ADULT CONTENT STAR RELEASE: 2257 COMPLIANT FORM
Fanz™ Unlimited Network (FUN) L.L.C. 
ADULT MODEL RELEASE: 2257 COMPLIANT FORM
 
This form is required for compliance with 18 U.S.C. § 2257 and is intended for content stars who distribute their own media through the platforms under Fanz Unlimited Network LLC. Fanz Unlimited Network LLC does not produce or create any media and acts solely as a hosting platform for independent creators.
 
Model Information
 
Legal Name: __________________________________________
Stage Name (if any): _____________________________________
Maiden Name: _________________________________________
Previous Legal Name (if any): _____________________________
Other Names Known By: __________________________________
 
Date of Birth: _____ / _____ / _______  Age: _______
Identification: (Check one)
( ) Driver’s License #: ______________________ State: __________
( ) Passport #: ___________________________
( ) Social Security #: ________________________
( ) Other (Specify): ________________________
 
Address: __________________________ Apt:______
City: ______________________  State: ________  Zip Code: ___________
Cell Phone: () -__  Home Phone: () -__
 
Date of Content Creation (Photoshoot/Video): _____ / _____ / ______
 
Model’s Consent and Acknowledgment
 
By signing below, the model certifies that the provided information is accurate, truthful, and complies with federal law. Any false statement may subject the model to civil and criminal penalties.
 
Model Signature: _____________________________
Model Printed Name: _________________________
 
Model Acknowledgment (Initials): __________
Model understands the information provided is required by federal law and any falsification is punishable by law.
 
Sworn Statement by Model
 
UNDER 28 U.S.C. § 1746 AND PENALTIES OF PERJURY:
I swear the foregoing information is true and correct. I also confirm that each identification document provided is valid, lawfully obtained, and has not been forged or altered.
 
Date: _____ / _____ / ______
Model Signature: ____________________________
Model Printed Name: _________________________
 
Sworn Statement by Photographer
 
UNDER 28 U.S.C. § 1746 AND PENALTIES OF PERJURY:
I swear I have personally examined the model’s valid photo identification and verified their date of birth. I have attached signed copies of these identification documents.
 
Date: _____ / _____ / ______
Photographer Signature: __________________________
 
Terms and Conditions
 
I, the undersigned model, authorize Fanz Unlimited Network LLC to host, display, and distribute my independently produced content as outlined in this release. Fanz Unlimited Network LLC retains no ownership of the content, copyright, or materials provided by me, the model. I understand and agree to the following:
1. I grant Fanz Unlimited Network LLC the right to host, display, and distribute my content on their platform.
2. I confirm I am not restricted by any other commitments to third parties.
3. I acknowledge that Fanz Unlimited Network LLC has no financial obligation to me beyond the agreed platform usage terms.
4. I understand that Fanz Unlimited Network LLC operates in compliance with local, state, and federal laws and that my content must adhere to all legal requirements.
 
Model Certification (Initials): __________
( ) I certify I am 18 years of age or older.
( ) I certify I have disclosed all other names I have been known by.
( ) I certify I have provided accurate identification.
( ) I certify I will not engage in any illegal acts or provide illegal substances on the premises.
 
Date of Content Creation: ________________
Model Signature: _________________________
Photographer Signature: ___________________
 
This form serves to ensure compliance with federal law, maintain transparency, and protect the rights of both the model and Fanz™ Unlimited Network (FUN) L.L.C.  as a hosting service for independently produced content.