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 | FOR OFFICIAL USE ONLY | 
	
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 | FCC FORM 1210 | 
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		| UPDATING MAXIMUM PERMITTED RATES FOR REGULATED CABLE SERVICES | 
	
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 | Cable Operator: | 
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 | Name of Cable Operator | 
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 | Mailing Address of Cable Operator | 
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		| 1. Does this filing involve a single franchise authority and a single community unit? | 
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 | If yes, complete the franchise authority information below and enter the associated CUID number here: | 
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		| 2. Does this filing involve a single franchise authority but multiple community units? | 
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 | If yes, enter the associated CUIDs below and complete the franchise authority information at the bottom of this page: | 
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		| 3. Does this filing involve multiple franchise authorities? | 
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 | If yes, attach a separate sheet for each franchise authority and include the following franchise authority information with | 
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 | it's associated CUID(s): | 
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		| Franchise Authority Information: | 
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 | Name of Local Franchising Authority | 
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 | Mailing Address of Local Franchising Authority | 
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 | Telephone number | 
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		| 4. Indicate the time period for which this form is being filed. | 
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		| 5. Status of Previous Filing of FCC Form 1210 (enter an "x" in the appropriate box) | 
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		| a. Is this the first FCC Form 1210 filed in any jurisdiction? | 
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		| b. Has an FCC Form 1210 been previously filed with the FCC? | 
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 | If yes, enter the date of the most recent filing: | 
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		| c. Has an FCC Form 1210 been previously filed with the Franchising Authority? | 
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 | If yes, enter the date of the most recent filing: | 
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		| 6. Status of FCC Form 1200 Filing (enter an "x" in the appropriate box) | 
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		| a. Is this form being filed along with an FCC Form 1200? | 
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		| b. Has an FCC Form 1200 been previously filed with the FCC? | 
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 | If yes, enter the date filed: | 
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		| c. Has an FCC Form 1200 been previously filed with the Franchising Authority? | 
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 | If yes, enter the date filed: | 
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		| 7. Cable Programming Services Complaint Status (enter an "x" in the appropriate box) | 
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		| a. Is this form being filed in response to an FCC Form 329 complaint? | 
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 | If yes, enter the date of the complaint: | 
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		| 8. Selection of "Going Forward" Channel Addition Methodology  (enter an "x" in the appropriate box) | 
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 | Check here if you are using the original rules  [MARKUP METHOD]. | 
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 | Check here if you are using the new, alternative rules [CAPS METHOD]. | 
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		| If using the CAPS METHOD, have  you elected to revise recovery for | 
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		| channels added during the period May 15, to Dec 31, 1994? | 
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		| 9. Headend Upgrade Methodology | 
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		| *NOTE:  Operators must certify to the Commission their eligibility to use this module and attach an equipment list and depreciation schedule. | 
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 | Check here if you are a qualifying system using the streamlined headend upgrade methodology. | 
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		| MODULE A: TRANSITION RATE AND PERMITTED CHARGE FROM PREVIOUS FILINGS | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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		| A1 | Transition Rate | 
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		| A2 | Permitted Charge | 
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		| MODULE B: HEADEND UPGRADES FOR QUALIFYING* SYSTEMS | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
		| *NOTE:  Operators must certify to the Commission their eligibility to use this module and attach an equipment list and depreciation schedule. | 
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		| B1 | Original Cost of Headend Equipment | 
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		| B2 | Original Cost of Equipment less Depreciation | 
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		| B3 | Computed Return on Equipment [B2x11.25%] | 
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		| B4 | Depreciation Expense | 
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		| B5 | Cost Adjustment [B3+B4] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| B6 | Number of Channels Added per Tier | 
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		| B7 | Per Channel Cost Adjustment  [B5/B6] | 
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		| B8 | Subscribers per Tier | 
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		| B9 | Per Channel, per Sub, Cost Adjustment [B7/B8] | 
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		| B10 | Monthly per Channel Cost Adjustment [B9/12] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
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		| MODULE C:  CALCULATING ONE-TIME ADJUSTMENTS TO PREVIOUS EXTERNAL COSTS PER SUBSCRIBER | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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 | One-Time Adjustment to Revise Programming Added Using Original Methodology [MARKUP METHOD] Between May 15 & Dec 31, 1994. | 
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		| C1 | Cost Per Tier of Programming to be Revised from Markup Method to Caps Method | 
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		| C2 | Margin Taken on Above Programming [C1 X .075] | 
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		| C3 | Non-External Cost Adj. Taken on Above Prog. | 
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		| C4 | Subscribers per Tier (see instructions) | 
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		| C5 | Margin Adjusted Prog. Costs per Subscriber [(C2+C3)/C4] | 
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		| C6 | Cost of Programming per Tier (Form 1200 in B8) | 
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		| C7 | Margin on 3/31/94 Prog. Cost [C6 x 0.075] | 
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		| C8 | Subscribers per Tier as of 3/31/94 | 
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		| C9 | Programming Margin Adj. per Subscriber [C7/C8] | 
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		| MODULE C:  ONE-TIME ADJUSTMENTS CONTINUED | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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 | One-Time Adjustment of Retransmission Consent Fees for the 1210 Filing Period Including October 6, 1994. | 
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		| C10 | Consent Fees per Tier | 
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		| C11 | Margin on Previous Consent Fees [C10 x 1.075] | 
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		| C12 | Subscribers per Tier | 
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		| C13 | Margin Adj. Consent Fees per Subscriber [C11/C12] | 
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		| C14 | Previous Ext. Costs per Tier per Sub. (See Inst.) | 
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		| C15 | Adjusted Prev. Ext. Costs [C9+C13+C14-C5] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
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		| MODULE D:  CALCULATION OF CURRENT EXTERNAL COSTS PER SUBSCRIBER | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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		| D1 | Current Cost of Programming Prior to 5/15/94 or Added After 5/15/94 Using Markup method | 
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		| D2 | Current Retransmission Consent Fees | 
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		| D3 | Margin Eligible Pgming/Consent Fees [D1+D2] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 
	
		| D4 | Margin Adj. Pgming/Consent Fees [D3 x 1.075] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 
	
		| D5 | Taxes | 
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		| D6 | Franchise Related Costs | 
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		| D7 | Total Current External Costs  [D4+D5+D6] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 
	
		| D8 | Current Subscribers | 
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		| D9 | Current Ext. Costs per Subscriber (D7/D8) | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 
	
		| Cost of Programming Added Using Caps method Being Claimed as External Costs (per sub, per tier) | 
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		| MODULE E: TOTAL INCREASE IN CHANNELS PER REGULATED TIER | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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		| E1 | Previous Number of Channels per Regulated Tier | 
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		| E2 | Current Number of Channels per Regulated Tier | 
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		| E3 | Net Change in Channels per Regulated Tier [E2-E1] | 
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		| E4 | Total Increase in Channels* [E3a...E3e] | 
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		| MODULE F:  PER CHANNEL ADJUSTMENTS FOR CHANNEL ADDITIONS USING ALTERNATIVE METHODOLOGY [CAPS METHOD] | 
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		| Line | Line Description | 
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		| * NOTE:  Operators are allowed to apply more than .30 to programming, however any amount in excess of .30 will be deleted from the $1.20 Operator's cap. | 
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		| F1 | Previous Operator's Cap Remainder (Revised 1210 line F8) | 
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		| F2 | Portion of Operator's Cap used (1.20 - F1) | 
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		| F3 | Aggregate Per Channel Adjustment for Channel Additions & Cost Increases | 
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		| F4 | Previous License Fee Reserve Remainder (Revised 1210 in F9) | 
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		| F5 | Portion of License Fee Reserve used (See Inst.) | 
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		| F6 | Aggregate Cost of Programming Applied Against License Fee Reserve per Current Channel Added | 
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		| F7 | Total Amount Applied to Cap & License Fee Reserve [F2+F3+F5+F6] | 
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		| F8 | Current Operator's Cap Remainder [F1-F3] | 
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		| F9 | Current License Fee Reserve Remainder [F4-F6] | 
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		| Tier Allocation of Channel Adjustments & Amounts Applied Against the License Fee Reserve | 
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		| F10 | Current per Channel Adjustment per Tier | 
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		| F11 | Current License Fee Reserve Amt. per Tier | 
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		| MODULE  G: PER CHANNEL ADJUSTMENT PER TIER FOR CHANNEL ADDITIONS [MARKUP METHOD] | 
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		| G1 | Previous Number of Channels per Regulated Tier | 
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		| G2 | Current Number of Channels per Regulated Tier | 
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		| G3 | Sum of Previous Channels [G1a...e] | #VALUE! | 
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		| G4 | Sum of Current Channels [G2a...e] | #VALUE! | 
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		| G5 | Average of Previous and New Channels [(G3+G4)/2] | #VALUE! | 
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		| G6 | Adjustment per Channel (see table) | 
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		| G7 | Per Channel Adjustment per Tier | 
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		| MODULE H: CALCULATING RESIDUAL FOR CHANNEL DELETION AND MOVEMENT | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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		| Calculating Residual (Transition Rate) | 
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		| H1 | Transition Rate [A1] | 
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		| H2 | Adjusted Previous External Costs  [C15] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| H3 | Total Per Channel Adjustments after 5/14/94 for Channels Added Using Caps method by Tier | 
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		| H4 | Tier Residual [H1-H2-H3] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| H5 | Previous Channels per Regulated Tier [E1] | 
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		| H6 | Previous Caps Method Channels per Tier | 
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		| H7 | Remaining Channels [H5-H6] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| H8 | Per Channel Residual [H4/H7] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| Channel Deletion and Channel Movement  (See Instructions) | 
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		| H9 | Residual of Channels Deleted From Tier | 
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		| H10 | Residual of Channels Moved (added) to Tier | 
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		| H11 | Net Per-Channel Cost Adj. per Tier [H10-H9] | 
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		| Calculating Residual (Permitted Charge) | 
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		| H12 | Permitted Charge [A2] | 
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		| H13 | Adjusted Previous External Costs  [C15] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| H14 | Total Per Channel Adjustments after 5/14/94 for Channels Added Using Caps method by Tier | 
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		| H15 | Tier Residual [H12-H13-H14] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| H16 | Previous Channels per Regulated Tier [E1] | 
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		| H17 | Previous Caps Method Channels per Tier | 
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		| H18 | Remaining Channels [H16-H17] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| H19 | Per Channel Residual [H15/H18] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| Channel Deletion and Channel Movement  (See Instructions) | 
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		| H20 | Residual of Channels Deleted From Tier | 
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		| H21 | Residual of Channels Moved (added) to Tier | 
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		| H22 | Net Per-Channel Cost Adj. per Tier [H21-H20] | 
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		| MODULE I: UPDATING TRANSITION RATE FOR INFLATION, CHANGES IN EXTERNAL COSTS AND CHANNELS | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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		| I1 | Transition Rate  [A1] | 
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		| I2 | Per Channel Cost Adjustments [B10+F10+F11+G7+H11] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| I3 | Adjusted Previous External Costs per Sub [C15] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| I4 | Portion of Rate Eligible for Inflation Adj. [I1+I2-I3] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| I5 | Inflation Adjustment Factor (See Instructions) | 
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		| I6 | Rate Adjusted for Inflation [I4*I5] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| I7 | Current External Costs per Sub [D9] | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 
	
		| I8 | Updated Transition Rate  [I6+I7] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| MODULE J: UPDATING PERMITTED CHARGE FOR INFLATION, CHANGES IN EXTERNAL COSTS AND CHANNELS | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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		| J1 | Permitted Charge [A2] | 
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		| J2 | Per Channel Cost Adjustment [B10+F10+F11+G7+H22] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| J3 | Adjusted Previous External Costs per Sub. [C15] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| J4 | Portion of Rate Eligible for Inflation Adj. [J1+J2-J3] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| J5 | Inflation Adjustment Factor (See Instructions) | 
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		| J6 | Rate Adjusted for Inflation [J4*J5] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| J7 | Current External Costs per Subscriber [D9] | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 
	
		| J8 | Updated Permitted Charge [J6 + J7] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| MODULE K: COMPARISON OF TRANSITION RATE AND PERMITTED CHARGE | 
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		| Line | Line Description | Basic | Tier 2 | Tier 3 | Tier 4 | Tier 5 | 
	
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		| K1 | Current Subscribers  [D8] | 
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		| K2 | Weighting Factor [K1a...e / K1a] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| K3 | Updated Transition Rate [I8] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| K4 | Weighted Transition Rate [K2*K3] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| K5 | Aggregate Transition Rate [K4a...e] | #VALUE! | 
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		| K6 | Updated Permitted Charge  [J8] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| K7 | Weighted Permitted Charge [K2*K6] | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
		| K8 | Aggregate Permitted Charge [K7 a...e] | #VALUE! | 
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		| COMPARE LINES  K5 AND K8. | 
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		| If K5 is larger than K8, enter the tier rates from Line K3 (your updated transition rate) on Line K9 below. | 
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		| If K8 is larger than K5, enter the tier rates from Line K6 (your updated permitted charge) on Line K9 below. | 
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		| K9 | Maximum Permitted Rate | #VALUE! | #VALUE! | #VALUE! | #VALUE! | #VALUE! | 
	
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		| 
 | Certification Statement | 
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 | WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT | 
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		| 
 | (U.S. CODE TITLE 18, SECTION 1001), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503). | 
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		| 
 | I certify that the statements made in this form are true and correct to the best of my knowledge and belief, and are made in good faith. | 
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		| 
 | Signature | 
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 | Name and Title of Person Completing this Form: | 
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		| 
 | TABLE A. | 
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 | NON-EXTERNAL COST ADJUSTMENT FOR | 
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 | CHANGES IN CHANNELS | 
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 | Average Channels | Adjustment | 
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 | From: | To: | per channel | 
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 | 7 | 7 | $0.52 | 
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 | 7.5 | 7.5 | $0.45 | 
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 | 8 | 8 | $0.40 | 
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 | 8.5 | 8.5 | $0.36 | 
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 | 9 | 9 | $0.33 | 
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 | 9.5 | 9.5 | $0.29 | 
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 | 10 | 10 | $0.27 | 
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 | 10.5 | 10.5 | $0.24 | 
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 | 11 | 11 | $0.22 | 
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 | 11.5 | 11.5 | $0.20 | 
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 | 12 | 12 | $0.19 | 
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 | 12.5 | 12.5 | $0.17 | 
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 | 13 | 13 | $0.16 | 
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 | 13.5 | 13.5 | $0.15 | 
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 | 14 | 14 | $0.14 | 
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 | 14.5 | 14.5 | $0.13 | 
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 | 15 | 15.5 | $0.12 | 
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 | 16 | 16 | $0.11 | 
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 | 16.5 | 17 | $0.10 | 
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 | 17.5 | 18 | $0.09 | 
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 | 18.5 | 19 | $0.08 | 
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 | 19.5 | 21.5 | $0.07 | 
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 | 22 | 23.5 | $0.06 | 
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 | 24 | 26 | $0.05 | 
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 | 26.5 | 29.5 | $0.04 | 
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 | 30 | 35.5 | $0.03 | 
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 | 36 | 46 | $0.02 | 
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 | 46.5 | 99 | $0.01 | 
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