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		FOR OFFICIAL USE ONLY | 
		
	
		
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		FCC FORM 1210 | 
		
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		| UPDATING MAXIMUM PERMITTED RATES FOR REGULATED CABLE SERVICES  | 
		
	
		
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		Cable Operator: | 
		
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		Name of Cable Operator | 
		
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		Mailing Address of Cable Operator | 
		
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		City | 
		
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		ZIP Code | 
		
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		YES | 
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		| 1. Does this filing involve a single franchise authority and a single community unit? | 
		
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		If yes, complete the franchise authority information below and enter the associated CUID number here: | 
		
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		| 2. Does this filing involve a single franchise authority but multiple community units? | 
		
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		If yes, enter the associated CUIDs below and complete the franchise authority information at the bottom of this page: | 
		
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		| 3. Does this filing involve multiple franchise authorities? | 
		
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		If yes, attach a separate sheet for each franchise authority and include the following franchise authority information with  | 
		
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		it's associated CUID(s): | 
		
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		| Franchise Authority Information: | 
		
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		Name of Local Franchising Authority | 
		
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		Mailing Address of Local Franchising Authority | 
		
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		City | 
		
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		ZIP Code | 
		
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		Telephone number | 
		
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		Fax Number | 
		
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		TO | 
		
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		| 4. Indicate the time period for which this form is being filed. | 
		
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		(mm/dd/yy) | 
	
	
		
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		| 5. Status of Previous Filing of FCC Form 1210 (enter an "x" in the appropriate box) | 
		
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		| a. Is this the first FCC Form 1210 filed in any jurisdiction? | 
		
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		| b. Has an FCC Form 1210 been previously filed with the FCC?  | 
		
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		If yes, enter the date of the most recent filing:  | 
		
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		(mm/dd/yy) | 
		
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		| c. Has an FCC Form 1210 been previously filed with the Franchising Authority? | 
		
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		If yes, enter the date of the most recent filing:  | 
		
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		(mm/dd/yy) | 
		
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		| 6. Status of FCC Form 1200 Filing (enter an "x" in the appropriate box) | 
		
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		YES | 
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		| a. Is this form being filed along with an FCC Form 1200? | 
		
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		| b. Has an FCC Form 1200 been previously filed with the FCC?  | 
		
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		If yes, enter the date filed:  | 
		
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		| c. Has an FCC Form 1200 been previously filed with the Franchising Authority? | 
		
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		If yes, enter the date filed:  | 
		
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		| 7. Cable Programming Services Complaint Status (enter an "x" in the appropriate box) | 
		
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		| a. Is this form being filed in response to an FCC Form 329 complaint? | 
		
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		If yes, enter the date of the complaint:  | 
		
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		| 8. Selection of "Going Forward" Channel Addition Methodology  (enter an "x" in the appropriate box)  | 
		
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		Check here if you are using the original rules  [MARKUP METHOD]. | 
		
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		Check here if you are using the new, alternative rules [CAPS METHOD]. | 
		
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		| If using the CAPS METHOD, have  you elected to revise recovery for  | 
		
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		| channels added during the period May 15, to Dec 31, 1994? | 
		
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		| 9. Headend Upgrade Methodology | 
		
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		| *NOTE:  Operators must certify to the Commission their eligibility to use this module and attach an equipment list and depreciation schedule. | 
		
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		Check here if you are a qualifying system using the streamlined headend upgrade methodology. | 
		
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		| MODULE A: TRANSITION RATE AND PERMITTED CHARGE FROM PREVIOUS FILINGS | 
		
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		| Line | 
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		Basic | 
		Tier 2 | 
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		Tier 5 | 
	
	
		
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		Transition Rate | 
		
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		| A2 | 
		Permitted Charge | 
		
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		| MODULE B: HEADEND UPGRADES FOR QUALIFYING* SYSTEMS  | 
		
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		Tier 5 | 
	
	
		| *NOTE:  Operators must certify to the Commission their eligibility to use this module and attach an equipment list and depreciation schedule. | 
		
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		| B1 | 
		Original Cost of Headend Equipment | 
		
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		| B2 | 
		Original Cost of Equipment less Depreciation | 
		
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		| B3 | 
		Computed Return on Equipment [B2x11.25%] | 
		
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		| B4 | 
		Depreciation Expense | 
		
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		| B5 | 
		Cost Adjustment [B3+B4] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| B6 | 
		Number of Channels Added per Tier | 
		
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		| B7 | 
		Per Channel Cost Adjustment  [B5/B6] | 
		
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		| B8 | 
		Subscribers per Tier | 
		
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		| B9 | 
		Per Channel, per Sub, Cost Adjustment [B7/B8] | 
		
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		| B10 | 
		Monthly per Channel Cost Adjustment [B9/12] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		
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		| MODULE C:  CALCULATING ONE-TIME ADJUSTMENTS TO PREVIOUS EXTERNAL COSTS PER SUBSCRIBER | 
		
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		One-Time Adjustment to Revise Programming Added Using Original Methodology [MARKUP METHOD] Between May 15 & Dec 31, 1994.   | 
		
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		| C1 | 
		Cost Per Tier of Programming to be Revised from Markup Method to Caps Method  | 
		
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		| C2 | 
		Margin Taken on Above Programming [C1 X .075] | 
		
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		| C3 | 
		Non-External Cost Adj. Taken on Above Prog. | 
		
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		| C4 | 
		Subscribers per Tier (see instructions) | 
		
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		| C5 | 
		Margin Adjusted Prog. Costs per Subscriber [(C2+C3)/C4] | 
		
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		One-Time Adjustment of Previous Programming Cost for First Filing of FCC Form 1210 | 
		
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		| C6 | 
		Cost of Programming per Tier (Form 1200 in B8) | 
		
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		| C7 | 
		Margin on 3/31/94 Prog. Cost [C6 x 0.075] | 
		
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		| C8 | 
		Subscribers per Tier as of 3/31/94 | 
		
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		| C9 | 
		Programming Margin Adj. per Subscriber [C7/C8] | 
		
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		| MODULE C:  ONE-TIME ADJUSTMENTS CONTINUED | 
		
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		| Line | 
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		One-Time Adjustment of Retransmission Consent Fees for the 1210 Filing Period Including October 6, 1994. | 
		
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		| C10 | 
		Consent Fees per Tier  | 
		
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		| C11 | 
		Margin on Previous Consent Fees [C10 x 1.075] | 
		
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		| C12 | 
		Subscribers per Tier  | 
		
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		| C13 | 
		Margin Adj. Consent Fees per Subscriber [C11/C12] | 
		
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		Application of Adjustments to Previous External Costs per Subscriber | 
		
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		| C14 | 
		Previous Ext. Costs per Tier per Sub. (See Inst.) | 
		
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		| C15 | 
		Adjusted Prev. Ext. Costs [C9+C13+C14-C5] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		
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		| MODULE D:  CALCULATION OF CURRENT EXTERNAL COSTS PER SUBSCRIBER | 
		
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		| Line | 
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		Basic | 
		Tier 2 | 
		Tier 3 | 
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		Tier 5 | 
	
	
		
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		| D1 | 
		Current Cost of Programming Prior to 5/15/94 or Added After 5/15/94 Using Markup method | 
		
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		| D2 | 
		Current Retransmission Consent Fees | 
		
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		| D3 | 
		Margin Eligible Pgming/Consent Fees [D1+D2] | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
	
	
		| D4 | 
		Margin Adj. Pgming/Consent Fees [D3 x 1.075] | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
	
	
		| D5 | 
		Taxes  | 
		
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		| D6 | 
		Franchise Related Costs  | 
		
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		| D7 | 
		Total Current External Costs  [D4+D5+D6] | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
		$0.00  | 
	
	
		| D8 | 
		Current Subscribers  | 
		
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		| D9 | 
		Current Ext. Costs per Subscriber (D7/D8) | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
	
	
		| Cost of Programming Added Using Caps method Being Claimed as External Costs (per sub, per tier) | 
		
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		| MODULE E: TOTAL INCREASE IN CHANNELS PER REGULATED TIER | 
		
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		| Line | 
		Line Description | 
		Basic | 
		Tier 2 | 
		Tier 3 | 
		Tier 4 | 
		Tier 5 | 
	
	
		
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		| E1 | 
		Previous Number of Channels per Regulated Tier | 
		
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		| E2 | 
		Current Number of Channels per Regulated Tier | 
		
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		| E3 | 
		Net Change in Channels per Regulated Tier [E2-E1] | 
		
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		| E4 | 
		Total Increase in Channels* [E3a...E3e] | 
		
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		| MODULE F:  PER CHANNEL ADJUSTMENTS FOR CHANNEL ADDITIONS USING ALTERNATIVE METHODOLOGY [CAPS METHOD] | 
		
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		| Line | 
		Line Description | 
		
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		Amount | 
		
	
		| * NOTE:  Operators are allowed to apply more than .30 to programming, however any amount in excess of .30 will be deleted from the $1.20 Operator's cap. | 
		
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		| F1 | 
		Previous Operator's Cap Remainder (Revised 1210 line F8) | 
		
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		| F2 | 
		Portion of Operator's Cap used (1.20 - F1) | 
		
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		| F3 | 
		Aggregate Per Channel Adjustment for Channel Additions & Cost Increases | 
		
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		| F4 | 
		Previous License Fee Reserve Remainder (Revised 1210 in F9) | 
		
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		| F5 | 
		Portion of License Fee Reserve used (See Inst.) | 
		
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		| F6 | 
		Aggregate Cost of Programming Applied Against License Fee Reserve per Current Channel Added  | 
		
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		| F7 | 
		Total Amount Applied to Cap & License Fee Reserve [F2+F3+F5+F6] | 
		
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		| F8 | 
		Current Operator's Cap Remainder [F1-F3]  | 
		
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		| F9 | 
		Current License Fee Reserve Remainder [F4-F6] | 
		
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		#VALUE! | 
	
	
		
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		| Tier Allocation of Channel Adjustments & Amounts Applied Against the License Fee Reserve | 
		
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		a | 
		b | 
		c | 
		d | 
		e | 
	
	
		| Line | 
		Line Description | 
		Basic | 
		Tier 2 | 
		Tier 3 | 
		Tier 4 | 
		Tier 5 | 
	
	
		
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		| F10 | 
		Current per Channel Adjustment per Tier | 
		
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		| F11 | 
		Current License Fee Reserve Amt. per Tier | 
		
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		| MODULE  G: PER CHANNEL ADJUSTMENT PER TIER FOR CHANNEL ADDITIONS [MARKUP METHOD]  | 
		
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		a | 
		b | 
		c | 
		d | 
		e | 
	
	
		| Line | 
		Line Description | 
		Basic | 
		Tier 2 | 
		Tier 3 | 
		Tier 4 | 
		Tier 5 | 
	
	
		
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		| G1 | 
		Previous Number of Channels per Regulated Tier | 
		
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		| G2 | 
		Current Number of Channels per Regulated Tier | 
		
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		| G3 | 
		Sum of Previous Channels [G1a...e] | 
		#VALUE! | 
		
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		| G4 | 
		Sum of Current Channels [G2a...e] | 
		#VALUE! | 
		
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		| G5 | 
		Average of Previous and New Channels [(G3+G4)/2] | 
		#VALUE! | 
		
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		| G6 | 
		Adjustment per Channel (see table) | 
		
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		| G7 | 
		Per Channel Adjustment per Tier | 
		
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		| MODULE H: CALCULATING RESIDUAL FOR CHANNEL DELETION AND MOVEMENT | 
		
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		a | 
		b | 
		c | 
		d | 
		e | 
	
	
		| Line | 
		Line Description | 
		Basic | 
		Tier 2 | 
		Tier 3 | 
		Tier 4 | 
		Tier 5 | 
	
	
		
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		| Calculating Residual (Transition Rate) | 
		
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		| H1 | 
		Transition Rate [A1] | 
		
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		| H2 | 
		Adjusted Previous External Costs  [C15] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| H3 | 
		Total Per Channel Adjustments after 5/14/94 for Channels Added Using Caps method by Tier | 
		
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		| H4 | 
		Tier Residual [H1-H2-H3] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| H5 | 
		Previous Channels per Regulated Tier [E1] | 
		
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		| H6 | 
		Previous Caps Method Channels per Tier  | 
		
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		| H7 | 
		Remaining Channels [H5-H6] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| H8 | 
		Per Channel Residual [H4/H7] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| Channel Deletion and Channel Movement  (See Instructions) | 
		
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		| H9 | 
		Residual of Channels Deleted From Tier | 
		
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		| H10 | 
		Residual of Channels Moved (added) to Tier | 
		
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		| H11 | 
		Net Per-Channel Cost Adj. per Tier [H10-H9] | 
		
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		| Calculating Residual (Permitted Charge) | 
		
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		| H12 | 
		Permitted Charge [A2] | 
		
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		| H13 | 
		Adjusted Previous External Costs  [C15] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| H14 | 
		Total Per Channel Adjustments after 5/14/94 for Channels Added Using Caps method by Tier | 
		
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		| H15 | 
		Tier Residual [H12-H13-H14] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| H16 | 
		Previous Channels per Regulated Tier [E1] | 
		
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		| H17 | 
		Previous Caps Method Channels per Tier  | 
		
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		| H18 | 
		Remaining Channels [H16-H17] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| H19 | 
		Per Channel Residual [H15/H18] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| Channel Deletion and Channel Movement  (See Instructions) | 
		
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		| H20 | 
		Residual of Channels Deleted From Tier | 
		
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		| H21 | 
		Residual of Channels Moved (added) to Tier | 
		
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		| H22 | 
		Net Per-Channel Cost Adj. per Tier [H21-H20] | 
		
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		| MODULE I: UPDATING TRANSITION RATE FOR INFLATION, CHANGES IN EXTERNAL COSTS AND CHANNELS | 
		
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		a | 
		b | 
		c | 
		d | 
		e | 
	
	
		| Line | 
		Line Description | 
		Basic | 
		Tier 2 | 
		Tier 3 | 
		Tier 4 | 
		Tier 5 | 
	
	
		
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		| I1 | 
		Transition Rate  [A1] | 
		
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		| I2 | 
		Per Channel Cost Adjustments [B10+F10+F11+G7+H11] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| I3 | 
		Adjusted Previous External Costs per Sub [C15] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| I4 | 
		Portion of Rate Eligible for Inflation Adj. [I1+I2-I3] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| I5 | 
		Inflation Adjustment Factor (See Instructions) | 
		
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		| I6 | 
		Rate Adjusted for Inflation [I4*I5] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| I7 | 
		Current External Costs per Sub [D9] | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
	
	
		| I8 | 
		Updated Transition Rate  [I6+I7] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| MODULE J: UPDATING PERMITTED CHARGE FOR INFLATION, CHANGES IN EXTERNAL COSTS AND CHANNELS | 
		
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		a | 
		b | 
		c | 
		d | 
		e | 
	
	
		| Line | 
		Line Description | 
		Basic | 
		Tier 2 | 
		Tier 3 | 
		Tier 4 | 
		Tier 5 | 
	
	
		
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		| J1 | 
		Permitted Charge [A2]   | 
		
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		| J2 | 
		Per Channel Cost Adjustment [B10+F10+F11+G7+H22] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| J3 | 
		Adjusted Previous External Costs per Sub. [C15] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| J4 | 
		Portion of Rate Eligible for Inflation Adj. [J1+J2-J3] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| J5 | 
		Inflation Adjustment Factor (See Instructions) | 
		
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		| J6 | 
		Rate Adjusted for Inflation [J4*J5] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| J7 | 
		Current External Costs per Subscriber [D9] | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
		#DIV/0! | 
	
	
		| J8 | 
		Updated Permitted Charge [J6 + J7] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| MODULE K: COMPARISON OF TRANSITION RATE AND PERMITTED CHARGE | 
		
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		a | 
		b | 
		c | 
		d | 
		e | 
	
	
		| Line | 
		Line Description | 
		Basic | 
		Tier 2 | 
		Tier 3 | 
		Tier 4 | 
		Tier 5 | 
	
	
		
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		| K1 | 
		Current Subscribers  [D8] | 
		
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		| K2 | 
		Weighting Factor [K1a...e / K1a] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| K3 | 
		Updated Transition Rate [I8] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| K4 | 
		Weighted Transition Rate [K2*K3] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| K5 | 
		Aggregate Transition Rate [K4a...e] | 
		#VALUE! | 
		
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		| K6 | 
		Updated Permitted Charge  [J8] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| K7 | 
		Weighted Permitted Charge [K2*K6] | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		| K8 | 
		Aggregate Permitted Charge [K7 a...e] | 
		#VALUE! | 
		
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		| COMPARE LINES  K5 AND K8. | 
		
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		|      If K5 is larger than K8, enter the tier rates from Line K3 (your updated transition rate) on Line K9 below. | 
		
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		|      If K8 is larger than K5, enter the tier rates from Line K6 (your updated permitted charge) on Line K9 below. | 
		
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		| K9 | 
		Maximum Permitted Rate | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
		#VALUE! | 
	
	
		
  
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		Certification Statement | 
		
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		WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT | 
		
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		(U.S. CODE TITLE 18, SECTION 1001), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503). | 
		
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		I certify that the statements made in this form are true and correct to the best of my knowledge and belief, and are made in good faith. | 
		
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		Signature | 
		
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		Date | 
		
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		Name and Title of Person Completing this Form: | 
		
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		Telephone number | 
		
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		Fax Number | 
		
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		TABLE A. | 
		
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		NON-EXTERNAL COST ADJUSTMENT FOR  | 
		
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		CHANGES IN CHANNELS | 
		
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		Average Channels | 
		Adjustment | 
		
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		From: | 
		To: | 
		per channel | 
		
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		7  | 
		7  | 
		$0.52  | 
		
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		7.5  | 
		7.5  | 
		$0.45  | 
		
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		8  | 
		8  | 
		$0.40  | 
		
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		8.5  | 
		8.5  | 
		$0.36  | 
		
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		9  | 
		9  | 
		$0.33  | 
		
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		9.5  | 
		9.5  | 
		$0.29  | 
		
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		10  | 
		10  | 
		$0.27  | 
		
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		10.5  | 
		10.5  | 
		$0.24  | 
		
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		11  | 
		11  | 
		$0.22  | 
		
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		11.5  | 
		11.5  | 
		$0.20  | 
		
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		12  | 
		12  | 
		$0.19  | 
		
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		12.5  | 
		12.5  | 
		$0.17  | 
		
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		13  | 
		13  | 
		$0.16  | 
		
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		13.5  | 
		13.5  | 
		$0.15  | 
		
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		14  | 
		14  | 
		$0.14  | 
		
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		14.5  | 
		14.5  | 
		$0.13  | 
		
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		15  | 
		15.5  | 
		$0.12  | 
		
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  | 
		
  | 
		16  | 
		16  | 
		$0.11  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		16.5  | 
		17  | 
		$0.10  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		17.5  | 
		18  | 
		$0.09  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		18.5  | 
		19  | 
		$0.08  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		19.5  | 
		21.5  | 
		$0.07  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		22  | 
		23.5  | 
		$0.06  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		24  | 
		26  | 
		$0.05  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		26.5  | 
		29.5  | 
		$0.04  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		30  | 
		35.5  | 
		$0.03  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		36  | 
		46  | 
		$0.02  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		46.5  | 
		99  | 
		$0.01  | 
		
  | 
		
  |