Plaintiff Who is the Plaintiff? This is the party that was commonly owed damages. Do you know the Plaintiff's Address? Do you know the Plaintiff's Address? YesNo This helps to identify the plaintiff in this agreement. What is the Plaintiff's Address? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Defendant What is the Defendant's Name? Commonly the party that inflicted damages on the plaintiff. Do you know the Defendant's Address? Do you know the Defendant's Address? YesNo This helps to identify the defendant in this agreement. What is the Defendant's Address? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Dispute (description) Do you want to describe the Dispute? Do you want to describe the Dispute? Yes (recommended)No, I will at a later time. Describe the Dispute: Give a quick summary of the events describing the dispute. Settlement Amount ($) What is the Settlement to the dispute? What is the Settlement to the dispute? No Payment (mutual release)One-Time Payment ($)Other (e.g. severance payments) What is the Payment Amount? $ Within how many days (after signing this Agreement) is the payment due? Day(s) 30 days are commonly required for the Defendant to pay the Plaintiff. Describe how the Dispute will be settled: Additional Terms & Conditions Are there any Additional Terms or Conditions? Are there any Additional Terms or Conditions? YesNo If there are any other conditions to this Agreement, it should be entered here. Enter the Additional Terms or Conditions: Date Do you want to enter the Date of this Agreement? Do you want to enter the Date of this Agreement? Yes (recommended)No What is the Date of this Agreement? Commonly today's date. Next Save Save and finish later
