SRT

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

Declaration to be completed by Indian Software Reproducers for
remittance of royalty on Software reproduced in India as a
percentage of Indian Published Price.

Instructions:

1. This declaration (including Annexure thereto) should be completed in duplicate and submitted to an authorised dealer in foreign exchange.
   
   
2. All remittances under any particular agreement should be effected through the same branch of the same authorised dealer.

Documentation:

3. Form A2 duly filled in and signed by the applicant.
   
   
4. Certified copy of the Software Reproduction Agreement.
   
   
5. No objection certificate from Income-tax authorities.

Particulars of the Software Reproduction Agreement
Name and address of Indian Reproducer
Name and address of foreign author/copyright holder/publisher
Title/s of the Software Product/sM
Indian published price/s for licence of Software Product/s reproduced.
Rate of royalty as a percentage of Indian Published Price for Licence of Software Product reproduced.
Whether any advance royalty is payable under the agreement; 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
Royalty Amount due Gross amount of royalty due as detailed in Annexure I	Rs.____________________
Deduct Advance royalty paid/unadjusted balance of advance royalty,if any.	Rs.____________________
Deduct Income Tax                       Rs. ...................
Surcharge on Income tax     Rs. ................... Net amount of royalty payable	Rs.____________________
Details of previous remittances;
Advance royalty remitted, if any, and date of remittance
Amount of last remittance of royalty and date of remittance

     We hereby declare that the particulars given above are true and correct to the best of our knowledge and belief.

		___________________________________
		(Stamp & Signature of the authorised Official of Indian Software Reproducer)
Date :____________________		Name:............................................
		Designation:....................................

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(Space for use by Chartered Accountant)

     We have verified the relevant books and records of the Software Reproducer above named 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 Accountant)

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(Space for use by Chartered Accountant)

Amount remitted (stating currency)		__________________________
Date of remittance		__________________________
		__________________________
		(Signature of Authorised Official)

Date :
		Name :_______________________________
		Designation :__________________________
		Name and Address of___________________
		Authorised Dealer :_____________________

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Annexure to form SRT

Particulars of Royalty Payments

due under the Agreement for the period __________ to __________

Sl. No.	Title of Software	Indian Published Price	No.of Copies reproduced	No.of Copies sold	Aggregate Published Price for copies sold (2)                (4)	Royalty Rate	Gross Royalty (5)    (6)
	(1)	(2)	(3)	(4)	(5)	(6)	(7)