Release Affidavit

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Date: _______________________

Issuing Authority Name: ________________________________________________

_______________________________, ) Case No.: _________________________

Plaintiff, )
"I just want to quit." (plaintiff’s reasoning)
vs. )
_______________________________________
U.S. Government, Associated entities, National )
Plaintiff Signature
Business Chamber of Commerce and Employers ) _______________________________________
Witness #1
1 Management Council (Defendant) )
_______________________________________
2 ) Witness #2
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7 I, (print name)________________________________; hereby agree to forfeiture of any stated
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9 claims on and/or for ANY U. S. Government funding, including but not limited to: Workforce
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11 Investment Act, Food Stamps, Pell Grants, Welfare, Medicaid, Social Security, Social
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14 Services).
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16 I also understand that I will not be eligible for enlistment into the Armed Forces, U. S. Post
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18 Office employment or any other employment with a federal, state, city agency or any recipient
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20 of Federal grants and/or funding.
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I also agree to be apart of the 75% of incarcerated adults in the America prison system who
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25 also chose to quit.
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27 I also forfeit the national average of $10,000 extra yearly income for a lifetime due to not
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obtaining high school diploma/GED. I agree to settle for low wages and even being denied jobs

due to my decision.

I accept the reality that my opportunities for advancement and having a life of self-

sufficiency are greatly diminished. Therefore, I will not be bitter or resentful towards

others who commit to staying with their education plans. I will gladly serve them in the fast

food drive-thru for the next 20 years.

Dated this [Date]

________________________________
Notary Public Signature
[Attorneys' names]

[Summary of pleading] - 1