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- 1 - IN THE CHANCERY COURT OF THE JUDICIAL DISTRICT OF COUNTY, MISSISSIPPI IN THE MATTER OFTHE GUARDIANSHIP OF:[minor], A Minor CAUSE NO. PETITION FOR AUTHORITY TO BRING SUIT AND FOR APPROVAL OF CONTINGENT FEE CONTRACT COMES NOW your Petitioner, [guardian], and files this his/her Petition for Authority to Bring Suit and for Approval of Contingent Fee Contract and would respectfully show the Court the following, to-wit: I. Petitioner, [guardian] , the natural [relation] of the minor herein, was appointed Guardian of the Estate of [minor], a minor and Letters of Guardianship were issued to him/her on the day of , .2. The estate of [minor] , a minor, consists of a claim for unliquidated damages for personal injuries against [Defendant] on account of the minor having received injuries as a result of an accident wherein [describe injuries] on or about [date of injury] .3. Petitioner has retained the services of to represent him/her individually and as guardian of the estate of [minor], a minor, for the damages and injuries caused to said minor evidenced by a copy of the contingent fee contract attached hereto as Exhibit " " and made a part hereof as if copied in full words and figures. WHEREFORE, PREMISES CONSIDERED, Petitioner prays that his/her Petition be received and filed; that upon a hearing hereof, the Court will authorize Petitioner to bring a suit for damages and injuries caused to said minor; and will approve said contingent fee contract, with the final amount of attorney's fees subject to approval by the Chancery Court after the case is completed. Petitioner prays for general relief. ________________________________ [GUARDIAN], individually and as guardian of [minor]. STATE OF MISSISSIPPICOUNTY OF PERSONALLY APPEARED BEFORE ME, the undersigned authority in and for the aforesaid jurisdiction, the within named [guardian], who, after being first duly sworn by me, states on his/her oath that he/she is the Petitioner in the above and foregoing Petition and that the matters and facts contained and set forth in said Petition are true and correct as therein stated. __________________________________[guardian], individually and as guardian of [minor]. SWORN TO AND SUBSCRIBED BEFORE ME, this the day of , . __________________________________ NOTARY PUBLIC My Commission Expires: - 4 - IN THE CHANCERY COURT OF THE JUDICIAL DISTRICT OF COUNTY, MISSISSIPPI IN THE MATTER OFTHE GUARDIANSHIP OF:[MINOR], A Minor CAUSE NO. ORDER AUTHORIZING SUIT AND APPROVING CONTINGENT FEE CONTRACT THIS DAY this cause having come on for hearing on Petition for Authority to Bring Suit and Approval of Contingent Fee Contract, and the Court having heard and considered said Petition and the evidence introduced in support thereof finds as follows, to-wit: 1.That Petitioner, [guardian], the natural [relation] of the minor herein was appointed Guardian of the Estate of [minor] , a minor and Letters of Guardianship were issued to him/her on the day of , ; and2. That the estate of [minor], a minor, consists of a claim for unliquidated damages against [Defendant] as a result of an accident [describe accident] on or about [date of accident].3. That Petitioner retained the services of to represent him/her individually and as guardian of the estate of [minor], a minor, as is evidenced by a copy of the contingent fee contract which is attached to the Petition as Exhibit " " and made a part thereof as if copied in full in words and figures; and further4. That the Petitioner should be authorized to bring suit for the damages and injuries caused to said minor; that the contingent fee contract which is marked Exhibit " " to the Petition should be approved by this Court; and that the prayer of the Petitioner should be granted. IT IS, THEREFORE, ORDERED, ADJUDGED, AND DECREED that Petitioner be and is hereby authorized to bring suit in the name of the minor for the damages and injuries caused to said minor and that the contingent fee contract marked as Exhibit " " to the Petition be and it is hereby approved by this Court, but that the amount of attorney's fees shall be subject to approval of this Court after the case is completed.SO ORDERED, ADJUDGED, AND DECREED this the day of , 20 B. _____________________________________CHANCELLOR PRESENTED BY:_____________________________ Attorney for Petitioner