RECEIPT OR RELEASE OF PERSONAL PROPERTY
I, __________________ (name of guest), hereby
acknowledge the receipt of all of my personal property from _________________
(hotel or motel), which were held for one of two reasons:
1. Nonpayment
of account at _________________ (hotel
or motel); or
2. Held
for storage.
Furthermore, I release ________________ (hotel or
motel) from any claim for damage or loss of any kind.
Signature of
guest: __________________________________
Signature of witness:
_________________________________
Date: _____________________________________________