 鲜花( 3)  鸡蛋( 0)
|
这里有一份
自己酌情改改就可以了。
" i N# X; X* }7 z7 N; ?, o
3 X( m; {; v4 t G! gSettlement Disclosure
! l' E3 b! ]0 w# {Final Settlement
o. y( A |: P) [% E- _( |9 O8 N# G @3 K. {+ x" p
CAR A:
: [1 Q, F. I( J" s; F! ~Year -- W9 \8 P$ v0 w
Maker/Model -
1 I |4 h3 a; S$ g7 `Serial (VIN) # -' G* p1 |6 q n2 R2 R
Plate Number:
4 t5 D4 L" {: G4 O- w" ^$ [Driver Name: (called driver A in this document)3 \( U' F8 N9 W7 `- T' t
0 r# J6 P. N6 \ s3 \7 M; R! C5 ?CAR B:+ A5 h4 u7 n+ x ^
Year -
9 _5 \, }' Y0 {: r% a9 r' vMaker/Model –; q* N2 B7 T+ `6 I. [( S" R
Serial (VIN) # -! A* z9 Z! d6 X2 ~3 W
Plate Number:) k( m1 D! E, G2 Y- P+ x
Driver Name: (called driver B in this document)! q) g' s( l- ~" ]0 ]
7 d! a1 {& g# [6 m8 {% A- g7 Y( yIn the afternoon of Nov. 7th, 2007, car B hit the back of car A.4 H3 w( B& i0 j7 ?
e' z/ c- x+ B: tThe driver B has paid& T7 x- h( Z: h+ n0 F/ s" `; r" W# I; M
1. Bumper repair: $/ } ^$ m( {+ r! x8 I/ U
2. Other Compensation: $
6 ~: w8 _/ @9 k$ p) a) H3 Z# A% \! L
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.
/ \$ V J) p D/ B1 u6 l
* k9 `( ]0 n6 P+ i+ k# e+ z: Z X1 {$ xDriver A:, F( v7 w) x& W+ V' j
/ V) q& ^0 I4 b& @6 n4 C- U OSignature Date:1 I, S% G9 j0 ^- k W `
$ O/ B7 j" e* z9 f. J0 J
$ e8 h1 }; v" |! v& E) k
Driver B:
" B1 j! j6 p O4 c% K: {
! O- Q3 P" t1 L- T" h% `& F/ rSignature Date:9 h9 ]* T2 }- H
# v$ P8 p- p1 m Y% {
4 y3 n. Z# k. |6 yWitness:
; K! x4 B1 Q$ B* T6 i
/ f3 y& c& _# J* v: jSignature Date: |
|
狗仔卡
发表于 2008-3-11 09:16
提升卡
置顶卡
沉默卡
喧嚣卡
变色卡
显身卡
楼主
