Sample Fee Agreement Form
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1
2SAMPLE
LOMAS Administrative Form
Form No. 096128, page 1 of 2
FEE AGREEMENT
ATTORNEY'S FEES
The attorney's fee in this matter will be set as follows:
( )
Fixed Fee of $__________
( )
Hourly Rate at $____ per hour plus ___% of amount* ( ) recovered saved
( )
Estimated Fee in the range of: $_____________ to $______________
( )
Contingent Fee of ________________ ( ) saved ( ) recovered ( ) other
*Contingent contract and statement of client's rights signed as required
( )
Fee determined on all relevant factors
( )
Minimum retainer of $_________
( )
Number of hours of attorney time covered by retainer is:
________________
( )
Other:
________________________________________________________
This office will bill you:
( )
Monthly on _______ of each month
( )
Upon completion
( )
Other arrangement
_____________________________________________
ALL BILLS ARE PAYABLE UPON RECEIPT. IF YOU DO NOT PAY WITHIN 30
DAYS OF RECEIPT, YOUR ACCOUNT WILL BEGIN TO ACCRUE INTEREST
CHARGES.
RETAINERS
Retainer of $ ______________________ is to be applied
( )
towards fee and out-of-pocket expenses
( )
towards fee
( )
towards out-of-pocket expenses.
( )
Retainer is refundable
( )
Retainer is nonrefundable
COSTS AND EXPENSES
Typical out-of-pocket expenses (NOTE: these are not attorney fees) for this matter may include:
( )
Costs such as court costs, filing fees, process server fees, deposition costs, sheriff
or clerk of court fees, investigator's fees, etc.
( )
Abstracting charges or title insurance premiums, clerk's recording fees.
( )
Photocopying, long distance telephone, postage, and travel costs.
( )
Other: ____________________________________________________________
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