 鲜花( 3)  鸡蛋( 0)
|
这里有一份
自己酌情改改就可以了。
5 G6 [. s% l6 Q. ?
+ U" Q! \* |7 p% L; M2 V) e5 [9 fSettlement Disclosure- {1 P! k! u! R
Final Settlement) D; {8 p. }% T0 A) K8 ]: f
3 @( T+ }$ ]. \) C! S9 w7 K# \
CAR A:- _8 W; B6 @9 ^9 n
Year -7 }% J1 i T$ y( a) c/ J
Maker/Model - N; N; v+ v$ V6 i9 o W
Serial (VIN) # -
3 |, _4 J$ |8 HPlate Number:
# a/ P! x; @. w3 T- T; lDriver Name: (called driver A in this document)
6 O% Q- z$ K l c; K1 p% Y [% S3 i, {
CAR B:
/ m6 }% _ B b2 D8 xYear -/ k& ^6 \; [: |* S* y( v9 Y
Maker/Model –6 P$ J( k: l" `; b. h( {: ^) Y
Serial (VIN) # -
0 h0 G$ f/ e. N @1 HPlate Number:0 p' }0 I! l8 Q( x0 `3 W% R! ?" ~+ _5 ^
Driver Name: (called driver B in this document)7 M$ L( e, z2 p
8 j. S# b- f2 f* PIn the afternoon of Nov. 7th, 2007, car B hit the back of car A.
* O: q0 z7 M h
0 s. T" m9 _8 o- V+ i$ M% WThe driver B has paid
, I7 X9 E3 @; @1. Bumper repair: $; g- r' z* e0 Q# s. W: T
2. Other Compensation: $
2 c. ^4 F2 t* V( `0 ~2 I+ J; {' E$ t+ h# D- x% C
driver A and driver B agree to make a final and permanent settlement of this accident. Driver A has received the above amount of money. And Driver A agrees with this final settlement and is forever giving up the right to claim any responsibility of driver B or to proceed to judicial review by a court, concerning any result of this accident for damage of car A or injury of anyone in it.0 a( P6 x% N- k) W
8 I5 e. Z5 M* T+ O. EDriver A:! D7 y" V/ C: |; f3 h
/ j4 F3 c' G sSignature Date:: t3 n8 |3 x7 p1 }2 D
$ s6 v, T. f& e7 n9 b: \' s+ q: x* x) {2 k) N% Z z
Driver B:
. v8 z% O9 X/ M2 @) c, c) x
- M- D, J$ G+ b% q: O: F XSignature Date:. ] d, o7 d: ~7 t3 ]9 K: q) f
: i. h! `% R: i; j- a. K* H
4 p b D2 N& b, n; ` iWitness:
: a1 }+ e5 `2 X) \: j
; v: F/ K2 d# T4 \3 O7 v: k/ wSignature Date: |
|
狗仔卡
发表于 2008-3-11 09:16
提升卡
置顶卡
沉默卡
喧嚣卡
变色卡
显身卡
楼主
