Provide as much information as
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Agreement # from email
"Subject" line:
I. This law
office agrees to provide the following services as required by the
case:
(a) Petition as required for case(s) detailed in
email quote, above, incorporated herein by reference;
(b) Filing of
petition and service upon all required parties;
(c) Payment of
all filing and service fees;
(d) Court
appearances, as required.
II. The client
agrees to be responsible for the following:
(a) Providing
the attorney with all facts and documents bearing upon the case;
(b) Paying all
attorney fees prior to the beginning of legal work;
III. No
attorney can promise a specific result for client. While
Petitions are routinely granted, no promise is made as to the
outcome of your case.
IV. No legal
matter not specifically outlined in this retainer and the email
quote is included in
this fee; this includes but is not limited to any appeal, writ, or
motion for reconsideration of a denied petition. Such proceedings
are additional legal work and will require additional fees. Client
has disclosed to attorney any probation violations or failures to
comply with probation; attorney may hire, at his expense, other
attorneys to work on this matter, particularly on court
appearances.
IV. FEE. The
TOTAL fee for the work detailed is $
If your email quote authorizes payments check this box
1st Payment $
2nd Payment $
3rd Payment $
Please provide
as much information as you have. If unknown, please leave blank.
CLIENT'S FULL
NAME:
Name on Case (if
different):
Address:
City, State &
Zip :
Telephones-
Home:
Work:
Cell:
Code Section:
Date of
Conviction:
Case No:
County:
Court House:
Date of Birth:
SS#
Driver's License #
Place of Birth:
I
have read, fully understand, and agree to the terms of this
agreement, and acknowledge receipt of a copy of this agreement by
printing a copy from my computer, and authorize charges to my card
as outlined.
I
do not agree to the terms and conditions.
Your
Initials:
Dated:
E Mail:
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Card #
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Code From Card Back:
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Name & Billing
Address, if different from above- and/or comments or other
information: