Fill and Sign the Copyright Published Book Form

Sale of Copyright to a Published Book Agreement made on the ________________ (date) , between ____________________ (Name of Author) of ___________________________________________________________ ___________________________ (street address, city, state, zip code) , referred to herein as Author , and _____________________ (Name of Publisher) , a corporation organized and existing under the laws of the state of ________________, with its principal office located at ____________________________________________________________________________ (street address, city, state, zip code) , referred to herein as Publisher . Whereas, Author is the author and absolute proprietor of the copyright of a book entitled ____________________________ (title of book) , hereinafter called the Book ; and Whereas, Publisher desires to purchase all rights to said Book; and Whereas, Author desires to sell all rights to said Book to Publisher pursuant to the terms of this Agreement; Now, therefore, for and in consideration of $______________, and the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: The undersigned Author does hereby sell, and assign to Publisher the Book, and the manuscript of the Book, and all Author’s right, title, and interest, property, claim, and demand of every kind and nature whatever, of, in, and to the same and in any and all copyrights, under and by virtue of any acts of Congress, with any and all profit, benefit, and advantage that shall or may arise by or from printing, publishing, or vending the same during the original term of any such copyright. Witness my signature this ____________________ (date) . _____________________________ (Printed Name of Author) _____________________________ (Signature of Author) (Acknowledgment form may vary by state) State of _____________________ County of ___________________ Personally appeared before me, the undersigned authority in and for the said County and State, on this _____________________ (date) , within my jurisdic tion, the within-named ________________________ (Name of Author) , who acknowledged that he executed the above and foregoing instrument. ________________________________ NOTARY PUBLIC My Commission Expires: ____________________