Name of Institution

Address

Phone Number

 

 

Deed of Gift Agreement

 

I, ____________________________________, residing at (street, city, state, zip, phone number)

________________________________________________________________________________________________________________________________________________

own and desire to give, or am empowered as legal agent for

________________________________________________________________________

to give the (Name of Institution) the following described property (attach extra sheet if necessary):

  

I assign and convey irrevocably the legal title and all literary rights or copyright which I may have to the described to the (Name of Institution).  I agree that the (Name of Institution) may use the material as it deems most beneficial.  I understand that the (Name of Institution) may digitize this material for access via the World Wide Web or for other forms of electronic distribution.  Furthermore, I agree that researchers who meet the requirements set by the (Name of Institution) may have full access to this collection with the exception of restriction(s) or conditions stated below:

 

None:_________  Specify:_________________________________________________________________________________________________________________________________________

 

Any item not retained by the (Name of Institution) shall be (donor to select):

 

Discarded:_____________  Returned to donor:__________ Other: __________________

 

In full accord with the provisions of this deed of gift, I hereunto set my hand.

 

Donor’s Signature__________________________________________ Date___________

 

Receipt of the above material is gratefully acknowledged on behalf of the (Name of Institution).

 

Archivist_________________________________________________ Date___________

One Response to “Deed of Gift ~ Sample~”

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