Model Film Agreement Contract


Exhibit C: Publisher’s Release

For good and valuable consideration, receipt of which is hereby acknowledged, the undersigned, ________________, hereby acknowledges and agrees, for the express benefit of___________ and her heirs, representatives, successors and assigns forever, that the undersigned has no claim to or interest in the worldwide motion picture rights (silent, sound, talking), television rights, radio broadcasting rights or any other rights of any other kind other than publication rights heretofore granted to the undersigned, in or to that certain literary work published by the undersigned and described as follows:


Written By:      

Date and Place of Publication:

Copyright Registration:

The undersigned hereby consents to the publication and copyright by and/or in the name of said author, his, her or its heirs, representatives, successors and assigns forever, in any and all languages, in any and all countries of the world, and in any form or media, of synopses, abridged versions, serializations and/or novelizations, not exceeding seven thousand five hundred (7,500) words in length each, of the said literary work and/or any motion picture, television, or other version thereof based in whole or in part upon the said literary work, for the purpose of advertising, publicizing, and/or exploiting any such motion picture, television or other versions.

IN WITNESS WHEREOF, the undersigned has executed this instrument this day of _____________________, 20__.


On ____________________, before me, ____________________________, a notary public, personally appeared _____________________________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.

WITNESS my hand and official seal.

an graphic of a speech bubble with an arrow

This is signed by the publisher of the property representing that they do not own any conflicting rights in and to the property.