| APPENDIX G (See Article A1110)
DECLARATION OF RECEIPTS AND DISTRIBUTION ROYALTY PAYMENTS
The Independent Production Agreement requires the payment of a Distribution Royalty based upon Distributors' Gross Revenue toall credited Writers as provided in Article C11 of the IPA. Such Royaltypayments are made at least annually and as per the required reporting periodand must be accompanied by a statement of all Distributors' Gross Revenue inaccordance with the following Distribution Royalty Payment Form. Insurance andRetirement contributions and Writer deductions must be remitted in relation toDistribution Royalty payments. In the case of a limited company, certificationmust be by an officer or director of the company. The Distribution Royalty Payment Form contains separate first pages for single productions and series. All subsequent pages are to be included for all projects. In accordance with the terms of the Distributor's Assumption Agreement:
DISTRIBUTION ROYALTY PAYMENT FORM
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