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Notice Of Use Of Sound Recordings Under Statutory License M-269 - Official Federal Forms

Notice Of Use Of Sound Recordings Under Statutory License Form. This is a national form and can be used in US Copyright Office .
 Fillable pdf Last Modified 3/22/2011
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5 Notice of Use of Sound Recordings under Statutory License United States Copyright Office In accordance with 37 cfr 270.1, the transmission service named below hereby files with the Library of Congress, Copyright Office, a notice stating the service's intention to use the statutory license under sections 112(e) or 114(d)(2), or both, of title 17 of the United States Code, as amended by Public Law 104-39, 109 Stat. 336, and Public Law 105-304, 112 Stat. 2860. Please enclose a check or money order for the nonrefundable filing fee, payable to Register of Copyrights. Mail to: Check, if applicable: ò Amended filing Copyright Royalty Board attn: Licensing Division PO Box 70977 Washington, DC 20024-0400 Please type or print the requested information for each item. If this is an amended filing, please indicate which item contains new information by checking the "New Information" box to the left of that item. New Information ò ò ò ò ò 1 2 3 4 5 Nameofservice Mailingaddress Telephoneno. Faxno. http:// NOTE: Information must be provided on how to gain access to the online website or home page of the service, or where information may be posted under the regulations concerning the use of sound recordings. NOTE: A post office box is acceptable if it is the only address that can be used in that geographic location. Websiteaddressofservice ò 6 ò ò ò ò ò Natureoflicenseandcategoryofservice:(Checkallthatapply) a Statutorylicensefordigitaltransmissions,17USC§114(d)(2) ò ò ò ò Eligible nonsubscription transmission service New subscription service Eligible nonsubscription transmission service New subscription service Preexisting subscription service Preexisting satellite digital audio radio service b Preexisting subscription service Preexisting satellite digital audio radio service transmission pursuant to 17 USC §114(d)(1)(C)(iv) Statutorylicenseformakingephemeralphonorecords,17USC§112(e) A business establishment making ephemeral phonorecords in furtherance of an exempt digital Dateorexpecteddateof Initialdigitaltransmissionofasoundrecording Initialuseofthe§112(e)licenseforthepurposeof makingephemeralrecordingsofsoundrecordings Officerorauthorizedrepresentativeofservice Name Title Date Signature Emailaddress NOTE: The date of filing will be the date when the notice and fee are both received in the Copyright Office. ò ò 7 a b 8 a b c d e Privacy Act Notice: Section 112 and 114 of title 17 of the United States Code authorizes the Copyright Office to collect the personally identifying information (PII) requested on this form in order to process your Notice of Use of Sound Recording License. PII is any personal information that can be used to identify or contact an individual, such as name, address, and telephone numbers. By providing PII, you are agreeing to the routine use of it to establish and maintain a public record, which includes appearing in the Office's public indexes. The effects of not providing the PII requested are that it may delay the processing of your license, and it may affect the legal sufficiency of the filing, a determination that would be made by a court of law. m-269 03 / 2011 American LegalNet, Inc. www.FormsWorkFlow.com
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