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Section I - General Information

Section II - CHANNEL ELECTION

All broadcast television licensees and permittees participating in the digital channel election process are required to file a channel election form. Licensees/Permittees that do not submit a channel election form by the deadline on page one will be assigned a channel by the Commission for post-transition DTV operation.

First Round Channel Election:

1.	Channel Election: (SELECT ONE)
a. Licensee/permittee makes the following channel election from its currently assigned (DTV or NTSC) channelsNOTE: Post-transition rights to other in-core channel(s) currently assigned to the licensee/permittee for this station are released upon licensee/permittee receipt of a Commission tentative channel designation. Indicate in-core channel number for final DTV operation here. 35
b. Licensee/permitteee has entered into a Negotiated Channel Election Arrangement and, accordingly, makes the following channel election, subject to Commission approval: Licensee/permittee must complete Schedule A. If the Commission does not approve licensee/permittee's negotiated channel election arrangement, licensee/permittee makes the following channel election from its currently assigned (DTV or NTSC) channels: NOTE: Post-transition rights to other in-core channel(s) currently assigned to the licensee/permittee for this station are released upon licensee/permittee receipt of a Commission tentative channel designation. Indicate in-core channel number for final DTV operation here. Indicate alternate in-core channel number for final DTV operation here.
c. Licensee/permittee makes no channel election; accordingly, licensee/permittee elects to participate in the second round of elections. This option may be selected only by licensees/permittees with only one in-core channel or with two low VHF channels (2-6). NOTE: Post-transition rights to in-core channel(s) currently assigned to the licensee/permittee for this station are released.
International Coordination.
2	Is the licensee/permittee electing a channel that is subject to a pending international coordination issue? If yes, licensee/permittee must attach an explanation as an Exhibit to this form.	Yes No[Exhibit 1]

Section III

I certify that the statements in this form are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations. I hereby waive any claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and request an authorization in accordance with this election form. (See Section 304 of the Communications Act of 1934, as amended.)

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

Exhibits