Looking for a Irs Forms And Templates? Download it for free!

2009 FCC Form 499-A Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues)

Page 6

Block 4-A: Continued

Breakouts

If breakouts are not book

Total

amounts, enter whole

Interstate

International

Revenues

percentage estimates

(a)

Interstate

International

(d)

(e)

Toll services

411

Prepaid calling card (including card sales to customers

and non-carrier distributors) reported at face value of cards

412

International calls that both originate and terminate in foreign points

100%

413

Operator and toll calls with alternative billing arrangements (credit

card, collect, international call-back, etc.) other than revenues

reported on Line 412

Ordinary long distance (direct-dialed MTS, customer toll-free (800/888

etc.) service , "10-10" calls, associated monthly account maintenance,

PICC pass-through, and other switched services not reported above)

414.1

All, other than interconnected VoIP, including, but not limited to,

itemized toll on wireline and wireless bills

414.2

All interconnected VoIP long distance, including, but not limited to,

itemized toll

415

Long distance private line services

416

Satellite services

417

All other long distance services

Revenues other than U.S. telecommunications revenues, including information services,

inside wiring maintenance, billing and collection customer premises equipment, published

directory, dark fiber, Internet access, cable TV program transmission, foreign carrier

operations, and non-telecommunications revenues (See instructions.)

418.1

bundled with circuit switched local exchange service

418.2

bundled with interconnected VoIP local exchange service

418.3

other

Block 4-B: Total Revenue and Uncollectible Revenue Information

419

Gross billed revenues from all sources (incl. reseller & non-telecom.)

[Lines 303 through 314 plus Lines 403 through 418]

420

Gross universal service contribution base amounts [Lines 403

through 411 Lines 413 through 417] See Figure 4 in instructions.

421

Uncollectible revenue/bad debt expense associated with gross

billed revenues amounts shown on Line 419 [See Instructions Page 26]

422

Uncollectible revenue/bad debt expense associated with universal

service contribution base amounts shown on Line 420

423

Net universal service contribution base revenues

[Line 420 minus line 422]

PERSONS MAKING WILLFUL FALSE STATEMENTS IN THE WORKSHEET CAN BE PUNISHED BY FINE OR IMPRISONMENT UNDER TITLE 18 OF THE UNITED STATES CODE, 18 U.S.C. § 1001

Save time, avoid problems -- file electronically at

FCC Form 499-A

February 2009

2009 Fcc Form 499-A - Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues) Page 6

Related Articles

Related forms

Related Categories