 鲜花( 3)  鸡蛋( 0)
|
这里有一份
自己酌情改改就可以了。2 ?$ X4 V/ s0 D9 k$ |+ V. V
3 W5 m6 g0 X& dSettlement Disclosure
# D- O) _3 X) M9 HFinal Settlement
# N+ b9 K/ d8 Q, L9 |1 h- M2 {, @4 i0 m
CAR A:% T _3 A9 H% [( O7 A. F; H
Year -
$ b2 D1 D% ?' E' j& f! sMaker/Model -" K4 D5 x5 j+ v% {
Serial (VIN) # -+ G5 Y, }7 _2 s) k: z
Plate Number:
- p& y+ L! \+ X3 _Driver Name: (called driver A in this document)$ p% B! W" m+ l: @: A
. Q2 A7 g; {1 c- \* a; J* p& r
CAR B:& k. r% q" Y$ x! ~3 Q, h" W
Year -
8 O! g: f2 w$ |/ PMaker/Model –
" V; }' t$ T( p. NSerial (VIN) # - N! Y& D8 C' |6 T6 \! [1 o
Plate Number:% z6 M9 I" z2 O9 |7 Y& H! j7 D
Driver Name: (called driver B in this document)
2 a0 a: c; G! ~' I+ `& P! X/ N6 h
4 K5 B/ w$ C+ a8 KIn the afternoon of Nov. 7th, 2007, car B hit the back of car A.
! o% o; o, A9 l- Z
5 y; F! S! E' ? z" ~The driver B has paid3 h; V# O5 {% a8 r% b( \$ y. B7 E
1. Bumper repair: $
2 y& y9 o; h1 |) \9 x2. Other Compensation: $
" z$ S, Y1 l I# D! [
, s7 i- W7 g6 sdriver 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.& X- i+ K0 g& X' F! d0 n( g' n7 j
- ]/ u( `' G, @4 w( \ L
Driver A:
2 B% k* c( i! v
& a3 O# f" g* L9 qSignature Date:
* p$ U5 |( P( O" k2 s6 a
7 s1 i$ x, U5 m- I% x7 | q7 d9 [; u* U4 O) K6 ]; I1 @- Z% A0 `
Driver B:
9 N7 s- d" J3 Q X% Q5 z
! j) A r6 O2 u$ g H- H( U& aSignature Date:
1 o5 d; u! `/ @7 F5 F- Z {6 i) o' [0 P+ I; x
: L% X, S: _9 Z9 B% `, r
Witness:
% g1 O5 ?% Z1 `1 H' F2 D& ~. C
1 _/ O- X9 F; uSignature 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
