Title Income and Expenses for Independent Agents. Page 1 of 6

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1 Calendar Year 2017 Agency Name Underwriter CLUP(s) Contact(s) Income Section Zone 1 Zone 2 ALL ZONES Income Category Item Count Revenue Item Count Revenue Revenue 1 Policy Charges 2 Endorsements 3 Special Charges Title Insurance 4 Gross Title Insurance Charges 5 Amount Remitted to Underwriter 6 Retained Title Insurance Charges 7 Closing and Escrow Income Non-Title 8 Section 1-F Related Income Insurance 9 Other Income Income 10 Total Non-Title Income Page 1 of 6

2 Expense Section 11 Third Party Production Costs Search & Exam Costs Paid To Independent Searchers 12 Purchase of Copies of Public Record General Expenses 13 Salaries 14 Employee Benefits 15 Payroll Taxes 16 Rent and Rent Items 17 Real Estate Expenses 18 Real Estate Taxes 19 Taxes, Licenses, and Fees 20 Advertising 21 Marketing and Promotional Expenses 22 Title Plant Maintenance and Rental 23 Travel 24 Printing and Office Supplies 25 Postage, Telephone and Freight 26 Equipment Depreciation and Rental (Non-EDP) 27 Cost or Depreciation of EDP Equipment and Software 28 Errors and Omissions Insurance 29 Other Insurance 30 Director's Fees 31 Boards and Associations 32 Legal and Auditing Page 2 of 6

3 Expense Section 33 Bad Debts 34 Interest 35 Other Totals 36 Total Expenses 37 Net Note: Employee Data 38 Number of Employees Page 3 of 6

4 Calendar Year 2017 Agency Name Underwriter CLUP(s) Contact(s) Part 2 - Provides additional detail for some of the expense categories 20 Advertising Services of advertising agents Public relations counsel Space in newspapers, trade publications and other publications Circulars, pamphlets, calendars, etc issued for promotional purposes Drawings, plates, etc. in connection with advertising Charges for printing, paper, etc. in bills covering advertising Media broadcasts (e.g., radio, television, etc.) Prospect and mailing lists Advertising in connection with corporate proceedings Charges for compiling material content, printing, paper, mailing expenses, etc. in connection with the distribution of promotional material Signs, frames, medals, etc Advertising - All Other 21 Marketing and Promotional Expenses Dues and subscriptions to social or civic clubs or affairs Page 4 of 6

5 21.02 Dues and subscriptions to associations of customers Pens, pads, calendars, etc. distributed to customers Printed material issued or distributed for promotional purposes Costs for providing training seminars Event sponsorship Costs of maintaining a website Costs of telemarketers Souvenirs and other promotional items for general distribution Marketing and promotional expenses - All Other 23 Travel Transportation, hotel, meals, etc. of employees while traveling Expenses for transfer of employees Mileage allowance to employees for use of personal cars Depreciation, repairs and other operating expenses of automobiles Rent of automobiles Fees for automobile registration Cost of insurance on rented automobiles Travel - All Other 35 Other Deductibles Paid Unreimbursed Title Loss-Related Legal Expenses Bank Charges and Fees Consulting Fees Employee Education Expenses Other - Miscellaneous or Other Page 5 of 6

6 Calendar Year 2017 Part 3 Provides additional information about the 'Other' expenses in each category in Part Advertising - All Other Amount Advertising - All Other Amount Marketing and promotional expenses - All Other Amount Marketing and promotional expenses - All Other Amount Travel - All Other Amount Travel - All Other Amount Other - Miscellaneous or Other Amount Other - Miscellaneous or Other Amount Page 6 of 6