COPYRIGHT ASSIGNMENT AGREEMENT
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Effective Date: ________________________________________________________
Place: _________________________________________________________________

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1. Parties to the Agreement
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This Agreement is entered into on ____________________ (____________________) by and between:

Assignor
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

Assignee
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Work(s) Assigned: ______________________________________________________
Rights Assigned: _______________________________________________________
Territory: _____________________________________________________________
Payment: _______________________________________________________________

3. EXECUTION & SIGNATURES
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Assignor

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________

Assignee

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________