they release and discharge that individual and their driver from any liability or claims related to damage caused to their vehicle in an accident on a specific date. [2] They also agree to not take any further legal action against the individual or driver related to the accident. [3] The payment is not an admission of liability by the individual or driver regarding the accident.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7K views2 pages

    Waiver Release and Quitclaim - Vehicular Accident (Sample)

    Uploaded by

    Bey Villanueva
    This document is a release, waiver and quitclaim regarding a vehicular accident. [1] The individual declares that in exchange for monetary compensation from another individual, they release and discharge that individual and their driver from any liability or claims related to damage caused to their vehicle in an accident on a specific date. [2] They also agree to not take any further legal action against the individual or driver related to the accident. [3] The payment is not an admission of liability by the individual or driver regarding the accident.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    RELEASE, WAIVER AND QUITCLAIM

    KNOW ALL MEN BY THESE PRESENTS:

    I, __________________________, Filipino, of legal age and a


    resident of _____________, hereby DECLARE AND MANIFEST:

    That for and in consideration of the amount of _____________


    (P_____________) in cash, in hand received to my full and complete
    satisfaction, and the payment and settlement by _____________ of the
    expenses incurred by the _____________ for the damage to my motor
    vehicle, I hereby absolutely release, completely clear, and forever
    discharge the said _____________ and his driver _____________ from
    any action, cause of action, sum of money, liability, damages, claims
    and demands whatsoever, which in law or in equity I have, or which
    my heirs, insurer, successors and assigns hereafter may have upon or
    by reason of the damage sustained by my motor vehicle with Plate
    No. ______________ arising from the accident which happened on
    _____________ at _____________ involving our said _____________
    registered in the name of the undersigned _____________ and the
    _____________ motor vehicle with Plate No. _____________ owned by
    the said _____________ with the intention to completely and
    absolutely waive all my right of action, causes of action, claims and
    demands, of whatever nature, arising from, or in connection with the
    aforementioned accident.

    I further warrant that I 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 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.

    IN WITNESS WHEREOF, I have hereunto set my hand this


    _____________ at _____________, Philippines.

    AFFIANT
    SIGNED IN THE PRESENCE OF:

    __________________ __________________

    (ACKNOWLEDGMENT)

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