Form Ao 4ob - Statement Of Earnings Of United States Court Reporters
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1
2STATEMENT OF EARNINGS OF
*
.
1. NAME OF REPORTER
AO 4OB
UNITED STATES COURT REPORTERS
(Rev. 12/09)
*
*
*
4. OFFICIAL DUTY STATION
5. CALENDAR YEAR
2. EMPLOYEE ID
3. DISTRICT
OFFICIAL
PRIVATE
TOTAL
TRANSCRIPTS
REPORTING
6. Receipts for transcripts
7. Attendance fees
GROSS
INCOME
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 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
?
20. Line 9 minus Line 19
(or loss)
CERTIFICATION BY COURT REPORTER: By signing this form, I certify under penalty of
21. SIGNATURE
22. DATE
perjury pursuant to 28 U.S.C. § 1746 that the foregoing is true and correct.
23. SIGNATURE
24. DATE
REVIEW BY COURT OFFICIAL. Individual reviewing this form should sign in the space
provided.
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