Date:
Mike Sitrin
475 Gate 5 Road Suite 255
Sausalito, CA 94965
Attn: Notice of Infringement
Dear Mr. Sitrin:
I, the undersigned, certify under penalty of perjury that I am the owner, or an agent authorized to act on behalf of the owner, of certain intellectual property rights, said owner being named _________________________________________ ("IP Owner"). I have a good faith belief that the materials identified below are not authorized by the above IP Owner, its agent, or the law and therefore infringe the IP Owner’s rights. Please act expeditiously to remove or disable access to the material or items claimed to be infringing.
Location of infringing material:
Description of infringing material:
Description of the copyrighted work(s) you claim is or are infringed:
I may be contacted at:
Printed Name__________________________________
Title & Company_______________________________
Street Address_______________________
City and State____________,___________
Zip___________
Email (if available)________________________
Telephone____-_____- ______
Fax_____________
Date____________
Truthfully,
___________________________________
(signed)
___________________________________
(printed name)