. STATEMENT OF EARNINGS OF UNITED STATES COURT REPORTERS EMPLOYEE ID * 3. DISTRICT * AO 4OB (Rev. 2/08) 2. 1. NAME OF REPORTER * 5. CALENDAR YEAR * 4. OFFICIAL DUTY STATION OFFICIAL TRANSCRIPTS PRIVATE REPORTING TOTAL 6. Receipts for transcripts GROSS INCOME 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) 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 13. a. Rent for office space (Including utilities) EXPENSES 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 back all other expenses claimed) 18. Depreciation of equipment (Complete schedule on back) 19. TOTAL EXPENSES (Add lines 10 thru 18) NET INCOME (or loss) 20. Line 9 minus Line 19 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. 21. SIGNATURE 22. DATE REVIEW BY COURT OFFICIAL. Individual reviewing this form should sign in the space provided. 23. SIGNATURE 24. DATE American LegalNet, Inc. www.FormsWorkflow.com -2- AO 4OB (Rev. 2/08) DATE 17. Itemize all other expenses below. TYPE OF EXPENSE AMOUNT 18. Schedule for Depreciation DESCRIPTION OF PROPERTY Comments DATE ACQUIRED COST OR OTHER BASIS DEPRECIATION ALLOWED IN PRIOR YEARS METHOD OF COMPUTING DEPRECIATION LIFE OR RATE DEPRECIATION FOR THIS YEAR For Official Use Only Reject American LegalNet, Inc. www.FormsWorkflow.com