Fill and Sign the Liability Regarding Form

Release and Waiver of Liability Regarding Repair Work in Home Release executed on __________ (date) , by ________________________ (name) of _______________________ (street address, city, county, state, zip code) herein referred to as Releasor, in favor of ______________________ (name) of ________________________ (street address, city, county, state, zip code) herein referred to as Releasee. Whereas, Releasee operates a general home and equipment repair service; and Whereas, due to the nature of the work performed by Releasee, unintentional minor damages sometimes occur to the home and/or furnishing of the home such as grease marks, scratches, cuts, minor dings and dents to walls; and Whereas, Releasee desires to be released from any such minor damages; Now, therefore, for and in consideration of making such necessary repairs requested by homeowner, and other good a valuable consideration, receipt and sufficiency of which is hereby acknowledged, Releasor, for himself his spouse, legal representatives, heirs and assigns, hereby releases, waives and discharges Releasee, his employees, officers, agents, owners and/or assigns and each of them, herein jointly and severally referred to as Releasees, from all liability to the Releasor, his spouse, legal representatives, heirs and assigns, for any and all loss or damage, and any claim or damages resulting therefrom, on account of minor damages to Releasor = s home and/or furniture, including, but not limited to, grease marks, scratches, cuts, minor dings and dents to walls in connection with Releasor’s making the requested repairs. Releasor and Releasee expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of______________, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned Releasee hereby releases Releasor from any damages or injury, including death, that may occur while Releasee is working, or as a result of Releasee’s working, on or around the home of Releasor. In witness whereof, Releasor and Releasee have executed this Release as of the day and date first above named. ______________________________ _____________________________ RELEASOR RELEASEE