Special Collections Deed of Gift Form
I, _______________________________________,
hereby donate the materials described below to Albion College for
inclusion in Albion College Special Collections. As sole owner of these
materials, I donate physical ownership of them to Albion College, which
shall occur upon delivery to the College. However, the donor, his/her
heirs, and his/her estate shall retain title to such literary property
rights (copyright) as he/she may possess unless otherwise stipulated
below.
Description of Gift
|
Total Number of Boxes/Items |
Inclusive Dates |
Inventory Attached? |
|
______________ |
______________ |
Yes or No
(Please circle one) |
Condition
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Subject Matter
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Arrangement
(Please check one)
| ___Alphabetical |
___Chronological |
___Numerical |
___Topical |
Physical Formats
(Please check all that apply)
| ___Correspondence |
___Reports |
___Memorabilia |
| ___Microfilm |
___Institutional Records |
___Research Materials |
| ___Photographs |
___Books |
___Studies |
| ___Publications |
___Conference Materials |
___Slides |
| ___Film |
___Sound Recordings |
___Video Recordings |
| ___Other (Please
list:
_______________________________________________________ |
Copyright
I do not control copyright for any of the
donated materials. To the best of my knowledge, the copyright is
controlled by:
| Name |
___________________________________________________________________ |
| Address |
___________________________________________________________________ |
| Phone |
___________________________________________________________________ |
If you wish to transfer, convey, and
assign to Albion College, on behalf of Special Collections, any
copyright which you control in the above-named materials, subject to the
limitations, if any, stated below, please initial here ______.
If you do not wish to transfer copyright,
but give permission for the library to make copies for users of the
materials, please initial here ______.
Limitations (if any, these must be
discussed with and agreed upon by the College and a representative for
Special Collections):
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
If there are limitations listed above,
and everyone concerned agrees to the terms, the representative for
Special Collections initials here _____.
Special Collection Responsibilities
The materials shall be preserved, organized, and made available for
research in accordance with Albion College Special Collections access
and use policies. At any time hereafter, the donor shall be permitted to
examine any of the materials upon making an appointment with the College
Archivist.
Albion College is authorized to display
any donated materials in non-profit exhibitions both on and off campus.
Materials may be used to illustrate exhibition catalogs and College
publications.
Albion College is authorized to dispose
of any duplicate or material in the collection that it determines has
not permanent value or historical interest. The College is also
authorized to sell, trade, or dispose of any material in the collection
that does not fit the collecting parameters of the Special Collections
unit. If so desired, such materials as specified will be returned to the
Donor.
Additions to the Collection
In the event that the Donor may hereafter donate additional
materials to Albion College, such gifts will be governed by the terms
and conditions stated above. A description of the additional materials
so donated shall be prepared and attached hereto.
Tax Deduction Information
Appraised value (if the Donor has had the gift appraised)
___________________________
*Please attach a copy of the
appraisal if available
If you do not intend to take a tax
deduction, please initial here ______.
Acceptance of Terms and Conditions
Donor
I represent and warrant that I am the sole owner of the
materials described above and that I have full right, power and
authority to give the materials mentioned above to Albion College. I
have received a copy of this Deed of Gift and agree to all terms
and conditions as stated, indicated by my signature below.
If applicable, I understand the sections
on copyright and acknowledge that the information I have provided is
accurate.
| Signature |
_______________________________________________________ |
| Date |
_______________________________________________________ |
| Address |
_______________________________________________________
_______________________________________________________ |
| Telephone |
_______________________________________________________ |
Albion College Special Collections
Representative
The Special Collections unit, on behalf of Albion College,
gratefully acknowledges receipt of this gift and agrees to the
stipulations outlined above.
| Signature |
_______________________________________________________ |
| Date |
_______________________________________________________ |
|