PICHA LLC.

Property Release

For good and valuable consideration, the

receipt and legal sufficiency of which The Photographers rights include, but are
is hereby acknowledged, not limited to, the rights, in perpetuity, to:
I ___________________________________ Use, re-use, publish, and re-publish the
(Owner), being the legal owner of or content; alter, modify or otherwise change
having the authority to permit the taking the content in any manner the
and use of photographs/videos and other Photographer desires; combine the
still and/or moving images (in all formats) content with textual matter and/or with
of that certain property described as other pictures and/or media; and, Use the
_______________________________________ content for illustration, promotion, art,
_______________________________________ editorial, advertising, trade, publishing, or
(the Property) hereby grant to any other purpose whatsoever.
______________________________________ I hereby release, discharge, and agree to
and PICHA LLC. (collectively, the hold harmless the Photographer,
Photographer), the Photographers the Photographers heirs, legal
successors and assigns, and those persons representatives and assigns, and all
acting with the Photographers authority persons acting under the Photographers
and permission, the right to enter owners authority or those for whom he/she is
real property and acting, from any liability by virtue of any
to take and create photographs/videos use of the content or any changes or
and other still and/or moving images (in all alterations made thereto.
formats) and other graphical depictions of I hereby warrant that I am of full legal age
the Property, in any and all media, whether and have the right to contract in my own
now known or hereafter created (the name. I have read the above authorization,
content). release and agreement, prior to its
execution, and I am fully familiar with the
I hereby agree that all rights in and to the contents thereof. This release shall be
content, including the copyright, are and binding upon me and my successors-in-
shall remain the sole property of the interests/title, my heirs, legal
Photographer, free and clear from any representatives and assigns.
claims by me or anyone acting on my
behalf.

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Photographer Information:
Name (Print): ____________________________________________________
Address: ________________________________________________________
City: ________________________________ State: _____________________
Country: ___________________________ Zip/Postal Code: _____________
Phone: _______________________ Email: ____________________________
Date of Shoot: ________________________ Medium: _____________
Signature: _____________________________________________________

Property Owner/Authorized Representative:

Name (Print): ________________________________________________
Title: ________________________________ Date: ________________
Signature: __________________________________________________
Phone: _____________________________________________________
Address: ____________________________________________________
City: ________________________ State: ________________________
Country: ____________________ Zip/Postal Code: ________________
Description of Property: ________________________________________
____________________________________________________________
____________________________________________________________

Witness:
Name (Print): _________________________________________________
Signature: ___________________________________________________
Date: ______________________________________________________

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