NOTICE OF TERMINATION OF RIGHTS
GRANTED TO COPYRIGHT
_____________________________________________ (Grantee) of
Re: Withdrawal of rights granted to copyright.
You are hereby notified that effective
__________________ (Date), the following rights granted to you under copyright
number __________________ have been revoked by the undersigned copyright
owner. The rights given to you were as
(State Rights). The previously
mentioned rights were granted on _________________ (Date) by the copyright owner.