South Dakota State University
Royalty Distribution Agreement (T-00___)
The undersigned hereby declare(s) that they (he/she) are (is) the true and only originator(s) of the invention disclosed herein at
the South Dakota State University and that the invention arose in the course of work at or on behalf of the University and will
be managed according to South Dakota Board of Regents’ Policy Manual 4:34 for Intellectual Property. Please call the Office
of Technology Transfer and Commercialization at 605-688-4756 with any questions.
IN WITNESS WHEREOF, Creator(s) have caused this Agreement to be duly executed by authorized signatories as of the
date as indicated below.
Creator 1 Name:
Percentage share of net income:
Citizenship:
Home Add:
Creator 2 Name:
Percentage share of net income:
Citizenship:
Home Add:
Work Add:
Work Add:
Phone:
e-mail:
FAX:
Signature:
Phone:
e-mail:
Date:
FAX:
Signature:
Date:
Creator 3 Name:
Percentage share of net income:
Citizenship:
Home Add:
Creator 4 Name:
Percentage share of net income:
Citizenship:
Home Add:
Work Add:
Work Add:
Phone:
e-mail:
FAX:
Signature:
Phone:
e-mail:
Date:
FAX:
Signature:
Date:
Creator 5 Name:
Percentage share of net income:
Citizenship:
Home Add:
Creator 6 Name:
Percentage share of net income:
Citizenship:
Home Add:
Work Add:
Work Add:
Phone:
e-mail:
Signature:
FAX:
Phone:
e-mail:
Date:
Signature:
1
FAX:
Date: