 鲜花( 3)  鸡蛋( 0)
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这里有一份
自己酌情改改就可以了。& `: C2 q* K7 G" N$ ^: v# s
3 ^0 \& ~; T+ MSettlement Disclosure: _! _: r2 R- x/ [$ K3 V$ P
Final Settlement) X2 ~5 x, x: v( c1 G8 M6 ~# Z
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CAR A:
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Maker/Model -7 ~- q$ B8 ~' W+ C0 \5 {+ f
Serial (VIN) # -
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: ?4 t* b/ Z8 J' F$ CDriver Name: (called driver A in this document)1 P0 q0 E& P% w5 ]( |6 D, ?
! P4 y5 Z1 \% I- A) Q: B6 }CAR B:% M/ V& I2 v" f8 t; r, P- n, u$ l9 ]
Year -9 {9 }! c. A, m/ E0 @. f
Maker/Model –- N9 O9 K+ {* N8 k4 D( g3 V
Serial (VIN) # -
1 k: ~; @ z+ k4 k0 qPlate Number: l" w6 m' p+ a& E
Driver Name: (called driver B in this document)
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6 H/ Z1 O7 |6 H3 W- `" a; [0 PIn the afternoon of Nov. 7th, 2007, car B hit the back of car A.; l, ~3 t! B+ }9 |( L6 U8 D: ?
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The driver B has paid" j5 p* F0 C: }& d% Y* q: g
1. Bumper repair: $
( q- H/ ? G! W% B! e8 Z, R5 m2. Other Compensation: $
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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., l, m" w% ]1 E( O& k6 `" r
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Driver A:
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Signature Date:
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* U a! O3 ^( b& h0 X D8 ^Driver B:: k9 L A, U+ ^$ F( f; ?- z( @
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Signature Date:
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Witness:1 X3 |2 x# o. \ P
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Signature Date: |
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