Form TCS, Notice of Termination Cover Sheet ·
Amsterdam,” the first title and registration number (Harold &
Kumar 2 (PAu003086781)) would count as one work and the two
alternate titles would count as two alternate identifiers.
If a work is described as being part of a larger work, only the
specific work counts, and not the title and/or registration num-
ber for the larger work. For example, if the notice were to refer
to “When You Wish Upon a Star from Pinocchio,” the title “When
You Wish Upon a Star” would count as one work, but “Pinocchio”
would not count as an additional work or alternate identifier. For
more information about how to calculate works and alternate
identifiers, see 37 C.F.R. § 201.3(c), 84 Fed. Reg. 29,135 (June 21,
2019), and 85 Fed. Reg. 9,374 (Feb. 19, 2020).
Item 3: Amount of fee calculated
Recordation fees are calcu-
lated in accordance with 37 C.F.R. § 201.3(c). For assistance in
determining your fee, use the fee calculator provided at https://
www.copyright.gov/recordation/ and review Calculating Fees for
Recording Documents and Notices of Termination in the Copyright
Office, available at https://www.copyright.gov/circs/circ12a.pdf.
Item 4: Fee enclosed
Check the appropriate box. To charge a
Copyright Office deposit account, provide the deposit account
number and name. If paying by check or money order, note that
the Office only accepts domestic money orders and checks payable
through a U.S. bank with American Bankers Association routing
numbers. International and postal money orders are not accepted.
Make the check or money order payable to U.S. Copyright Office.
Item 5: Return receipt requested
Check this box to indicate that
you want a return receipt showing that the Office received your
submission. If you check this box, you must also include a second
properly completed copy of Form TCS and a self-addressed post-
age-paid envelope. A return receipt confirms the Office’s receipt
of the submission as of the date indicated, but does not establish
eligibility for, or the date of, recordation.
Item 6: Notice of termination being filed under
Check the box
next to the statutory termination provision that the submitted
notice is being filed under, section 203, 304(c), or 304(d). Infor-
mation about termination, including the differences between
these provisions can be found on the Office’s website at https://
www.copyright.gov/recordation/termination.html.
Item 7: Gap Grant
Check this box if the submitted notice is
terminating a gap grant under 37 C.F.R. § 201.10(f)(1)(ii)(C). For
more information about gap grants, see § 2310.3(C)(3) of the
Compendium of U.S. Copyright Office Practices.
Item 8: Effective date of termination
Provide the effective date
of termination. Note that the notice of termination must be re-
corded with the Office prior to the effective date of termination.
Item 9: Date of service
Provide the date of service of the submit-
ted notice upon the grantee(s)/successor(s)-in-title.
Item 10: Manner of service
Describe the manner of service of
the submitted notice upon the grantee(s)/successor(s)-in-title. For
example, “personal service” or “first class mail.”
Item 11: Terminating Party
List each terminating party and the
nature of such party’s termination interest under section 203,
304(c), or 304(d). For example, “John Smith (sole author)”; or
“Nancy Jones (author’s executor)”; or “Jane Smith (author’s wid-
ow), Mark Smith (author’s child), Jessica Smith (author’s child),
and Richard Smith (child of author’s deceased child).”
Item 12: Grantee
List each grantee whose rights are being termi-
nated or such grantee’s successor-in-title. Identify any successor-
in-title as such.
Item 13: Remitter Information and Certifications
You, the in-
dividual actually submitting this form and the attached notice of
termination to the Copyright Office, provide your contact infor-
mation and make the required remitter certifications by signing
your name and dating the form. You may sign the form electroni-
cally. The Office may use this information to contact you about
the submission and will send a numbered copy of the notice as
recorded and certificate of recordation to the provided address
if the notice is successfully recorded. Providing a fax number is
optional. If you are not one of the terminating parties, you must
state which terminating party or parties you are a duly autho-
rized representative of.
Item 14: Notice Certifications
Make the required notice-related
certifications by having them signed and dated by an appropri-
ate individual. They can be made either by you (i.e., the remitter
identified in Item 13) or another individual and may be signed
electronically. If someone other than you is making the certifica-
tions in this item, he or she may sign the same copy of page 2 of
the form as you did in Item 13, or he or she may sign a separate
copy of page 2 of the form. If someone other than you is making
the certifications in this item, his or her name, title, and organiza-
tion must be provided. Additionally, if such individual is not one
of the terminating parties, he or she must state which terminating
party or parties he or she is a duly authorized representative of.
For more information about the Copyright Oce’s recorda-
tion requirements, see 37 C.F.R. § 201.10(f) and 82 Fed. Reg.
52,213 (Nov. 13, 2017).
