PLEASE ENTER THE FOLLOWING INFORMATION FROM THE CURRENT PERIOD�S ROYALTY STATEMENT.

Click on the images below to see an example of where to find this data on your statement.

A PAYEE NUMBER MAY HAVE MANY ACCOUNTS LINKED TO IT BUT FOR VERIFICATION PURPOSES WE NEED ONLY ONE PAYEE/ACCOUNT COMBINATION FOR EACH UNIQUE PAYEE NUMBER

NOTE: FOR EACH ADDITIONAL UNIQUE PAYEE NUMBER PLEASE SELECT �ADD PAYEE� BELOW SO AS TO INCLUDE ALL YOUR PAYEES WITHIN THE ONE REQUEST FOR ACCESS.

NOTE: The Social Security or Tax Identification number entered should be that of each unique payee.