PS 3526-X

Statement of Ownership, Management, and Circulation (Requester and General Category Periodicals Publications Only) (8/2012)

Download and Print the PS 3526-X

Request may not be processed if the form is incomplete or illegible.

PS FORM 3526 WORKSHEET
If you are using PS Form 3526 and claiming electronic copies complete below:
I Certify that 50% of all my distributed copies (Electronic & Print) are paid above a nominal price.

a. Paid Electronic Copies

b. Total Paid Print Copies (Line 15C) + Paid Electronic Copies

c. Total Print Distribution (Line 15F) + Paid Electronic Copies

d. Percent Paid (Both Print & Electronic Copies)

PS FORM 3526-R WORKSHEET
If you are using PS Form 3526-R and claiming electronic copies complete below:
I Certify that 50% of all my distributed copies (Electronic & Print) are legitimate requests.

a. Requested and Paid Electronic Copies

b. Total Requested and Paid Print Copies (Line 15C) + Requested/Paid Electronic Copies

c. Total Requested Copy Distribution (Line 15F) + Requested/Paid Electronic Copies

d. Percent Paid and/or Requested Circulation (Both Print & Electronic Copies)

And more...