[Date]
[Address]
FOR VALUE RECEIVED, the undersigned hereby sells,
transfers and assigns unto [Name], its successors, assigns and
personal representatives, all right, title and interest in and
to the following described copyright: [Describe]
The certificate of copyright is attached. The undersigned
warrants good title to said copyright, that it is free of all
liens, encumbrances or any known claims against said copyright.
Signed under seal this [date] day of [month, year].
________________________________________
(clearly print name after signature)
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