BRT

(Item III of Part B of Annexure I to Chapter 8)

Declaration to be completed by Indian publishers for remittance of royalty on books and
literature reprinted in India

Instructions:

1. This declaration should be completed in duplicate and submitted to an authorised dealerin foreign exchange.
   
   
2. If the gross amount of royalty exceeds U.S.$. 5,000/-, this declaration should also becertified by a firm of Chartered Accountants in the space provided for the purpose.
   
   
3. All remittances under any particular agreement should be effected through the samebranch of the same authorised dealer.
   

Documentation:

4. Form A2 duly filled in and signed by the applicant.
   
   
5. Certified copy of the royalty agreement.

Particulars of the Royalty Agreement
Name and address of Indian publisher
Name and address of foreign author/copyright holder/publisher.
Title of the book/copyright material.
Number of copies to be reprinted in India
Indian published price of the reprint.
Rate of royalty.
Whether any advance royalty is payable under theagreement; if so, the amount and how it will be adjusted.
Date of agreement and its validity period
Particulars of Royalty Payment due under the Agreement.
Period for which royalty is payable.
Details of reprints and sales:
No. of copies printed
No. of copies sold
Indian published price of the book	Rs._______________
Total sale proceeds	Rs._______________
Royalty Amount due Gross amount of royalty due @__%	Rs.______________
Deduct Advance royalty paid/unadjusted balance of advance royalty, if any.	Rs.______________
Deduct
Income-tax                          Rs.______________	Rs.......................
Surcharge on Income-tax        Rs.______________	Rs......................
Net amount of royalty payable
Details of previous remittances:
Advance royalty remitted if any and date of remittance
Amount of last remittance of royalty and date ofremittance

     We hereby declare that the particulars given above are true and correct to the best of our knowledge and belief and the book/copyright literature to which this declaration pertains is not on the proscribed list or banned list of foreign books for import.

	_____________________________________________ (Stamp & Signature of the Indian publisher)
Date:..............

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Space for use by Chartered Accountants

     We have verified the relevant books and records of the firm/company and hereby certify that the amount of royalty stated in Part II of this declaration has been correctly arrived at. We also confirm that the amount of tax deducted from the royalty is appropriate and it has been paid to the Government of India.

Place:.................	_____________________________________________ (Stamp & Signature of Chartered Accountants)
Date:..............

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Space for use of the authorised dealer

Amount remitted (stating currency)		________________________
		________________________
Date of remittance	Stamp	________________________ (Signature of Authorised Official)
		Name .............................
		Designation .....................
		Name and Address of .......
Date...........		Authorised Dealer .............