 鲜花( 3)  鸡蛋( 0)
|
这里有一份
自己酌情改改就可以了。 ?7 I* P# C% A* B
5 m" K3 f- d' P4 m4 B% W
Settlement Disclosure
% n, a, \ ^! gFinal Settlement
8 B$ V- T) R, z P9 c. a
- z7 e/ V" S/ k0 W2 y' m8 g$ NCAR A:* \0 Z# ^; q& Q+ r$ D' o
Year -
- I4 Q1 b/ W/ s) X+ wMaker/Model -2 N0 p7 B! L2 [
Serial (VIN) # -
1 N) M: s1 m0 G' i- E- QPlate Number:( K, d" l( S4 M, T- k
Driver Name: (called driver A in this document)* @! Q6 f! B; w) l; `* E7 x) B
6 C! @0 m/ Z1 [0 ?4 ]0 rCAR B:6 S0 @$ G* h$ M
Year -1 X. p0 M3 z; m, [
Maker/Model –, s: F0 c( |- J! s9 R
Serial (VIN) # -
; X1 b4 ~% | E; B* QPlate Number:
l2 n" U, \$ |& o7 hDriver Name: (called driver B in this document). ~6 M! T6 v, d n* q) r& \
$ {2 y* T# t+ U1 Y' R
In the afternoon of Nov. 7th, 2007, car B hit the back of car A.
' G# Q, M" Y; h' a5 Y
9 s- C* E( y o& e2 u0 JThe driver B has paid
/ c7 O" F3 w% T& P5 M! y2 `8 o1. Bumper repair: $; A) v' ~+ I, R0 C" {
2. Other Compensation: $
9 ^1 O5 ?/ c# a( F) L. x% Z6 E* w$ K$ m
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.) P/ ?* S7 ~2 g! T! I6 L# I* }8 A
0 O/ O8 a0 U: n& A& {; |1 v& {Driver A:
4 F5 U( }: K N8 M6 {
l# r$ ^! B! [9 cSignature Date:
; Y' @7 p. a! J% j$ t# @* r4 Q1 d9 S# ?
. }& n% D4 P( p; a. x9 F
Driver B:
- r$ u$ R! g2 N8 U, o6 g
- V7 h$ h' L* {; Y3 V3 K- l8 rSignature Date:
; i/ l3 {% S1 N$ m! f& o9 m5 A4 Q: i7 g3 J) j' i9 }% D
9 ~! J! ?( {5 `Witness:
" k$ u# ^* G U
& U: P9 r$ e YSignature 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
