Application For Cable Television Relay Service Station License {327}

<document>INSTRUCTIONS FOR FCC Form 327APPLICATION FOR CABLE TELEVISION RELAY SERVICE STATION LICENSEA.Use this form when applying for a Cable Television Relay Service (CARS) station license.B.Enter the applicant's ten-digit FCC Registration Number (FRN) assigned by the Commission Registration System (CORES). The FRN is a unique entity identifier for everyone doing business with the Commission. The FRN can be obtained electronically through the FCC website at http://www.fcc.gov or by manually submitting FCC Form 160. FCC Form 160 is also available for downloading from the FCC website at http://www.fcc.gov/formpage.html, and by calling 800-418-FORM (3676) or dialing (202) 418-0177 from the fax-on-demand service. C.Applicants for:New License. File a complete set of schedules and requested exhibits.Modification. File Schedule A and any schedules and exhibits which describe the proposed modification. Be sure to complete item 1(b).Amendment. File Schedule A and any schedules and exhibits which describe the amendment of the pending application. Be sure to complete item 1(b). Renewal. File Schedule A and any schedules and exhibits necessary to indicate any engineering or legal changes since the last license application. Any changes that did not require prior Commission authorization should be reflected in the renewal application by the appropriate schedules and exhibits. In item 5 indicate whether any engineering or legal changes have been made since the last license application. (Note: Questions 3, 6, and 7 of Schedule A need not be completed if there have been no changes relating to these questions since the last license application filed with the Commission.) Transfer of Control or Assignment of License. File Schedule A, Schedule B (Sections I and II), and the requested exhibits. The transferee or assignee must complete Schedule A and Section I of Schedule B. The licensee must complete Section II of Schedule B. For the transferee or assignee, include a family tree showing as indicated in Schedule B, Section I(2). This form should be mailed to the following address:Federal Communications Commission Media Bureau P.O. Box 358205 Pittsburgh, PA 15251-5205Submit a copy along with the original application. The application should be accompanied by the fee required by 47 C.F.R. § 1.1106 and FCC Form 159.D.If the applicant is:An Individual: A Partnership: A Corporation or Association: A Governmental Entity:This form shall be signed by the applicant personally. This form shall be signed by a member of the partnership. This form shall be signed by an officer of the applicant. This form shall be signed by an official of the applicant.Sign in the space provided on Schedule A. Signing this form certifies that the person who signs the form is familiar with the contents of this form and all associated exhibits and supports and approves the representations made therein on behalf of the applicant. If the applicant is physically disabled or is absent from the United States, the application should be sign ed by the applicant's attorney. In the event the attorney signs for the applicant, include a statement setting forth the reason why the application is not signed by the applicant. In addition, if any matter is stated on the basis of the attorney's belief only (rather than the attorney's knowledge), the attorney shall separately set forth reasons for believing that such statements are true. E.Answer all items, and furnish all necessary information. For any items of the applications that are not applicable, write N.A. Deficient or incomplete applications may be returned without consideration. When supplied, the Social Security Number will be used solely as a unique identifier within the Commission's systems of records alone. Disclosure of a Social Security Number is solicited under 47 C.F.R. § 78.15(a) and 47 U.S.C. §§ 4(i), 4(j), 303(r) and 308. F.When an abbreviation of a state is required, use the United States Postal Service abbreviations.G.All heights and distances should be indicated in metric units (meters or kilometers).FCC 327 Approved by OMB 3060-0055American LegalNet, Inc. www.USCourtForms.comH.Minor changes do not require a fee (e.g., any name change not involving change in ownership or control of the license, or any change to administrative information such as address, telephone number, or contact person, or any minor amendments or modifications such as lowering power; removing one or more channels, deleting a path, etc.).I.Refer to specific instructions for each schedule.FCC NOTICE TO INDIVIDUALS REQUIRED BY THE PRIVACY ACT AND THE PAPERWORK REDUCTION ACTThe FCC is authorized under the Communications Act of 1934, as amended, to collect the personal information we request in this form. We will use the information provided in the application to determine whether approving this application isin the public interest. If we believe there may be a violation or potential violation of a FCC statute, regulation, rule or order, your application may be referred to the Federal, state or local agency responsible for investigating, prosecuting, enforcing or implementing the statute, rule, regulation or order. In certain cases, the information in your application may be disclosed to the Department of Justice or a court or adjudicative body when (a) the FCC; (b) any employee of the FCC; or (c) the United States Government is a party to a proceeding before the body or has an interest in the proceeding. In addition, all information provided in this form will be available for publicinspection. If you owe a past due debt to the federal government, any information you provide may also be disclosed to the Department of Treasury Financial Management Service, other federal agencies and/or your employer to offset your salary, IRS tax refund or other payments to collect that debt. The FCC may also provide this information to these agencies through the matching of computer records when authorized. If you do not provide the information requested on this form, the application may be returned without action having been taken upon it or its processing may be delayed while a request is made to provide the missing information. Your response is required to obtain the requested authorization. We have estimated that each response to this collection of information will take 3 hours, on average. Our estimateincludes the time to read the instructions, look through existing records, gather and maintain the required data, and a