UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT PAYMENT OF COURT IMPOSED SANCTIONS ____________________________________ hereby submits payment in the amount of $_____________ to satisfy the terms of sanction entered by the court on _____________ in the following case: ___________________________________. Name: _____________________________ Address: _____________________________ _____________________________ 01/20/2016 JJQ American LegalNet, Inc. www.FormsWorkFlow.com