Donor Agreement Form

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University Libraries Acknowledgement of Gift


Download the PDF form or the Word document of the form, or see below.


ACKNOWLEDGMENT OF GIFT

I/We, the undersigned Donor(s), hereby donate and convey to the Board of Trustees of The University of Alabama, by and through The University of Alabama and its University Libraries Special Collections (collectively “UA”) the content described below (“Content”). In doing so and unless otherwise noted herein, I hereby give, grant, assign, transfer, and deliver the following to UA and its licensees, successors and assignees: • My right, title, and interest in and to the Content, including copyright (when applicable); • The right to use, digitize, edit, print, reformat, develop, produce, reproduce, display, distribute, post, package, describe, advertise, promote, quote, paraphrase, or otherwise alter or exploit the Content, in whole or part, in any manner or medium UA or its licenses or assigns deem appropriate, in perpetuity and throughout the world; • The right to electronically view, present, and display the full digitized versions of the Content to others, including providing open access via the Internet; and • The right to electronically store, archive, copy, and/or convert the digitized Content for preservation and access purposes. The Content is donated to UA as an unrestricted gift. I further release and discharge UA and its licensees, successors, assignees, and employees from any and all claims, demands, or causes of action that I may have against them by reason of anything associated with the use of the Content, including, but not limited to, any claims based on the right of privacy, the right of publicity, copyright, libel, defamation, or any other right. I acknowledge and agree that I am not entitled to receive any form of payment related to the Content from UA and/or its licensees and assigns. Donor: Address: City: State: ZIP Code: Phone: E-mail:

Description of Content:




Attach additional sheets if necessary.

Value of Content: For those wishing to take a tax deduction for the above-named Content, IRS regulations require that an appraisal be made by a qualified appraiser, as defined by IRS Instructions for Form 8283, for property of $5,000 or more. Completed copies of the appraisal and Form 8283 must be submitted to the Dean of University Libraries. Donor agrees and understands that questions about appraisal should be addressed to his/her tax advisors. IRS Publication 561 prohibits University Libraries from any involvement in matters of financial appraisal. The following section must be completed for the Acknowledgment of Gift to take effect. Donor warrants that the Content has enduring historical value and… □ a financial value of $5,000 or more which is $ ____________. □ a financial value of $4,999 or less which is $ _____________. □ a financial value of $4,999 or less. Donor does not wish to state a value at this time.

Copyright Considerations: □ Donor conveys to UA the copyright and reproduction rights, including digital reproduction, which Donor controls in all or some of the above-named Content. Donor agrees that public access to the donated materials may be provided through the internet or other means. The Donor hereby warrants that s/he is the copyright and intellectual property rights holder of all content donated, and has the legal right to make this authorization. The Donor also represents that the content does not, to the best of his/her knowledge, infringe or violate any rights of others. If Donor conveys copyright to some but not all of the above-named Content, specify to which Content the Donor conveys copyright:

______________________________________________________________________________________________________________________________________________

Donor(s)____________________________________________________________ Date _______________

□ Donor represents and warrants that Donor controls and retains the copyright to the above-named Content. Donor conveys to UA, permission to use, digitize, edit, print, reformat, develop, produce, reproduce, display, distribute, post, package, describe, advertise, promote, quote, paraphrase, or otherwise alter or exploit the Content, in whole or part, in any manner or medium UA or its licenses or assigns deem appropriate, in perpetuity and throughout the world. Specify the Content to which Donor controls and retains copyright and how the copyright was obtained (e.g., sole/joint owner, creator, heir, literary executor, trustee).

______________________________________________________________________________________________________________________________________________

Donor(s)____________________________________________________________ Date _______________

□ Donation contains materials to which donor does not control copyright. To the best of donor’s knowledge: □ Copyright is controlled by: _______________________________________. (Be as specific as possible.) □ Donor does not know the identity of the copyright holder.

Location, Retention, Cataloging and Preservation Considerations: Donor understands that the location, retention, cataloging and preservation of the Content or other considerations relating to its use or disposition are at the discretion of UA, in accordance with institutional policy. Prior to any disposal of unwanted Content, it will be offered to Donor during his/her lifetime. Following archival processing, the donated materials will be made accessible for research. □ Donor does not wish unwanted Content to be returned prior to its disposal


By signing below, I acknowledge that I have read, considered, and understand this Acknowledgment of Gift and its effect on my rights. I voluntarily agree to execute this document and acknowledge that no oral representations, statements, or inducements have been made to me separate and apart from the terms of this Acknowledgment of Gift. I voluntarily sign this document intending to legally bind myself, my heirs, successors, and assigns to its terms.

_____________________________________________ __________________________ Donor Date

_____________________________________________ __________________________ Donor Date


UA gratefully acknowledges receipt of this gift and agrees to the stipulations outlined above. Formal acceptance of this gift is acknowledged by the signatures below.

_____________________________________________ __________________________ Associate Dean of Special Collections Date

_____________________________________________ __________________________ Dean of University Libraries Date

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