加拿大华人论坛 加拿大汽车交通事故后私了的 final settlement 样本 （专贴）
在加拿大
Settlement Disclosure Final SettlementCAR A:Year -Maker/Model - Serial (VIN) # - Plate Number:Driver Name: CAR B:Year - Maker/Model Serial (VIN) # - Plate Number: Driver Name: TIME OF ACCIDENT HAPPENED:LOCATION OF ACCIDENT HAPPENED:DISCRIPTION OF ACCIDENT HAPPENED:The driver B has paid1. ............ repair: $2. ............ repair: $3. ............ repair: $4. ............ repair: $5. Other Compensation: $ to driver A to make a final and permanent settlement of this accident. Driver A has received the above amount of money. And Driver A agrees to 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.Driver A: Signature: Date: Driver B: Signature: Date: Witness: Signature: Date: Final SettlementCAR A:Year -Maker/Model - Serial (VIN) # - Plate Number:Driver Name: (called driver A in this document)CAR B:Year - Maker/Model Serial (VIN) # - Plate Number: Driver Name: (called driver B in this document)In the afternoon of xx xx, 200X, car B hit the back of car A.（注：车祸描述，简短即可，不必一定写明谁的责任）The driver B has paid 1. Bumper repair（或者其它什么）: $2. Other Compensation: $ to driver A to make a final and permanent settlement of this accident. Driver A has received the above amount of money. And Driver A agrees to 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. Driver A: Signature Date: Driver B: Signature Date: Witness: Signature Date:
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