SOFTWARE LICENSE OWNERSHIP TRANSFER REQUEST FORM

For more information regarding the license transfer process, please contact the SLT Software Department () or go to our web site at

Transferor (CURRENT OWNER): / Company's Legal Name:
Address:
City, State, Zip Code:
Contact Name: / Email Address:
Phone Number: / Fax Number:
Transferee (NEW OWNER):
New license will be sent to this address / Company's Legal Name:
Address:
City, State, Zip Code:
Contact Name: / Email Address:
Phone Number: / Fax Number:

ACKNOWLEDGEMENTS

  • The Transferor must identify the software licenses as requested on this form.
  • The Transferor acknowledges that this transfer only applies to the use rights in the software licenses identified and does not apply to any support or any accrued rights or obligations incurred prior to the transfer.
  • The Transferee’s signature hereto and/or use of the software indicates Transferee’s agreement to the terms of theHPECUSTOMER TERMS – SOFTWARE LICENSE TRANSFERS.

REASON FOR TRANSFER:

Merger / Spin-off / Transfer of MSP license to end user
Other (please explain):
Acquisition / Third Party Sale

LICENSES TO TRANSFER:

  • If you are unsure of your Customer Identification Number or the Identifier, you can send us any HPE documents that may have your customer identification number and we will review them. Additional software may be listed on a separate page.

Customer entitlement information Number [e.g. SAID andHPEON]: / Identifier (e.g. MPN#,
IP address, serial number or Target ID) / Product Number: / Quantity: / Version *

* Optional

Will this list of software require HPE services for renewal support? No Yes (complete info below)
Renewal Representative contact information:
Sales representative contact information:
Will any of this software be moved to a different physical location? No Yes (complete info below)
Address:
City, State, ZipCode:
Contact Name: / Email Address:

Providedall required documentation is received, reviewed, and approved by HPE, Transferor can anticipate receiving the Transfer Authorization within 10 business days. Missing information and/or documents may delay your transfer. By signing below, Transferor consents to the transfer of the licenses indicated on the Transfer Authorization.

Requested by: / Signature of Authorized
Representative of Transferor:
Printed Name
and Title: / Company Name:
Accepted by: / Signature of Authorized
Representative of Transferee:
Printed Name
and Title: / Company Name:

Revised July 2015Page 1 of 3