|Important Notice to Freelance Authors
July 10, 2001
Attn: Freelance Coordinator
9443 Springboro Pike
Miamisburg, OH 45342
RE: Notice of Copyright
1. Reference is made to the following article(s) appearing in the LexisNexis online service:
Title: A Town Square for our Main Street
Author: John Doe
Publication: XYZ123 News
Published: May 6, 2000
LN Database: ALLNWS
2. My current contact information is as follows:
1111 Main Street
Any Town, AS 00000
Tel: (000) 000-0000
Fax: (000) 000-0001
I will immediately notify LexisNexis of any changes to my contact information.
3. I own the copyright on the above-referenced article(s), and (you
must choose one of the following):
_____ I have registered this copyright with the United States Copyright Office on May 7, 2000, bearing registration number 000000, a copy of the registration statement is attached; or
____ I have not registered this copyright with the United States Copyright Office.
4. I believe in good faith that the electronic distribution of the article(s) through the LexisNexis online service has not been authorized by me, by any of my licensees or agents or by applicable law.
Further Affiant sayeth naught.
STATE OF _________________
COUNTY OF _______________
Before me, a Notary Public in and for said state personally appeared the above named John Doe who being duly sworn (or affirmed) deposes and says under penalty of perjury that the foregoing statements 1-4 are true and correct.
Sworn to (or affirmed) before me and signed in my presence this ______ day of ___________, 20___,
My commission expires: