Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Attorneys Fee Declaration (Adult) (For Work Performed Before 6-10-1999) Form. This is a Alabama form and can be use in CR-Series (Criminal) Statewide.
Loading PDF...
Tags: Attorneys Fee Declaration (Adult) (For Work Performed Before 6-10-1999), CR-63C, Alabama Statewide, CR-Series (Criminal)
State of Alabama
Unified Judicial System
Form CR-63C
ATTORNEY’S FEE DECLARATION
(Adult)
Rev.8/06
[For Work Performed Before 6/10/99]
Mark Appropriate Court:
County
Code
__ __
Case Number
__
____ _____ __
Jurisdiction
Year
Case#
Suffix
Attorney Name (Please type or print)
Circuit Court of _________________ County
District Court of_________________ County
___________________________________________
Municipal Court of_______________
Alabama Court of Criminal Appeals
___________________________________________
Supreme Court of Alabama
Social Security Number or FEIN
Indicate If: Capital Case _____ (CC) Other ___ (NC)
STYLE OF CASE: STATE OF ALABAMA ________________________________________________________________________________
Defendant
CHARGE: _________________________________________________________________________________________________________
Companion case numbers and charges or convictions: ______________________________________________________________________
__________________________________________________________________________________________________________________
The undersigned attorney declares that on (date) _______________________________________, the Honorable ______________________________
_______________________, Judge, appointed the undersigned to represent the above-named defendant or appellant, and on (date) _______________
the case was heard by the Honorable _____________________________________________________________, Judge. The case was disposed of by
__________________________________________________________________________________________________________________
(Please of guilty, conviction, acquittal, affirmance, reversal, cert. denied)
(1)
In Court Appearance
Total Hours __________ x $ 40.00 per hour = ___________________
(2)
Out of Court Preparation (Trial Level)
Total Hours __________ x $ 20.00 per hour = ___________________
(3)
Out of Court Preparation (Appellate Level)
Total Hours __________ x $ 40.00 per hour = ___________________
(4)
Extraordinary Expenses (If approved in advance by court)
(5)
Overhead Expenses
Total Hours __________ x $ ____ Per hour = ___________________
TOTAL CLAIM OF ATTORNEY
NOTICE TO ATTORNEY: Complete this form. Attach a copy of a complete itemization of (1) in-court appearance; (2) out-of-court preparation; (3)
extraordinary expenses reflecting the date of actions and amount of time involved in each activity. Make a copy of same for the court’s record and a copy
or your records.
The undersigned attorney further declares that the above claim is true and correct and represents the services actually rendered by him/her as an attorney and the
amount is due and payable. I further declare that the above claim is not a duplication of charges and expense4s in any case (companion or otherwise)
_________________________________________________________________
Signature of Attorney
Attorney Code _____________________________________
Sworn to and subscribed before me this ____________
Mailing Address of Attorney
(please type or print) (including city, state, and zip code)
Day of ___________________________, ___________
_________________________________________________________________
_________________________________________________________________
_____________________________________________
_________________________________________________________________
Notary Public
Telephone Number _________________ Fax Number _________________
I, the undersigned judge, hereby certify that the foregoing claim has been presented tome, and I have reviewed the same and believe the same to be
true and correct. I am further of the opinion that said attorney is not duplicating said charges and expenses in any case (companion or otherwise).
Based on the above, I hereby approve the declaration and claim in the amount of $ __________________________________________________
Done this _______________ day of
_______________________________, ___________.
_________________________________________________________________
Judge’s Signature
NOTICE TO ATTORNEY AND JUDGE: Sections 15-12-21 through 15-12-23, Ala. Code 1975, provide for the payment of attorney fees and extraordinary
expenses incurred by counsel appointed to represent indigent defendants at the trail level on appeal (including petition for writ of certiorari to the Alabama
Supreme Court) and in post-conviction proceedings.
THIS FORM MUST CONTAIN ORIGINAL SIGNATURES OF THE ATTORNEY AND THE JUDGE. THIS FORM WITH ATTACHED ITEMIZATION MUST
BE SUBMITTED TO THE TRAIL COURT JUDGE OR PRESIDING JUDGE OR CHIEF JUSTICE OF THE APPELLATE COURT FOR APPROVAL. AFTER
APPROVAL, FILE WITH THE CLERK, WHO SHALL SUBMIT THE ORIGINAL DECLARATION TO THE STATE COMPTROLLER (EXCEPT IN MUNICIPAL
CASES) FOR AUDIT.
EXCEPT IN MUNICIPAL CASES, MAIL TO: State Comptroller, Indigent Defense Section, P.O. BOX 302602, Montgomery, Alabama 36130-2602.
American LegalNet, Inc.
www.FormsWorkflow.com