Form 450 General Release - Alaska

Form 450 is a Alaska Department of Administration form also known as the "General Release". The latest edition of the form was released in October 1, 2009 and is available for digital filing.

Download a PDF version of the Form 450 down below or find it on Alaska Department of Administration Forms website.

ADVERTISEMENT
STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
GENERAL RELEASE
I,
,
(Printed Name of Person Giving Release)
for valuable consideration received, the receipt of which is hereby acknowledged, do hereby release and
forever discharge
(Printed Name)
from all claims, causes of action and demands whatsoever I now have or hereafter may have on account of
damage, loss, or injury resulting from a motor vehicle crash which occurred on or about
at or near
, Alaska.
(City)
After printing the form, please check the information carefully and sign in
front of a notary or a DMV representative.
NOTARY OR DMV Representative REQUIRED:
(SEAL)
/
/
20
Signature of Person Giving Release
Date
Subscribed And Sworn To Before Me This
day of
,
20
Month
Year
Notary or Alaska DMV Representative (LOGIN & Office Location)
My Commission Expires
DMV USE ONLY:
SR#:
OLN:
DOA:
Alaska.gov/dmv
Form 450 (Rev. 10/2009)
STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
GENERAL RELEASE
I,
,
(Printed Name of Person Giving Release)
for valuable consideration received, the receipt of which is hereby acknowledged, do hereby release and
forever discharge
(Printed Name)
from all claims, causes of action and demands whatsoever I now have or hereafter may have on account of
damage, loss, or injury resulting from a motor vehicle crash which occurred on or about
at or near
, Alaska.
(City)
After printing the form, please check the information carefully and sign in
front of a notary or a DMV representative.
NOTARY OR DMV Representative REQUIRED:
(SEAL)
/
/
20
Signature of Person Giving Release
Date
Subscribed And Sworn To Before Me This
day of
,
20
Month
Year
Notary or Alaska DMV Representative (LOGIN & Office Location)
My Commission Expires
DMV USE ONLY:
SR#:
OLN:
DOA:
Alaska.gov/dmv
Form 450 (Rev. 10/2009)

Download Form 450 General Release - Alaska

643 times
Rate
4.3(4.3 / 5) 32 votes
ADVERTISEMENT