Writing the Affidavit of Copyright with Release (Non-Original) document
I, ("Original Author"), do hereby swear and attest that the following is true and accurate:
I reside at current address information here. I am the Original Author of the following list of works and materials (see complete copies attached as Exhibit B), which were created between period of time during which copyright was established, or when authorship took place for intent or reason for creation: publication, works for hire, resale. Brief history of the creation or lifecycle of the documents or original work. Any registrations, copyright dates, publication dates, or other supporting evidence if available.
Library of Congress copyright registration certificates will have a number such as: TX 5-939-0022. Copies of all registrations and publication dates have been attached as Exhibit B. Further, the following list of works, provided to Company by the Author, are not original works (i.e., they are "Non-Original Works"), or Author's claim to ownership cannot be verified and shall be identified as such. Copies of all Non-Original Works submitted to Company by Author have been attached as Exhibit E.
Nothing in the works and materials listed in Exhibit B contains any content that infringes or violates any intellectual property rights of any third party or author. Further, nothing contained within the work or materials or any part or operation of the materials will cause the use, reproduction, resale, or transfer of the rights to the materials to infringe upon the intellectual property rights of any third party. I hereby grant and quitclaim to Company Name the absolute and irrevocable right and unrestricted permission to use, re-use, display, distribute, transmit, publish, re-publish, copy, or otherwise exploit, in whole or in part, either digitally, in print, or in any other medium now or hereafter known, for any purpose whatsoever and without restriction, the materials listed in Exhibit B currently owned or created by me, or in which my labor is included; to alter the same without restriction; and to copyright the same.
I understand and agree that Company Name may or may not use my name in conjunction with the materials as Company Name so chooses. I hereby release and discharge Company Name and its agents, representatives, and assigns from any and all claims, obligations, or demands arising out of or in connection with the use of the materials listed in Exhibit B, whether monetary or otherwise.