ASSIGNMENT OF COPYRIGHT

KNOW ALL MEN BY THESE PRESENTS, the undersigned assignor,

Name:
Address:

Telephone:

for and in consideration of the sum of ___________ ($X.00) and other valuable consideration,
receipt of which is hereby acknowledged, does hereby assign, transfer and set over to the
assignee,

Name:
Address:
Telephone:

it's successors and assigns forever, all of its rights , title and interest in and to the musical
composition now entitled:

written and composed by _____________________________ together with any and all

assignor's existing copyrights therein throughout the United States and the world, and any and all
assignor's rights of every kind, nature or description attaching to or which may attach to said
musical composition and/or embraces or included in the copyright thereof in the United States
and entire world, which said composition the undersigned was originally assigned on
_____________, 20__, and was registered with the Copyright Office of the United States of
America on _________________________, under Copyright Entry, Class E, Copyright Number
________________. The form U registration is registered on ___________________ in Volume
_________________, page __________.

IN WITNESS WHEREOF, the undersigned has executed the foregoing instrument on this
_____________ day of ________________ 20__.

ASSIGNEE: By: _________________________

WITNESS: By: _________________________

Name ___________________________
Address___________________________
___________________________