Statement of Other Income - Form 31-A-2

The Statement of Other Income lists all interest income, the total of all loans received in the current reporting period, refunds and all prior expenditures that are returned to the committee.

A complete street address including zip code, should be provided. Bank entries need only the city and state. The form in which the contribution is received must be indicated, such as check, cash or money order. Cash means currency or coin.

The State block should be completed with the U.S. Post Office's standard two-letter abbreviation. For example, Ohio would appear as OH.

The Date block should be completed with six digits. For example, March 9, 2005, would appear as 03 09 05.

The Type block should reflect one of the two letter codes. “RE” should appear if the Other Income consists of a refund, an uncashed check or the committee's own insufficient funds check. “IN” should appear if the Other Income consists of investment or interest income earned by the committee. “SA” should appear if the Other Income has been received from the sale of committee assets. “LN” should appear if the Other Income consists of payments on a loan.

A check from a contributor that was not honored by the bank should be itemized on the Statement of Expenditures.

If loans are received during a reporting period, their total is transferred to this form from the Statement of Loans Received form. If payments are received on loans owed to the committee, their total is transferred to this form from the Statement of Loans Received form.

The total of all the Statement of Other Income pages should appear on line three of the cover page.