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AT&T CUSTOMER

1234 TELEPHONE LN

AUSTIN, TX 78748-1234

1 of 4

12/12/10 - 1/11/11

123456789105

Page:

Bill Cycle Date:

Account:

Visit us online at:

Monthly Statement

Bill-At-A-Glance

Previous Balance

$228.33

Payment - Thank You!

$189.49CR

$38.84CR

Adjustments

$.00

Balance

$145.21

New Charges

Total Amount Due

$145.21

Amount Due in Full by

Jan 3, 2011

Payments & Adjustments

Service Summary

Service

Page

Wireless

Total

$145.21

512 555-1111

512 555-2222

$14.83

$27.03

2

3

512 555-3333

$103.35

3

Total New Charges

Item

No Description

1. Payment posted 12/08

189.49CR

2. Wireless - Media Net Usage 512-555-3333

3. Wireless - Government Fees & Taxes

Adjustment 512-555-3333

Total Adjustments

Total Payments & Adjustments

35.63CR

3.21CR

38.84CR

228.33CR

$145.21

Wireless

Group 1 Usage Summary - Nov 12 thru Dec 11

FamilyTalk Nation 850 w/Rollover? Minutes - $9.99 Each

Additional Line, 850 Shared Anytime Minutes with Rollover,

Nationwide Long Distance & Roaming, Unlimited Mobile to Mobile

calling to/from other AT&T Mobiles, Unlimited Night (9pm-6am) &

Weekend Calling Call Forward Feature, Caller ID, Call Wait, Conference

Call Feature, Mobile Purchases & Downloads Detail, Basic Voicemail

Feature (Additional minutes $0.40 each)

How to contact us:

??

??

??

For questions about your account: 1 800-111-1111

For Deaf/Hard of hearing TTY: 1 800-111-1111

Visit us online at

512 555-1111

512 555-2222

512 555-3333

Total

Plan

Minutes

269

11

333

613

Mobile to

Mobile Minutes

415

103

776

1,294

Night/Wknd

Minutes

93

25

54

172

Billed

Minutes

0

0

0

0

For Important Information about your bill, please

see the News You Can Use section (Page 4).

Wireless Services provided by AT&T Mobility, LLC.

AT&T | DIRECTV is a co-branded service provided by DIRECTV.

Return bottom portion with your check in the enclosed envelope.

Payments may take 7-10 days to post.

DUE BY: Jan 3, 2011

Printed on Recyclable Paper

$145.21

Account Number

123456789105

AT&T CUSTOMER

1234 TELEPHONE LN

AUSTIN, TX 78748-1234

Please include account number on your check.

CHECK FOR AUTO PAY

(SEE REVERSE)

Make checks payable to:

AT&T

PO Box 5014

Carol Stream, IL 60197-5014

llll llll ll l ll ll l l lllllllll ll ll l ll llll l llllllll lllllllllII ll

41004034000123456789105000000000095170000000145210000000000000008

AT&T CUSTOMER

1234 TELEPHONE LN

AUSTIN, TX 78748-1234

Page

Bill Cycle Date:

Account:

2 of 4

12/12/10 - 1/11/11

123456789105

Visit us online at:

Other Charges and Credits - Continued

Wireless

.50

.12

.12

.71

1.45

Total Other Charges and Credits

4.84

Group 1 Usage Summary - Continued

Government Fees and Taxes

7. 9-1-1 Service Fee

8. City District Telecom Tax

9. City Telecom Tax

10. TX State Telecom Tax

Total Government Fees and Taxes

Rollover Minutes Summary

Last Month¡¯s Rollover Balance

2,031

Current Month Added to Rollover

+

237

Expired Rollover Minutes *

83

NEW ROLLOVER MINUTES BALANCE

2,185

* Unused Rollover Minutes expire after 12 bill periods.

Total for 512 555-1111

14.83

Messaging Unlimited for Families - Unlimited domestic text,

picture, video and instant messages.

512 555-1111

512 555-2222

512 555-3333

Total

512 555-2222

Shared

Shared

Billed

Billed

Text Msgs MMS Msgs Text Msgs MMS Msgs

3836

17

0

0

1060

2

0

0

345

2

0

0

5241

21

0

0

BENJAMIN JAMES WILKINSON

Monthly Charges - Dec 12 thru Jan 11

1. FamilyTalk Nation 850 w/Rollover?

2. Family Data Unlimited

3. Roadside Assistance

9.99

10.00

2.99

Total Monthly Charges

23.97

512 555-1111

ASHLEY LAUREN WILKINSON

Other Charges and Credits

Monthly Charges - Dec 12 thru Jan 11

Voice Usage Summary

FamilyTalk Nation 850 w/Rollover? - Shared

Plan Minutes Used

11

Mobile to Mobile Minutes

Unlimited

Minutes Used

103

Nights & Weekends

Unlimited

Minutes Used

25

1. FamilyTalk Nation 850 w/Rollover?

9.99

Other Charges and Credits

Voice Usage Summary

FamilyTalk Nation 850 w/Rollover? - Shared

Plan Minutes Used

269

Mobile to Mobile Minutes

Unlimited

Minutes Used

415

Nights & Weekends

Unlimited

Minutes Used

93

Data Usage Summary

Family Msg Unlimited

Text/Instant Msgs Incoming

Text/Instant Msgs Out

Data Usage Summary

Family Msg Unlimited

Text/Instant Msgs Incoming

Text/Instant Msgs Out

Family Data Unlimited

Data Access Used

4,442KB

Multimedia Messaging

Minutes Used

2

1,815

2,021

Data Pay Per Use

2. Megabytes billed at $2.00/MB

Multimedia Messaging

Minutes Used

Surcharges and Other Fees

3. Federal Universal Service Charge

4. Regulatory Cost Recovery Charge

5. Texas Universe Service

6. TX Franchise Tax Recovery

Total Surcharges and Other Fees

1

519

541

Surcharges and Other Fees

4. Federal Universal Service Charge

5. Regulatory Cost Recovery Charge

6. Texas Universe Service

7. TX Franchise Tax Recovery

Total Surcharges and Other Fees

2.00

17

.43

.66

.28

.15

1.52

.39

.66

.26

.08

1.39

? 2011 AT&T Intellectual Property. All rights reserved.

021711 ct6697

AT&T CUSTOMER

1234 TELEPHONE LN

AUSTIN, TX 78748-1234

|||||||||| || | || || | | || ||||| ||| || | || || || |||||||||||||||||||||||||||

9565.8.231.51977 1 AV 0.255

If I enroll in AutoPay, I authorize AT&T to pay my bill monthly by electronically

deducting money from my bank account. I can cancel authorization by notifying

AT&T at , 1-800-331-0500, or 611 from my cell-phone. If my bank

rejects a payment, I agree to pay a return fee in the amount of the lesser of $30

or the highest amount permitted by law.

Bank Account Holder Signature: ______________________________________

Date: ________________________

AutoPay Enrollment

AT&T CUSTOMER

1234 TELEPHONE LN

AUSTIN, TX 78748-1234

Page:

Bill Cycle Date:

Account:

3 of 4

12/12/10 - 1/11/11

123456789105

Visit us online at:

512 555-1111

Other Charges and Credits

ASHLEY LAUREN WILKINSON

Other Charges and Credits

- Continued

Government Fees and Taxes

8. 9-1-1 Service Fee

9. City District Telecom Tax

10. City Telecom Tax

11. TX State Telecom Tax

Total Government Fees and Taxes

.50

.13

.13

.78

1.54

Total Other Charges and Credits

3.06

Total for 512 555-2222

- Continued

Government Fees and Taxes

7. 9-1-1 Service Fee

8. City District Telecom Tax

9. City Telecom Tax

10. TX State Telecom Tax

Total Government Fees and Taxes

Total Other Charges and Credits

Total for 512 555-3333

Total for Wireless accounts

.50

.95

.95

5.93

8.33

13.36

103.35

145.21

27.03

News You Can Use

512 555-3333

ALEXANDER PAUL WILKINSON

Monthly Charges - Dec 12 thru Jan 11

1. FamilyTalk Nation 850 w/Rollover?

2. Family Msg Unlimited

59.99

30.00

Total Monthly Charges

89.99

Other Charges and Credits

Voice Usage Summary

FamilyTalk Nation 850 w/Rollover? - Shared

Plan Minutes Used

333

Mobile to Mobile Minutes

Unlimited

Minutes Used

776

Nights & Weekends

Unlimited

Minutes Used

54

Data Usage Summary

Family Msg Unlimited

Text/Instant Msgs Incoming

Text/Instant Msgs Out

185

160

Family Data Unl 30days Free

Data Access Used

1.613KB

Multimedia Messaging

Minutes Used

Surcharges and Other Fees

3. Federal Universal Service Charge

4. Regulatory Cost Recovery Charge

5. Texas Universe Service

6. TX Franchise Tax Recovery

Total Surcharges and Other Fees

Add A Line

Add a Line with Family Talk from AT&T. FamilyTalk(R) plans start

at just $69.99/month including 700 Rollover Minutes. Add up to

three additional lines for only $9.99 each. Sign up now by calling

800-449-1672 or visit Addaline.

Attention TTY Users

For Deaf/hard of hearing customers: (TTY) 1 866 241-6567

Questions on accessibility by persons with disabilities: 1 866 2416568.

Go Green! Sign up for Paperless Billing Today

Sign up for paperless billing and join AT&T in its efforts to be more

earth-friendly. Going paperless is safe, secure and easy...and

will save you time and money each month. View and store your

monthly bills online (for up to 12 months) instead of receiving

paper bills in the mail. Visit actgreen to learn more and

enroll today. It¡¯s free, it¡¯s easy, and it¡¯s green!

Moving?

AT&T can help. Call us to move your existing AT&T services or to

order new AT&T home phone, high speed internet and digital TV

services. 1-800-MOVE-ATT (1-800-668-3288)

2

Important Information

2.23

.66

1.48

.66

5.03

Late Fee

A Past Due Collection fee of $5.00 will be assessed if payment is

not received on or before the due date.

AT&T CUSTOMER

1234 TELEPHONE LN

AUSTIN, TX 78748-1234

Page: 4 of 4

Bill Cycle Date: 12/12/10 - 1/11/11

Account: 123456789105

Visit us online at:

Important Information - Continued

Electronic Check Conversion

When you pay your bill by check, you authorize us to either use

the information from your check to make a one-time electronic

funds transfer from your account or to process the payment as a

check transaction. When we use information from your check to

make an electronic fund transfer, funds may be withdrawn from

your account as soon as the same day we receive your payment,

and you will not receive your check back from the bank. You

agree to pay a fee of up to $30 if your check is returned unpaid.

Returned checks may be represented electronically.

Tax ID

AT&T Mobility Tax ID # 84-1659970.

AT&T Surcharges

Include: Regulatory Cost Recovery Charge to recover costs to

comply with government assessments and regulations; Universal

Service Charges; and gross receipts charges. They are not taxes

and are subject to change.

Single Payment Agreement

For Kiosk Payment: I authorize AT&T to pay my bill by debiting my

bank account. If my bank rejects a payment, I may be charged a

return fee up to $30.

Other Payment Options

All payment options below can be paid through your bank

account, debit card, and credit card.

- Pay using your wireless phone for free. Dial *PAY (*729), then

hit send.

- Pay Online. Logon to ¡®Manage My Wireless Account¡¯ at

MyWireless. First time users must register.

- Make a one time payment under ¡®Account Overview¡¯; choose

¡®Make a Payment¡¯.

- Sign up for Paperless Billing under ¡®Bill & Payments¡¯ at no

additional charge.

- Pay by mail using this remittance stub and a check or money

order. It may take up to 7-10 days to post.

- Dial 1-800-331-0500 and pay from any phone.

- An Administrative Fee may apply.

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