Songwriter Split Sheet Template Page 2

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Composer/Writer 3:
Address:
Phone:
rd
Publishing Company (if a 3
party is entitled to a % of Publishing, list this party’s information as well):
Publishing %:
Publishing %:
Affiliation: ASCAP
BMI
SESAC (Circle one)
Ownership %: Lyrics:
Music:
(Identify each % of ownership)
Writer/Composer Signature ________________________________________
CAE/Social Security # ________________________
Birthdate__________________
Composer/Writer 4:
Address:
Phone:
rd
Publishing Company (if a 3
party is entitled to a % of Publishing, list this party’s information as well):
Publishing %:
Publishing %:
Affiliation: ASCAP
BMI
SESAC (Circle one)
Ownership %: Lyrics:
Music:
(Identify each % of ownership)
Writer/Composer Signature ________________________________________
CAE/Social Security # ________________________
Birthdate__________________
Composer/Writer 5:
Address:
Phone:
rd
Publishing Company (if a 3
party is entitled to a % of Publishing, list this party’s information as well):
Publishing %:
Publishing %:
Affiliation: ASCAP
BMI
SESAC (Circle one)
Ownership %: Lyrics:
Music:
(Identify each % of ownership)
Writer/Composer Signature ________________________________________
CAE/Social Security # ________________________
Birthdate__________________
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