SONGWRITER SPLIT SHEET

Song Title: ______________________________________________________Date Complete:______________

Song ISRC: ___________________________________

Recording Artist: ____________________________________________________________________________

Record Label: _______________________________________________________________________________

Studio Name: ________________________________________________________________________________

Address:____________________________________________________________________________________
_______________________________________________ Phone: __________________________

Sample: YES NO (Circle one)

Album and Artist where Sampleoriginated: _______________________________________________________

Composer/Writer 1: _________________________________________________________________________
Address:____________________________________________________________________________________
_______________________________________________ Phone:__________________________
Publishing Company(if a 3rd party is entitled to a % of Publishing, list this party’s information aswell):
________________________________________________________________ Publishing %:____________
________________________________________________________________ Publishing %:____________
Affiliation: ASCAP BMI SESAC (Circle one)
Total Ownership %: _______________ Lyrics: _________Music: __________(Identify each%of ownership)

Writer/Composer Signature: _________________________________________________________________

CAE/IPI/SSN: _____________________________________ Birthdate: ___________________________

Composer/Writer 2: _________________________________________________________________________
Address:____________________________________________________________________________________
_______________________________________________ Phone:__________________________
Publishing Company(if a 3rd party is entitled to a % of Publishing, list this party’s information aswell):
________________________________________________________________ Publishing %:____________
________________________________________________________________ Publishing %:____________
Affiliation: ASCAP BMI SESAC (Circle one)
Total Ownership %: _______________ Lyrics: _________Music: __________(Identify each%of ownership)

Writer/Composer Signature: _________________________________________________________________

CAE/IPI/SSN: _____________________________________ Birthdate: ___________________________
Composer/Writer 3: _________________________________________________________________________
Address:____________________________________________________________________________________
_______________________________________________ Phone:__________________________
Publishing Company(if a 3rd party is entitled to a % of Publishing, list this party’s information aswell):
________________________________________________________________ Publishing %:____________
________________________________________________________________ Publishing %:____________
Affiliation: ASCAP BMI SESAC (Circle one)
Total Ownership %: _______________ Lyrics: _________Music: __________(Identify each%of ownership)

Writer/Composer Signature: _________________________________________________________________

CAE/IPI/SSN: _____________________________________ Birthdate: ___________________________

Composer/Writer 4: _________________________________________________________________________
Address:____________________________________________________________________________________
_______________________________________________ Phone:__________________________
Publishing Company(if a 3rd party is entitled to a % of Publishing, list this party’s information aswell):
________________________________________________________________ Publishing %:____________
________________________________________________________________ Publishing %:____________
Affiliation: ASCAP BMI SESAC (Circle one)
Total Ownership %: _______________ Lyrics: _________Music: __________(Identify each%of ownership)

Writer/Composer Signature: _________________________________________________________________

CAE/IPI/SSN: _____________________________________ Birthdate: ___________________________

Composer/Writer 5: _________________________________________________________________________
Address:____________________________________________________________________________________
_______________________________________________ Phone:__________________________
Publishing Company(if a 3rd party is entitled to a % of Publishing, list this party’s information aswell):
________________________________________________________________ Publishing %:____________
________________________________________________________________ Publishing %:____________
Affiliation: ASCAP BMI SESAC (Circle one)
Total Ownership %: _______________ Lyrics: _________Music: __________(Identify each%of ownership)

Writer/Composer Signature: _________________________________________________________________

CAE/IPI/SSN: _____________________________________ Birthdate: ___________________________