Washington > Federal > USBC Western
Attorney Disclosure Statement Regarding Attorneys Fees - Washington
| Attorney Disclosure Statement Regarding Attorneys Fees Form. This is a Washington form and can be used in USBC Western Federal . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : UNITED STATES BANKRUPTCY : : : COURT Index No. WESTERN DISTRICT OF WASHINGTON Case No. Calendar No. In re: Name of Debtor(s) Plaintiff(s) -against- JUDICIAL (If Known) SUBPOENA 1. Pursuant to 11 U.S.C. ' 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named : debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in : connection with the bankruptcy case is as follow: For legal services, I have agreed to accept . . . . . . Defendant(s) . . . . . .:. . . . . . . . . . . . . . . . . . .......... ...................................................... $_____________ $_____________ $_____________ Prior to the filing of this statement I have received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Balance Due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. THE PEOPLE compensation paid to me was: The source of the OF THE STATE OF NEW YORK q TO Debtor q Other (specify) 3. The source of compensation to be paid to me is: q GREETINGS: Debtor q Other (specify) 4. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before q the Honorable agreed to share the above-disclosed compensation withCourt I have not any other person unless they are , at the members and associates of my law firm. located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed q I have agreed to share the above-disclosed compensation with a person or persons who are not members or or adjourned date, to testify and give evidence as a witness in this action on the part of the associates of my law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation, is attached. 5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to including: a. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Analysis of the debtor=s financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy; Witness, Honorable c. , one of the Justices of the b. Court Preparation and County,any petition, schedules, statement of affairs and plan which may be required; filing of in day of , 20 Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof; (Attorney must sign above and type name below) d. e. 6. Representation of the debtor in adversary proceedings and other contested bankruptcy matters; [Other provisions as needed]. Attorney(s) for By agreement with the debtor(s), the above-disclosed fee does not include the following services CERTIFICATION Office and P.O. Address I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in this bankruptcy proceeding. __________________________________ Date __________________________________________ Facsimile No.: of Attorney Signature Telephone No.: E-Mail Address: __________________________________________ Mobile Tel. No.: Name of Law Firm American LegalNet, Inc. www.USCourtForms.com
|
|||||||
