Partial Death Payment of $15,000.00 and Release AgreementRelease Agreement • November 30th, 2022
Upon the death of the Hebret Mutual Aid Society member mentioned above on , I/We the undersigned, representative(s) of the deceased, were unable to get the original death certificate to receive the full and final payment the Society gives for expenses as stated in the Bylaw, hereby confirm receipt of the remaining $15,000 upon submission of the original death certificate. I/We acknowledge and agree that The Society is not responsible for arrangements other than paying out the money and will not be held liable for any issue/problem that arises in the future due to the improper disbursement of the funds. In addition, I/we confirm that I/we have given permission to HMAS to post a photograph and an obituary on The Society’s website I/we hereby declare that I/we have fully read and understood this Death Payment & Release Agreement and voluntarily signed here below.
