SOFTWARE SOURCE CODE LICENSE GRANT
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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:

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

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

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Software / Code Covered: _______________________________________________
Permitted Uses: ________________________________________________________
License Type (Exclusive / Non-Exclusive):
    ____________________________________________________________________
Territory & Term: ______________________________________________________
License Fee: ___________________________________________________________

3. EXECUTION & SIGNATURES
-------------------------

Licensor

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________

Licensee

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________