ADULT COSTAR MODEL RELEASE: 2257 COMPLIANT FORM

Fanz Unlimited Network (FUN) LLC
ADULT COSTAR MODEL RELEASE: 2257 COMPLIANT FORM
 
This form is required for compliance with 18 U.S.C. § 2257 and is intended for content stars who collaborate with costars to 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 stars.
 
Costar 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: () -__
 
Primary Creator Information
 
Legal Name: __________________________________________
Stage Name (if any): _____________________________________
 
Date of Content Creation (Photoshoot/Video): _____ / _____ / ______
 
Costar Consent and Acknowledgment
 
By signing below, the costar certifies that the provided information is accurate, truthful, and complies with federal law. Any false statement may subject the costar to civil and criminal penalties.
 
Costar Signature: _____________________________
Costar Printed Name: _________________________
 
Costar Acknowledgment (Initials): __________
Costar understands the information provided is required by federal law and any falsification is punishable by law.
 
Sworn Statement by Costar
 
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: _____ / _____ / ______
Costar Signature: ____________________________
Costar Printed Name: _________________________
 
Sworn Statement by Primary Creator
 
UNDER 28 U.S.C. § 1746 AND PENALTIES OF PERJURY:
I swear I have personally examined the costar’s valid photo identification and verified their date of birth. I have attached signed copies of these identification documents.
 
Date: _____ / _____ / ______
Primary Creator Signature: __________________________
 
Terms and Conditions
 
We, the undersigned, acknowledge and agree to the following terms regarding the collaborative content created:
1. Both parties agree to the lawful distribution of the collaboratively created content through Fanz Unlimited Network LLC’s platform.
2. Fanz Unlimited Network LLC retains no ownership of the content, copyright, or materials provided.
3. All parties confirm they are not restricted by any other commitments to third parties.
4. All participants must comply with federal, state, and local laws and certify that the collaborative content adheres to these laws.
5. Both parties agree to indemnify Fanz Unlimited Network LLC from any disputes or claims arising from the creation or distribution of the content.
 
Certification and Agreement
 
( ) I certify that 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.
( ) I certify I am entering this agreement freely and without coercion.
 
Date of Content Creation: ________________
Costar Signature: _________________________
Primary Creator Signature: ___________________
 
This form ensures compliance with federal law, maintains transparency, and protects the rights of both collaborators and Fanz Unlimited Network LLC as a hosting service for independently produced content.

                                                        FANZ UNLIMITED NETWORK L.L.C. (FUN)   ALL RIGHTS RESERVED (2024)