Dog Boarding and Training Client Intake Form

CLIENT INTAKE FORM / LEGAL SERVICES AGREEMENT

The Law Offices of Aaron R. Lee, PLLC

PO Box 3573, Huntersville, NC 28078-3573

704-222-7525 | www.ARLLawFirm.com | ARLLawFirm@Yahoo.com

ALL INFORMATION WILL REMAIN CONFIDENTIAL

PERSONAL INFORMATION

CITATION INFORMATION

County Where Citation Was Received:    Court Date:

What Were You Charged With:

DRIVING HISTORY

Have You Received a Ticket in the Last Three Years:    Do You Have CDL:

Have You Received a Ticket in the Last 12 Months:    If Yes, Was It a Speeding Ticket Over 55 MPH?

Has Anyone on Your Insurance Policy Used a Prayer for Judgment Continued in Last 3 Years:

Has Anyone on Your Insurance Policy Received a Moving Violation Citation in the Last 3 Years:

Has Anyone on Your Insurance Policy Been at Fault in an Accident in Last 3 Years:

PAYMENT INFORMATION

Payment Will Be Made Through:

Name on Card:

Billing Address:

LEGAL SERVICES AGREEMENT

This Contract for Legal Services (“Contract”), entered into by and between The Law Offices of Aaron R. Lee, PLLC, hereinafter called the “Law Firm” and Defendant:

Defendant:

hereinafter called "Defendant".

1. Scope of Representation. The Law Firm shall represent Defendant solely in the traffic matter indicated in the Defendant's Client Intake Form.

(a). This Agreement applies only to the plea of the case and does not apply to the trial, appeal or retrial of any traffic offense listed in this Agreement.

(b). Unless otherwise agreed in writing, this Agreement covers only the court date for which the Law Firm is hired and one (1) continuance. If the Law Firm has to continue a case beyond this limit due to lacking information, required documents, or prepaid Court Costs and fines from the Defendant, the Defendant agrees to pay the Law Firm twenty-five dollars for each additional continuance. This payment is to be made before the matter in this Agreement is finalized. The Defendant agrees to allow the Law Firm to use the debit or credit card on file to process this payment. Yes, I understand.

(c). This Agreement does not apply to the Law Firm having to add the Defendant's case back onto the Court docket due to the Defendant, unless that is what the Agreement is based upon.

(d). The Law Firm may waive the appearance of the Defendant, continue the case, plead the Defendant as charged, or plead the Defendant to a lesser charge, if the Law Firm reasonably believes that it would be in the Defendant's best interest.

(e). The Law Firm may employ associate counsel or "Of Counsel" attorneys at their own discretion and expense, and any attorney so employed may be designated to appear on the Defendant's behalf or undertake my representation in this matter.

2. Fees:

(a). The Defendant agrees to pay Law Firm a one-time payment of $, or;

(b). The Defendant agrees to pay the Law Firm in two equal payments of $, or;

(c). The Defendant agrees to pay the Law Firm in three equal payments of $.

3. Other Costs. The Defendant fully understands that he shall remain at all times responsible for all court costs, fines, document costs, and all other costs as may be assessed by the court.

(a). Defendant acknowledges that if the Defendant is informed during a consultation that the Law Firm believes that Defendant’s case can be reduced to an Improper Equipment or a Prayer for Judgment Continued in Mecklenburg County or Rowan County, or if the Law Firm instructs the Defendant that it is in the Defendant’s best interest to obtain a driving record(s), then it is the Defendant’s responsibility to provide the Law Firm with a copy of the Defendant’s driving record(s), at the Defendant’s costs, prior to the court date. Yes, I understand.

(b). The Defendant understands that the Law Firm is not responsible for payment of fines or court costs or any other expenses that may be imposed by the Department of Motor Vehicles of the State of North Carolina or any Court. Additionally, the Defendant understands that he is responsible for all expenses/costs regardless of the success of his case.

(c). The Defendant is solely responsible for paying all costs and fines imposed by the Court or by the Department of Motor Vehicles or the State of North Carolina, in the appropriate time frame...

4. Communication. Defendant agrees to accept all communications via electronic mail (email).

Please Type Email Address:

(a). The Defendant is solely responsible for contacting the Law Firm, in writing, and updating any changes in personal or contact information.

(b). Defendant agrees to enter ARLLawFirm@yahoo.com into his email address book as to ensure all emails do not get redirected by a spam filter.

5. Court Dates and Attendance.

(a). The Defendant is solely responsible for being aware of his court date.

(b). The Defendant is solely responsible for being present at court at the correct time and location.

(c). The Defendant acknowledges that he will not be contacted if his case is continued.

(d). The Defendant is solely responsible for appearing at every court appearance unless the Law Firm states, in writing, that the Defendant need not appear.

(e). The Defendant is aware that if he misses a required court date that the court will apply a "Failure to Appear" fine against him, there may also be an order for his arrest issued.

(f). The Defendant is solely responsible for any fines that might be imposed for failing to appear on a required court date, and for any costs related to an order for his arrest being issued for failing to appear on a required court date.

6. Other.

(a). The Defendant acknowledges and agrees that the Law Firm has made no promises to the Defendant as to the outcome of the case. Also, the Defendant cannot demand any specific outcome.

(b). The Defendant acknowledges that the Law Firm gauges the potential outcomes of a case based on the information given by the Defendant in the Client Intake Form and the Defendant’s driving record.

(c). The Defendant understands that for drivers licensed in North Carolina, there are limitations on the use of a Prayer for Judgment Continued (PJC)...

7. Integration Clause. This Agreement, including all referenced documents, constitutes the entire agreement between the parties.

8. Modification or Changes. The Law Firm may make modifications to this Contract at any time during the term of the Agreement or any renewals or extensions thereof.

9. Termination. The Law Firm may withdraw from representing the Defendant if withdrawal can be accomplished without a material adverse effect on the interests of the client, or if various listed conditions apply.

10. Execution of Agreement. The Defendant acknowledges and agrees that by paying the legal service fee and by submitting this Agreement, it does not constitute a binding agreement nor has any legal representation started between the Law Firm and the Defendant.

11. Severability. If any part of this Agreement is found to be void, unlawful, or unenforceable then that part will be deemed to be severable from the balance of this Agreement and the severed part will not affect the validity and enforceability of any remaining provisions.

Defendant acknowledges and agrees that he has read and understood all the terms stated in this Agreement.

Defendant agrees that by checking the box and by signing this Agreement electronically, he is binding himself to all the terms and conditions of this Agreement.

WAIVER OF PERSONAL APPEARANCE

County of

State of North Carolina vs.

Pursuant to N.C.G.S. 7A-148 et al, I waive my constitutional right to appear for trial and authorize my attorney to enter a plea on my behalf. I agree to be bound by the judgment of the court, subject to the right of appeal, unless such right is waived.