[DATE, ex. Monday, March 31, 2008]

[NAME, COMPANY AND ADDRESS, ex.
Link Building
XYZ Inc.
1234 First Street
Suite 567
Anycity, Anystate  85245]

Dear [NAME, ex. Link Building],

The undersigned hereby releases any interest it may have in and to any insurance coverage or proceeds relating to the property located at [DESCRIPTION OF PROPERTY].

Sincerely,

[YOUR NAME, ex. Jill Jones]