Title

Registration Number

Date of Registration

[title]

[number]

[date]

WHEREAS, [name of assignee], a corporation organized and existing under the laws of the State of [state], having its principal office at [address] (Assignee) is desirous of acquiring all right, title, and interest in and to the Copyright and the registration thereof;

NOW THEREFORE, in consideration of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Assignor does hereby sell, assign, and transfer to Assignee, its successors and assigns, all of its right, title, and interest in and to the Copyright and the above identified registration thereof, and together with all rights of action and claims for damages and benefits arising because of past infringement of the Copyright.

IN WITNESS WHEREOF, [name of assignor] has caused this instrument to be signed by a duly authorized corporate officer and its corporate seal affixed on this [date].

[Corporate Seal]

[name of assignor]

By: [signature]

[title]

[Acknowledgement