Fill and Sign the 1st Copy Maacs Yellow Form

This form is designed to serve as both the voucher for fees in appellate assigned cases and the case summary attorneys are required to submit to the Michigan Appellate Assigned Counsel System under section 4(6)(c)(ii) of the regulations governing that system. The form should be completed as follows: 1. The attorney, upon completing all work within the scope of the order of appointment (whether that order was for representat ion in the Court of Appeals or the Supreme Court), should fill out all applicable lines of section I. Apart from basic backgroun d information, section I primarily seeks information about the case not readily available from such other sources as appellate co urt docket entries. 2. The attorney should fill out the fee and expense information in section II completely, then sign and date the declaration. The attorney should leave sections III and IV blank. 3. The attorney should then provide the entire form, with all copies intact, to the trial judge who signed the order of appoin tment. Counsel may wish to photocopy the form before filing it in case the original is lost. 4. The assigning judge should review the case summary, indicate in section III the fees and expenses actually being approved, and sign and date the form. 5. INSTRUCTIONS Page 1 Approved, SCAO CC 400 (10/02) MAACS STATEMENT OF SERVICE AND ORDER FOR PAYMENT OF COURT APPOINTED COUNSEL, The court should keep the white copy, return the pink copy to the attorney, and forward the yellow copy to: Michigan Appellate Assigned Counsel System 1375 S. WashingtonSuite 300Lansing, MI 48913 type: 14.OFFENSE(S) Include MCL cite SENTENCES 1. Attorney name 5. Case name 11. Judge 13. Transcript length (all transcripts) pp. 7. Court of Appeals no. 6. Lower court no. 10. County 12. Case3. Telephone no. 8. Supreme Court no. 9. Date appointed 4. Address I. CASE INFORMATION 2. Bar no. Plea Bench Prob. viol. Jury 15. Client Visit: Date 16. Trial court motion/type: 19.Resentencing/Evidentiary 18. Date of motion to withdraw as counsel If held, date and location 20. Court of Appeals oral argument: Not held Held 17. Date of stipulation to dismiss Location Client no. 21. Disposition:Result Result Result hearing: DateDate Date STATE OF MICHIGAN MAACS STATEMENT OF SERVICE AND ORDER FOR PAYMENT OF COURTAPPOINTED COUNSEL (Page 1) JUDICIAL CIRCUIT COUNTY CASE NO. Court address Court telephone no. Original - Court (white) 1st copy - MAACS (yellow)2nd copy - Attorney (pink) 31. Fee schedule 32. Hourly. . . . . . . . . . . . . . . . . II. FEE INFORMATION in fees and in expenses, for a total of $ in compensation for all time and expense in connection with this case. Date Judge Bar no. I certify that the above attorney was appointed to represent the named defendant, and the service was rendered. IT IS ORDERED the City/County of $ IV. COURT USE ONLY Approved, SCAO III. ORDER FOR PAYMENT CC 401 (12/88) MAACS STATEMENT OF SERVICE AND ORDER FOR PAYMENT OF COURT APPOINTED COUNSEL, Page 2 1. Record review (transcript, court file, PSR/SIR) . . . . 2. Client visit (including travel) . . . . . . . 3. Other client contact. . . . . . . . . . . . . Trial court motions (prepare, appear): 4. new trial . . . . . . . . . . . . 5. withdraw plea . . . . . . . . 6. resentencing. . . . . . . . . 7. Evidentiary hearing (prepare, appear) . . . . . . . . . . . . . . 8. Resentencing (prepare, appear) . . . 9. COA leave application. . . . . . . . . . . 10. COA motion to remand . . . . . . . . . . 11. COA brief on appeal (research, write) 12. COA oral argument (prepare, appear, travel) . . . . . . . . . 13. COA motion for rehearing . . . . . . . . 14. Reply to prosecutor's S Ct appl. . . . 15. S Ct leave application . . . . . . . . . . . 16. S Ct brief on leave granted . . . . . . . 17. S Ct oral argument . . . . . . . . . . . . . 18. Administrative* 19. Other TOTAL HOURS: 20. Attorney signature Date 34. Maximum allowed 33. Rate/hour 35. Motion for extraordinary fees I declare that I was appointed by the court to serve as appellate counsel for the named defendant, and that aboveis a true statement of uncompensated services renderedand expenses incurred by me in the conduct of that appealto the best of my information, knowledge, and belief. (if applicable) . . . . . . . . . . . . . . $ $ 29. Expenses requested 28. Fee requested . . . . . . . . . . . . . . . . . . . . . . . . $ $ $ miles x miles x . . . . . . . . . . . . . . . . . . . . pages x 21. Client visit 22. Oral argument 25. Phone calls 23. Photocopying 24. Postage 26. Other . . . . . . . . . . . . . . . . . . ¢/mile¢/page ¢/mile ACTUAL EXPENSES BASIS OF REQUEST (attach copy) *e.g. correspondence, filing claim, procuring records and transcripts, housekeeping motions, transmitting records to client or substitute coun-sel. 30. TOTAL AMOUNT REQUESTED 27. TOTAL EXPENSES: (itemize) REQUEST FOR PAYMENT $ $$$$$$ HOURS SERVICES RENDERED Itemize on additional sheet if needed pay the above attorney $ STATE OF MICHIGAN MAACS STATEMENT OF SERVICE ANDORDER FOR PAYMENT OF COURTAPPOINTED COUNSEL (Page 2) JUDICIAL CIRCUIT COUNTY CASE NO. Court address Court telephone no. Original - Court (white) 1st copy - MAACS (yellow)2nd copy - Attorney (pink)