Property Owner Release Form

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									This is an agreement between a property owner and a production company, granting
the company permission to use the property for the filming of a production. The
agreement releases the company from any liability and waives the property owner’s
right to approve the property’s use in the production. The property owner will receive a
flat fee in return for allowing the company to use the property in the production. This
release form should be used by property owners or production companies that want to
use a piece of real property in a production.
                                         PROPERTY RELEASE FORM

PROPERTY: _____ [Instruction: Insert address.] (the “Property”)

AGENCY: _____ [Instruction: Insert agency name requesting release.] (the “Agency”, and
same shall include its authorized Agents)

OWNER: _____: [Instruction: Insert Owner/authorized representative name.] (the “Owner”,
and same shall include its authorized representative or agent)

PRODUCTION: _____ [Instruction: Insert name of production.] (the “Production”)

1.       In consideration of the Agency’s reliance on this Property Release Form and the payment
of _____ (_____) [Instruction: Insert written dollar amount to be paid, followed by a
numerical representation of same.] United States Dollars (the “Fee”) to Owner, the receipt and
sufficiency of which is hereby acknowledged, Owner agrees to make the Property available to
the Agency for inclusion in the Production.

2.       In consideration of the Fee, Owner irrevocably consents to and authorizes the use and
reproduction by Agency and/or its authorized Agents, of any and all photographs which Agency
has taken of the Property described above as of the date of this Agreement, negative or positive,
mechanical or electronic, for any purpose whatsoever, without restriction, and without further
compensation. All negatives, positives, video or audiotapes, electronic files, together with any
prints shall constitute the sole and complete property of Agency.

3.       Owner irrevocably releases the Agency from all liability of whatsoever nature arising as a
result of the portrayal of the Property in the Production. Owner also releases and discharges the
photographer, his legal representatives, assigns, licensees, employees, heirs, or any person or
corporation acting under the permission of the photographer, including any firm publishing or
distributing the finished product and/or Production, even though the finished product may be
distorted, blurred, altered or used in composite forms, in conjunction with factual or fictional
text, either intentionally or otherwise.

4.       Owner hereby waives any right to approve the finished photograph or any copy, which
might be used in conjunction with the finished photograph or Production. The Agency gives no
guarantee that the production of the Production will proceed to completion and the Agency is not
obliged to include the Property in the Production.

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5.       Owner hereby agrees it shall not at any time do anything detrimental to or say anything
detrimental about the Production, the Agency or any persons involved in or associated with the
Production.

6.       Optional language: Owner further agrees that it will not grant any license to any
other party in respect of the Property for the purposes of including the Property in any
advertising or marketing materials for any other products or services.

7.       The Agency shall not be liable to Owner or any legal representative or agent of Owner
for any loss or damage or injury to Owner or such legal representative or agent of Owner or for
any loss or damage or injury to the Property, caused or suffered in connection with the
Production unless directly caused by the negligence of the Agency and recoverable on that
ground.

8.       Owner certifies it is the sole and lawful owner of the Property, or an authorized
representative of the Owner of the Property, and agrees to the terms of this release without
reservation, and further agrees to indemnify the photographer, his heirs, assigns, employees, and
anyone authorized by him, in the event that this statement is not true. This Property Release
Form shall be binding upon the undersigned and his/her/its heirs, legal representatives,
successors, and assigns.

9.       Owner agrees not to disclose any information of any nature obtained by or through its
relationship with the Agency or in connection with executing this Property Release and which
relates to the Production, materials relating to the Agency (other than those which are of a public
nature and are public knowledge), or any of the Agency’s general affairs (other than those which
are of a public nature and are public knowledge) to any person. Notwithstanding the foregoing,
Owner shall be permitted to discuss any of the foregoing with Owner’s attorney, accountant,
legal and/or authorized representative. Further, Owner shall be permitted to discuss any of the
foregoing pursuant to any lawful court order or subpoena.

10.      This release shall be binding upon, and shall inure to the benefit of, my heirs, executors,
administrators, successors and assigns.

11.      This release constitutes the entire agreement between Owner and the Agency save that


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nothing herein shall exclude liability for fraudulent misrepresentation.

12.      I agree that this release form shall be governed by the law of the State of _____
[Instruction: Insert state.] and that any dispute arising in connection with it shall be subject to
the exclusive jurisdiction of the courts of such State. In case any one or more of the provisions
contained herein shall for any reason be held to be invalid, illegal or unenforceable in any
respect, such invalidity, illegality or unenforceability shall not affect any other provision of this
Agreement, but this Agreement shall be construed as if such invalid, illegal or unenforceable
provisions had not been contained herein.

13.     This Agreement shall constitute the final agreement and understanding of the parties on
the subject matter hereof. This Agreement may be modified only by a further writing signed by
the parties.


14.      If any legal action is commenced to enforce or interpret the terms of this Agreement, the
prevailing party shall be entitled to reasonable attorney's fees and costs in addition to any other
relief to which the prevailing party may be entitled.



15.      The parties acknowledge and agree that a facsimile signature from any party executing
this Agreement shall be binding upon the party and the parties acknowledge further that this
Agreement may be executed in any number of counterparts, each of which shall be deemed to be
an original by all for which shall constitute one instrument.

Signed by the Agency:

………………………………………………………………………………….

Signed:

…………………………………………………………………………………..

The Owner (or authorized representative of the Owner) of the above mentioned

Property


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