SHORT-FORM COPYRIGHT ASSIGNMENT
Sample Form
[Note: This is an "All-Rights" transfer of copyright, i.e.,
assignor relinquishes all rights under copyright]
FOR GOOD AND VALUABLE CONSIDERATION, receipt of which is hereby acknowledged [name of assignor] ("Assignor"), located at [insert
address], hereby irrevocably transfers and assigns to [name of
assignee] ("Assignee), located at [insert address], its
successors and assigns, in perpetuity, all right (whether now known or
hereinafter invented), title, and interest, throughout the world, including
any copyrights and renewals or extensions thereto, in [title and short
description of work, including, if available copyright registration number].
IN WITNESS THEREOF, Assignor has duly executed this Agreement.
[Assignor's Name]
By:_______________________ By:__________________
[Authorized signature] [Witness//optional]
Title:____________________
[Assignor’ title, e.g., Pres., Old New Lompoc Co.)
Date: ____________________
NOTARIZATION [optional]
STATE OF [insert state] )
)SS.:
COUNTY OF [insert county] )
Before me this [insert date] personally appeared: [name of assignor],
to me known to be the person who is described in and who executed the
foregoing assignment instrument and acknowledged to me that [he/she] executed the same of [his/her] own free will for the purpose therein
expressed.
_____________________
Notary Public
(c) 1997 by Lloyd J. Jassin and Steven C. Schechter. Excerpted from The
Copyright Permission and Libel Handbook: A Step-by-Step Guide for
Writers, Editors and Publishers (John Wiley & Sons)
IMPORTANT NOTICE: This form is not to be used except under the
supervision of a qualified professional. This form does not constitute
legal advice. It is your responsibility to ensure the accuracy of this
form and compliance with local law.
Form XX
MINOR RELEASE CONSENT (IF APPLICABLE)
[Affix to Adult Model Release(s))
I hereby warrant that I am the parent or legal guardian of the above named
minor, and further warrant that I am of full age any have the legal authority
to execute the above release on behalf of said minor. I have read the
above release before signing it and I am fully familiar with its contents.
This release shall remain binding upon the minor and me, our successors,
assigns, legal representatives and heirs.
___________________ ____________________
Date Father // Mother // Guardian
___________________ ___________________
Minor's Full Name Address
___________________ ___________________
Minor's Address Witness [Optional]
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