Please provide your personal information to establish the royalty assignment
About This Process
This agreement establishes your rights to receive 30% of royalty payments. All information provided is protected by our privacy policy and used solely for processing this agreement.
Financial Information
Please provide your banking information for royalty payments
Bank Information Consent
By providing your bank details, you consent to the following:
Your bank information will be used solely for depositing royalty payments
We implement industry-standard security measures to protect your data
Your information will not be shared with third parties except as required for payment processing
You may withdraw this consent at any time by contacting us
Review & Sign Agreement
Please carefully review the document below and provide your signature
Power of Attorney and Royalty Assignment Agreement
Parties
This Agreement is made between the Assignor and [Your Name] ("Assignee").
Assignment of Royalty Interest
For valuable consideration, the Assignor does hereby assign, transfer, and convey to the Assignee an undivided 30% of the Assignor's right, title, and interest in and to certain royalty payments.
The Assignee shall be entitled to receive, from the effective date of this agreement forward, 30% of all payments, proceeds, and other benefits derived from the royalty interest.
Power of Attorney
The Assignor appoints the Assignee as true and lawful Attorney-in-Fact to act for the Assignor concerning the administration, management, and collection of the royalty interest described above.
This Power of Attorney is coupled with an interest and is irrevocable. It includes the authority to execute documents, communicate with payors, and direct deposit of payments.
Financial Terms
The Assignee agrees to pay a one-time processing fee of $1,450.00 upon execution of this agreement.
The Assignor agrees to initiate wire transfer of the Assignee's royalty payments within 3 business days of receipt of cleared funds.
Agreement Summary
Royalty Percentage:30%
Processing Fee:$1,450 (paid by you upon submission)
Payment Timing:Within 3 business days of receipt
Your Obligations:Payment of processing fee only
Agreement Successfully Submitted
Your Royalty Assignment and Power of Attorney Agreement has been received and is being processed.
You will receive a confirmation email with all details shortly.
Payment Notice
The one-time processing fee of $1,450.00 is required to be paid by you to initiate the royalty assignment process. This fee is separate from royalty payments and must be paid upon submission of this agreement.
Important Notice
This agreement establishes your rights to receive 30% of royalty payments. There are zero financial consequences or liabilities for you as the recipient beyond the one-time processing fee.
Payment Instructions
To complete the processing of your royalty assignment, please submit the $1,450 processing fee using one of the following methods:
Bank Wire Transfer
Account details will be sent to your email within 24 hours
Secure Online Payment
A payment link will be sent to your email for immediate processing
Acknowledgments
By submitting this agreement, you acknowledge:
You have read and understand the terms of this agreement
You are voluntarily entering into this royalty assignment
You agree to pay the $1,450 processing fee to initiate the assignment
You understand that royalty payments will be wired within 3 business days after fee payment
You confirm all information provided is accurate and complete