ROYALTY RECONCILIATION Reporting year: Payer: Recipient internal key: Agreement/right identifier: Royalty category and proposed form/box: Agent/intermediary relationship: STATEMENT REGISTER Statement ID | earning period | payment date | gross royalty | deduction detail | net cash | payment reference DEDUCTION DETAIL Commission: Fees/expenses: Taxes withheld: Advance recoupment and original advance reference: Current adjustments: Prior-year adjustments requiring review: BRIDGE Approved gross royalty total: Less deductions reflected in cash settlement: Plus/minus supported cash adjustments: Expected cash: Actual cash: Unexplained difference: [ ] Reporting category confirmed from agreement. [ ] $10 royalty threshold distinguished from other 2026 thresholds. [ ] Gross-to-net difference explained. [ ] Advances/adjustments not double counted. [ ] Recipient identity and agent roles checked. [ ] Proposed box 2 total matches the reviewed amount. Reviewer/date: