Fill and Sign the Claim Attorney Fees Form

STATE OF MINNESOTA DISTRICT COURT COUNTY OF             JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No.             , Petitioner, RELEASE OF CLAIM AND       , Respondent, WHEREAS, the marriage of _______ and _______ was dissolved pursuant to the Judgment and Decree of the District Court, County of _______ , Family Court Division, Court File No. _______ , entered _______ , 20 ___ ; and WHEREAS, during the course and pendancy of the dissolution proceeding, Petitioner/Respondent , incurred attorney fees for services rendered on his/her behalf by Law Firm ; and WHEREAS, pursuant to the Judgment and Decree entered _______ , 20 ___ , the Petitioner/Respondent , _______ , was awarded $ _______ for attorney fees payable by Petitioner/Respondent directly to the law firm, Law Firm .; and, WHEREAS, Petitioner/Respondent's Name has an outstanding balance of $ _______ in attorney fees owed to Law Firm after the deduction of the attorney fees awarded against the Petitioner/Respondent ; ((optional) and an outstanding balance of _______ in accountant fees) for a total balance of $ _______ , as of _______ , 20 ___ ; and, WHEREAS, Law Firm desire to settle and satisfy all claims for attorney fees which they have against _______ in connection with his/her dissolution proceeding, except as to those claims for _______ in attorney fees awarded against the Petitioner/Respondent , _______ in favor of the Petitioner/Respondent 's attorney; THEREFORE, for the sum of $ _______ , receipt of which is acknowledged in the form of a personal check drawn on the account of _______ , Law Firm do/does hereby forever release _______ from their claim against [him/her] of $ _______ for attorney fees incurred in connection with his/her dissolution proceeding. DATED: _____________________ Law Firm By_________________________________ Attorney's Name Subscribed and sworn to before me this _______ day of _______ , 20 ___ . _____________________________________________ Notary Public