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Declaration Re Application For Order On Payment Of Fees-Costs - California
| Declaration Re Application For Order On Payment Of Fees-Costs Form. This is a California form and can be used in Civil Calaveras Local County . |
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ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, ADDRESS, PHONE) Calaveras Superior Court FOR COURT USE ONLY ATTORNEY FOR: (NAME) SUPERIOR COURT OF CALIFORNIA, COUNTY OF CALAVERAS COURT LOCATION: MAILING ADDRESS: CITY & ZIP CODE: Fiscal Department 891 MOUNTAIN RANCH ROAD P.O. BOX 850 SAN ANDREAS, CA 95249-0850 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: CASE NO.: I, the undersigned, hereby declare under penalty of perjury as follows: 1. I am appointed counsel for DECLARATION RE: APPLICATION FOR ORDER ON PAYMENT OF FEES / COSTS defendant respondent appellant minor other ______________ 2. Payment of fees, expenses or costs is requested pursuant to: Penal Code § 987.2 (Criminal proceedings, criminal appeals, or contempt); (a) Probate Code § § 1470 & 5111 (Guardianships or conservatorships); (b) Welfare & Inst. § 634 (Wardships); (c) Family Code § 3150 (Family law minor.s counsel); or (d) Welfare & Inst. § 336(e) (Dependency proceedings). (e) 3. This request is for: Payment of attorneys fees in the amount of $ ____________covering the period of (a) ____________________ to _____________________ (minute order appointing counsel and attorney billing attached.) (b) investigator / expert expenses / transcript Direct payment for initial Reimbursement / pursuant to order dated:__________(order approving fees and investigator's/expert's/transcript billing to attorney attached.) Amount of Order $_____________ Amount of billing $_____________ (c) investigator/ expert expenses/ transcript Direct payment for subsequent Reimbursement / pursuant to order dated _________________ (investigator's/expert's/transcript billing to attorney attached.): Amount of Order $_____________ Amount previously billed $ _____________ Amount due this billing $ _____________ 4. The claim is reasonable and necessary for my preparation and representation in this matter and contains no duplication of expenses included in prior applications for payment. Any claims for reimbursement have been paid in full by me. I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. Date: _________________ _____________________________________ Signature of Court Appointed Attorney ORDER The request for payment is denied approved in full approved for $_____________. Date: _________________ _______________________________________ Superior Court Judge Rev. 06/17/11 DECLARATION RE: APPLICATION FOR ORDER ON PAYMENT OF FEES / COSTS American LegalNet, Inc. www.FormsWorkFlow.com
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