Primary Producer’s Compliance Form

 

Courtesy of Barbara Nitke, Fetish Photographer  
Read the Interview with Barbara Nitke




Primary Producer’s Compliance Form


I am the primary producer of the photograph(s), and all associated graphical images entitled__________________________________________.

The last day on which the attached images were created was:

______________________________________,__________.
(month) (day) (year)

Attached hereto are all the material required by 18 U.S.C. Section (s) 2257. I have inspected the originals of the photocopy of the identification attached hereto. I believe all these attached materials contain true and correct information. I am the custodian of records. The original records are located at

________________________________________________________________________


________________________________________________________________________
(Address)

I declare under the penalty of perjury that the foregoing is true and correct.

Executed this ____________day of_________________, _______.
(day) (month) (year)

In ________________________________________________________________________






Signature:_____________________________________________________________


Please print name:_____________________________________________________________



 


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Copyright 2005

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