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Form DART-Q Quarterly Statement Of Accounts For Digital Audio Recording Products DART-Q - Official Federal Forms
| Form DART-Q Quarterly Statement Of Accounts For Digital Audio Recording Products Form. This is a national form and can be used in US Copyright Office . |
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Library of Congress Copyright Office Licensing Division Washington, DC 20557-6400 Official Business Penalty for Private Use $300.00 Forwarding and return postage guaranteed -- address correction requested American LegalNet, Inc. www.FormsWorkFlow.com official business united states copyright office quarterly statement of account (form dart / q ) How to File the Quarterly Statement of Account and Royalty Fee Manufacturing or importing parties must file a separate quarterly statement of account for quarters 1, 2, and 3, corresponding to the calendar or fiscal year elected. first: Make sure that you are using the right form and read the instructions in the form. Collect all the necessary information. second: Access fill-in statement of account form at http://www.copyright.gov/forms/formdart-q.pdf on a personal computer and print it out or hand print the information in dark ink. Give all the required information. third: Sign in space H. The statement of account is not acceptable unless it bears the original handwritten signature of an officer, principal, or agent authorized to certify it pursuant to the Audio Home Recording Act of 1992 (Chapter 10, Section 1003(c)(2) of title 17 USC). fourth: Royalty fees must be paid by an electronic payment, pursuant to Section 201.28 (h)(1) of Title 37 , CFR. Make an electronic payment in the amount of the royalty fee due as calculated in space C. For detailed instructions, see circulars 74a (on payments by wire), 74b (on payments by Automated Clearing House credit), or 74c (on payments using pay.gov), available at www.copyright. gov/circs/circ74. fifth: Send the completed statement of account to: CopyrightOfficeGC/I&R DARTStatementofAccount POBox70400 Washington,DC20024-0400 sixth: Retain a copy of the entire statement, as filed, in case it is needed for future reference. For Copyright Office regulations, forms, or additional information, visit www.copyright.gov or contact the Licensing Division between 8:30 am and 5:00 pm eastern: (202) 707-8150 (phone); (202) 707-0905 (fax); or licensing@loc.gov (email). American LegalNet, Inc. www.FormsWorkFlow.com 5 u n i t e d stat e s c o p y r i g h t o f f i c e Quarterly Statement of Account for Digital Audio Recording Products filing deadline: The statement of account must be filed within 45 days after the close of the quarter covered by the statement. Instructions appear at the end of this form (pages iiii). form dart / q Returnto: Copyright Office GC / I&R DART Statement of Account P O Box 70400 Washington, DC 20024-0400 confidential for copyright office use only Date received: Amount: Remittance number: A accounting period covered by this quarterly statement of account 1 Check the applicable box. If your accounting period is the calendaryear, enter the year; if it is a fiscalyear, enter the 12-month period and years. Calendar year: January 1 through December 31, 20 Fiscal year: beginning , 20 and ending , 20 Check here if this is the manufacturer's/importer's first filing. If not, enter the ID number assigned by the Licensing Division 2 Check the applicable box, and enter the three-month period and year(s) of the quarter for which this filing applies. Quarter 1 Quarter 2 Beginning Quarter 3 , 20 and ending , 20 B name, address, and filing status Give the full legal name of the "manufacturing or importing party" and any other name used for the purpose of conducting the business of manufacturing and distributing or importing and distributing digital audio recording products. 1 Legal name 2 Mailing address Give other business name(s), if different from line 1. 3 Business name 4 Check the applicable box to identify your filing status. Manufacturer Importer Manufacturer and importer Privacy Act Notice: Chapter 10 of title 17, United States Code, authorizes the Copyright Office to collect the personally identifying information (PII) requested on this form in order to process your statement of account. PII is any personal information that can be used to identify or contact an individual, such as names, addresses, and telephone numbers. The Copyright Office collects this PII in order to identify the entities making the royalty fee payments. By providing your PII, you are agreeing to this routine use of it. The effects of not providing the PII requested are that it may delay processing of your statement of account, and it may affect the legal sufficiency of the filing, a determination that would be made by a court of law. American LegalNet, Inc. www.FormsWorkFlow.com 2 · form dart / q confidential C computation of royalty fee 1 Product categories Portablepersonal recorders 2 example Technologies DCC 3 Series or model no. 001 4 Fee code B 5 Source code M 6 Transfer price $275.00 7 No. of units distributed 25,000 Donot includethe royaltyfee fromthis example inyour computations. ° note: Ifyouneedmorespace,photocopyspaceCandattachtheadditionalpage(s)tothestatementofaccount. computationofroyaltyfee: The formula to compute the royalty fee involves 14 components combined on pages 23. There are two different formulas for computing the royalty fee: (1) a formula for audio recording devices that are identified by the letters A,B,C, or D in column 4; and (2) a formula for audio recording media that are identified by the letter E in column 4. For further explanation of the information required for each column, see pages iii of the instructions. computingtheroyaltyfeefordigitalaudiorecordingdevices: On a line-by-line basis, enter the information in columns 18, 10, and 12 and compute the royalty fee: Step 1: Multiply column 7 by column 8 and enter the result in column 9. Step 2: Multiply column 7 by column 12 and enter the result in column 13. Step 3: Multiply column 6 first by column 7, then by column 10, and enter the result in column 11. Step 4: Select the appropriate royalty fee from column 9, 11, or 13 as explained in the instructions, page ii, and enter that figure in column 14. computingtheroyaltyfeefordigitalaudiorecordingmedium: On a line-by-line basis, enter the information in columns 17 and 10 and compute the royalty fee: Step 1: Multiply column 6 first by column 7, then by column 10. Step 2: Enter the result of Step 1 in column 14. computingthetotalroyaltyfee:Complete Lines 17 on page 3. roundingoffdollars:You may not round off cents to whole dollars when calculating the royalty fee on a line-byline basis in space C. However, you may round cents to whole dollars for the total fee due on line 7, space
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