Legal Attorney Fees Statement

LEGAL ATTORNEY FEES STATEMENT

This Attorney Fees Statement ("Statement") is issued as of by Attorney Name: of Firm Name: to Client Name: concerning Matter/Subject: ; File/Reference No.:

RECITALS

WHEREAS, Attorney has provided legal services to Client in connection with the matter set forth above and has rendered professional time and incurred out-of-pocket expenses in the performance of those services; and

WHEREAS, Attorney and Client have agreed that Attorney's compensation will be billed and collected in accordance with the terms set forth in this Statement; and

WHEREAS, Client acknowledges receipt of itemized invoices and the application of any retainer or credit against amounts billed.

NOW, THEREFORE, in consideration of the mutual covenants set forth herein, the parties agree as follows:

1. DEFINITIONS

For purposes of this Statement, "Fees" shall mean charges for professional time at the rates set forth below; "Costs and Expenses" shall mean out-of-pocket disbursements advanced by Attorney on Client's behalf, including without limitation filing fees, court reporter fees, expert fees, travel, courier, long-distance communications and other necessary expenditures.

2. SCOPE OF SERVICES

Attorney will perform legal services reasonably necessary to represent Client in the matter identified above. Specific tasks may include legal research, drafting pleadings and agreements, client communications, negotiation, court appearances, and counsel as requested by Client. Services outside the scope described herein must be authorized in writing and may be subject to additional fees.

3. FEES & BILLING RATES

Attorney's fees shall be computed primarily on the basis of time expended multiplied by hourly rates. Time is recorded in increments of one-tenth (0.1) of an hour. The current hourly rates are as follows:

Alternatively, certain tasks may be billed at a flat fee or other agreed-upon arrangement. Select applicable fee arrangement(s):

Hourly billing Flat fee (describe): Contingency (describe):

4. RETAINER

Client has delivered to Attorney an initial retainer in the amount of $ to be held in Attorney's trust account and applied against Fees and Costs as invoiced. The retainer is refundable only to the extent not earned or applied. Attorney may require replenishment of the retainer upon notice.

5. COSTS, EXPENSES AND ADVANCES

Client shall be responsible for Costs and Expenses incurred in connection with representation. Attorney is authorized to advance reasonable costs and to seek reimbursement on Client's account. Estimated non-recoverable costs for the next billing period:

6. BILLING, PAYMENT AND LATE CHARGES

Attorney will render periodic itemized invoices. Client shall pay all invoiced amounts within days of the invoice date. Payments shall be credited against the oldest outstanding balance. Any amount not paid when due shall accrue interest at the rate of or the maximum rate permitted by law, whichever is less.

Balance currently due as of this Statement: $. Payments received from Client shall be applied first to Costs and Expenses and then to Fees, unless otherwise agreed in writing.

7. ACCOUNT STATEMENTS & RECORDS

Each invoice will include an itemized statement of time by date, description of services performed, timekeeper identity, hourly rates, and itemized expenses. Client has the right to review time records and supporting receipts within a reasonable time after request. Objections to any portion of an invoice must be asserted in writing within days after receipt; failure to timely object shall constitute acceptance of the invoice.

8. LIEN, SUSPENSION AND COLLECTION

Client grants Attorney a charging lien upon any recovery, judgment, settlement, or similar proceeds obtained on Client's behalf to secure payment of Fees and Costs. If Client fails to pay invoices when due, Attorney may suspend or withdraw from representation in accordance with applicable professional rules and may recover fees, Costs, and reasonable collection costs, including attorneys' fees, to the extent permitted by law.

9. DISPUTE RESOLUTION

Any dispute arising out of or relating to this Statement, including disputes concerning the reasonableness of fees, shall first be submitted to a senior representative of the parties for good-faith negotiation. If unresolved within thirty (30) days, the dispute shall be submitted to binding arbitration before a neutral arbitrator selected by the parties. The arbitrator shall apply the substantive law of the governing law clause below. The prevailing party in any such proceeding shall be entitled to recover reasonable costs and fees as awarded by the arbitrator, to the extent permitted by law.

10. NOTICES

All notices required or permitted under this Statement shall be in writing and delivered to the addresses set forth below (or to such other address as a party may designate by written notice).

11. AMENDMENT, WAIVER, ENTIRE AGREEMENT, SEVERABILITY

This Statement constitutes the entire agreement between Attorney and Client with respect to fees and related matters for the referenced matter and supersedes all prior agreements, whether written or oral. No amendment shall be effective unless memorialized in a written instrument signed by both parties. No waiver of any term shall be deemed a continuing waiver or a waiver of any other term. If any provision of this Statement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

12. GOVERNING LAW

This Statement shall be governed by and construed in accordance with the substantive laws of the jurisdiction in which Attorney maintains the principal office handling the matter, without regard to conflict of law principles.

13. CLIENT CERTIFICATIONS

By signing below, Client certifies that Client has received a copy of this Statement, understands the fee arrangements and billing practices described herein, authorizes application of the retainer to Fees and Costs, and agrees to pay invoices when due. Client further acknowledges that a charging lien or other security interest may be asserted as provided above.

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