2018 Royalty Report Template

W oodsy Owl Licensing Program

Quarterly Revenue Report Template

Company Name

License No.

Select the Months Being Reported	January February March	April May June	July August September	October November December
Year Reported

Item Description or Name	Gross Units Sold	Unit Selling Price	Total Gross Sales	Deductions	Net Sales	Royalties Reported
Total Royalties this Period
(Less Remaining Advance Payment, if any)
Total Due

I hereby certify that the above statement is true and correct
Signature	Title	Date

Send to the following:

MAIL ORIGINALS Check (put License Number in Memo line) Signed royalty report Price list	TO: USDA Albuquerque Service Center (ASC) ATTN: R&C – OTC 101B Sun Avenue NE Albuquerque, New Mexico 87109
EMAIL Copies Check (with License No. in Memo Line) Royalty report Price list	TO: dbruyere@fs.fed.us AND WoodsyOwl@TheMetisGroup.com