Final Pay Settlement Agreement

FINAL PAY SETTLEMENT AGREEMENT

Parties and Background

This Final Pay Settlement Agreement ("Agreement") is entered into by and between Employer Name: with principal address: , and Employee Name: , Employee Address: .

Employee held the position of in the department, reported to . Termination Date: .

Personal Information

Position and Final Compensation

Employee's last regular rate of pay was $ per hour / salary of $ (select applicable).

Employment History (most recent)

Education

References

Settlement Payment Details (Itemized)

Each amount below shall be subject to applicable tax withholdings and lawful deductions as described in Section "Tax Withholding and Deductions". The Employer agrees to pay the following in full and final settlement:

I acknowledge that applicable federal, state and local tax withholding and other lawful deductions will be applied to the amounts payable.

Releases and Consideration

In consideration of the payments and promises set forth in this Agreement, Employee, on behalf of Employee and Employee's heirs, representatives, and assigns, hereby irrevocably and unconditionally releases and forever discharges Employer, its parents, subsidiaries, affiliates, predecessors, successors, assigns, officers, directors, shareholders, employees and agents from any and all claims, demands, liabilities, causes of action, and damages of any nature, whether known or unknown, suspected or unsuspected, asserted or unasserted, arising from or related to Employee's employment or separation from employment through the Effective Date of this Agreement, including but not limited to claims under employment statutes, contract, tort, common law and equity.

Notwithstanding the foregoing, this release does not apply to claims that cannot be waived as a matter of law, including claims for vested benefits under any employee benefit plan, claims for unemployment compensation, or claims arising after the Effective Date of this Agreement.

Confidentiality and Non-Disparagement

Employee agrees to keep the terms, amount and existence of this Agreement confidential, except as required by law or to Employee's immediate family and tax or legal advisors who agree to keep such information confidential. Employee further agrees not to make any false or disparaging statements about Employer, its officers, directors, or employees. Employer agrees to instruct its officers and directors to refrain from making false or disparaging statements about Employee.

Return of Property and Cooperation

Employee represents that all Employer property in Employee's possession has been returned except as listed here:

Employee agrees to cooperate reasonably with Employer following execution of this Agreement to the extent necessary to effectuate the terms of this Agreement and to respond to reasonable inquiries relating to matters that arose during Employee's employment.

Tax Withholding and Deductions

Employer will withhold from the amounts payable under this Agreement all taxes and other deductions required by applicable law. Employee is responsible for any tax consequences associated with the payments, and Employee agrees to hold Employer harmless for Employer's legally required tax withholding and reporting.

No Admission of Liability

The parties acknowledge and agree that the payments and actions described in this Agreement are not an admission of liability or wrongdoing by Employer or any Released Party, and Employer expressly denies any liability.

Governing Law; Severability; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the state agreed by the parties. If any provision of this Agreement is held invalid, the remaining provisions shall continue in full force and effect. This Agreement contains the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements, understandings, negotiations and discussions, whether oral or written.

Acknowledgments and Certifications

Employee acknowledges that Employee has read this Agreement, understands its terms, has been given the opportunity to consult with an attorney or other advisor of Employee's choosing, and enters into this Agreement voluntarily and without coercion. Employee certifies that the information provided in this Agreement and any attachments is true and complete to the best of Employee's knowledge.

Applicant Certification: I certify that all information provided in this document is true and complete and understand that any material misrepresentation may be grounds for withholding of payments or revocation of the Agreement.

Authorization to contact previous employers and conduct background checks: Employee authorizes Employer to contact previous employers and references and to conduct necessary verification and background checks to the extent relevant to the obligations set forth in this Agreement.

Equal Opportunity and At-Will Employment Statement

Employer maintains an equal opportunity policy and does not discriminate on the basis of protected characteristics. Nothing in this Agreement modifies any at-will employment relationship unless expressly stated in writing and signed by an authorized representative of Employer.

Miscellaneous Provisions

Counterparts: This Agreement may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one instrument. Facsimile or electronic signatures shall be binding and treated as original signatures for all purposes.

Additional Notes

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