Autographed Songwriter Clearance Form: Hand-Signed by Gary Busey (BMI Writer Registration Document)
This entry showcases an authentic, primary-source piece of American cinema history, rock and roll lore, and vintage music publishing ephemera: an official Broadcast Music, Inc. (BMI) Writers Clearance Form, hand-signed on the submitting writer execution line by Oscar-nominated actor and musician Gary Busey.
Before achieving international fame as a dynamic Hollywood screen actor, Gary Busey established himself as an accomplished rock drummer, vocalist, and songwriter. Performing under the stage moniker "Teddy Jack Eddy," Busey recorded and toured alongside legendary musicians including Leon Russell, Kris Kristofferson, and Willie Nelson. His deep musical roots culminated in his legendary, Academy Award-nominated performance as rock icon Buddy Holly in The Buddy Holly Story (1978), where Busey performed all of his own vocal and guitar tracks live for the film's soundtrack. Across a career spanning over five decades, Busey has starred in iconic films such as A Star Is Born (1976), Point Break (1991), and Under Siege (1992).
Printed on standard off-white and green accounting paper stock, this official 8.5" x 11" document represents a formal BMI Writers Clearance Form issued by Broadcast Music, Inc. (589 Fifth Ave., New York, NY). Designed to register musical compositions and secure performing rights royalties, the form features pre-printed sections for writer names, publishing share distributions, recording label information, and internal processing codes. The top margin includes a typed Social Security Number reference.
In the lower right execution section beneath the formal warranty statement ("I warrant and represent that I am the writer or co-writer of the above composition..."), Gary Busey has rendered his full legal name signature in dark blue ink:
"W. Gary Busey"
Preserved in fine vintage condition on clean paper stock, featuring crisp green printed form borders, clear typography, light natural handling wear, and a sharp, complete legal signature ("W. Gary Busey"), this autographed clearance form serves as an essential centerpiece for classic rock archivists, Hollywood cinema collectors, and vintage music publishing displays.
Document Specifications
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OFFICIAL BMI WRITERS CLEARANCE FORM: Authentic Broadcast Music, Inc. music publishing registration document produced for song clearance.
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VINTAGE MUSIC PUBLISHING EPHEMERA: Features standard printed sections for writer allocations, publishing shares, and performing rights data.
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EXCELLENT VINTAGE CONDITION: Preserved in fine condition with clean document stock, sharp margins, and unblemished printed lines.
Autograph Specifications & Provenance
