For valuable consideration, the receipt of which is hereby acknowledged, _________________________________ (hereinafter referred to as the "Assignor"), located at _______________________________________________________________, does hereby transfer and assign to ___________________________________________________________________________________, located at ___________________________________________________________________________, his or her heirs, executors, administrators, and assigns, the following rights: __________________________________________________________________________________________

_________________________________________________________________________________________ in the copyrights in the works described as follows:

   Title   Registration              Nature of Work

Number

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

IN WITNESS WHEREOF, the Assignor has executed this instrument on the _____________ day of __________, 20____.

                                      Assignor_____________________________________________________