Fill and Sign the Release Obligation Form

_________ JUDICIAL DISTRICT COURT IN AND FOR THE PARISH OF _________ STATE OF LOUISIANA _______________ VS. _______________ RELEASE IN FULL BEFORE ME, the undersigned authority, a Notary Public in and for the aforesaid Parish and State, personally came and appeared _______________ , who, after being duly sworn, declared: That for the consideration of _______________ AND ___ /100 ($ _________ ) DOLLARS, the receipt and sufficiency whereof is hereby acknowledged, the undersigned hereby releases and forever discharges _______________ , his heirs, executors, administrators, agents and assigns, and all other persons, firms or corporations. Undersigned hereby declares that the terms of this settlement have been completely read and are fully understood and voluntarily accepted for the purpose of making a full and final compromise adjustment and settlement of any and all claims, disputed or otherwise, specifically in regards to any claim for past-due child support, and for the express purpose of precluding forever any further or additional claim regarding the community property that formerly existed between the parties. Undersigned hereby accepts check or checks/draft or drafts as final payment of the consideration set forth above. IN WITNESS WHEREOF, _______________ has hereunto set her hand and signed on this _____ day of _________ 20 ___ , in the presence of the undersigned competent witnesses. WITNESSES: ____________________________ _____________________________ _______________ ____________________________ ___________________________ NOTARY PUBLIC