Statement Of Earnings Of United States Court Reporters {AO 40B}

. AO 4OB (Rev. 3/2013 2. STATEMENT OF EARNINGS OF UNITED STATES COURT REPORTERS EMPLOYEE ID * 3. DISTRICT * 1. NAME OF REPORTER * 5. CALENDAR YEAR * 4. OFFICIAL DUTY STATION ? ? GROSS INCOME 6. Receipts for transcripts 7. Attendance fees 8. Salary, dividends, trust funds, and all other income from private reporting activities 9. TOTAL GROSS INCOME (Add lines 6 thru 8) OFFICIAL TRANSCRIPTS PRIVATE REPORTING TOTAL ? 10. Compensation paid to: a. Substitute reporters due to absence b. Substitute reporters to assist with daily and hourly transcript. c. Note readers d. Transcribers e. Typists f. Scopists g. Other clerical personnel ? ? 11. Employer's contributions (FICA, etc.) 12. a. Travel incident to private reporting activities b. Travel by substitute reporters and other personnel ? EXPENSES 13. a. Rent for office space (Including utilities) b. Rent for copy equipment c. Rent for CAT equipment d. Other rent (Specify) ? ? 14. Equipment repairs and maintenance 15. a. Postage expense b. Telephone expense c. Other communication expense (Specify) ? ? ? 16. Supplies and materials 17. Other expenses (Itemize on next page all other expenses claimed) 18. Depreciation of equipment (Complete schedule on next page.) 19. TOTAL EXPENSES (Add lines 10 thru 18) NET INCOME (or loss) 20. Line 9 minus Line 19 ? 21. SIGNATURE 22. DATE CERTIFICATION BY COURT REPORTER: By signing this form, I certify under penalty of perjury pursuant to 28 U.S.C. § 1746 that the foregoing is true and correct. ? REVIEW BY COURT OFFICIAL. Individual reviewing this form should sign in the space provided. ? 23. SIGNATURE 24. DATE American LegalNet, Inc. www.FormsWorkFlow.com AO 4OB (Rev. 3/2013) -2- DATE 17. Itemize all other expenses below. TYPE OF EXPENSE Official Amt. Private Amt Total Amount Total Expenses: 18. Schedule for Depreciation DESCRIPTION OF PROPERTY DATE ACQUIRED COST OR OTHER BASIS DEPRECIATION ALLOWED IN PRIOR YEARS METHOD OF COMPUTING DEPRECIATION LIFE OR RATE DEPRECIATION FOR THIS YEAR Comments For Official Use Only Reject American LegalNet, Inc. www.FormsWorkFlow.com