Whoever has hurt me or has done me any wrong.
Whether he did it deliberately or by accident.
Whether he did it by word or by deed.
May no one be punished on my account.
May I transgress no more,
That I do not revert to my old ways.
After that I do not do that which is wicked.
Let the wrongdoing that I have committed be wiped away.
But not through sickness or suffering.
May the words of my mouth,
And the prayers that are in my heart,
Be my inspirations for the coming year.
-Author Unknown

This reading is also found in JewBelong section:
Forgiveness
Yom Kippur