DEBT SETTLEMENT & MUTUAL RELEASE AGREEMENT
================================================================

Effective Date: ________________________________________________________
Place: _________________________________________________________________

================================================================

1. Parties to the Agreement
---------------------------

This Agreement is entered into on ____________________ (____________________) by and between:

Lender / Creditor
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

Borrower / Debtor
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
-------------------------------------------

Original Debt Amount: __________________________________________________
Settlement Amount: _____________________________________________________
Payment Deadline / Schedule: ___________________________________________
Claims Released: _______________________________________________________

3. EXECUTION & SIGNATURES
-------------------------

Lender / Creditor

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________

Borrower / Debtor

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________