Page 1 HRAP Form 7 (09/10) NO.IN RE ATTORNEYS' FEES AND NECESSARY EXPENSES FOR TRIAL COURT CASE NO.) ) ) ) ) ) ) ) Defendant-Appellant., REQUEST AND DECLARATION OF COUNSELIn accordance with Hawaii Rules of Appellate Procedure (HRAP) Rule 39(d), I, , Defendant-Appellant's attorney, request compensation for necessary and authorized expenses and attorneys' fees incurred on appeal on Defendant-Appellant's behalf and, in conjunction herewith aver, as follows: 1. I was appointed to represent Defendant-Appellant by order of the court of the circuit, on,which order is attached as Appendix A. RG-LC-508 (5/2016)SC-P-345 Attorney forOF THE STATE OF HAWAIIIN THE American LegalNet, Inc. www.FormsWorkFlow.com Page 2 HRAP Form 7 (09/10) 2. I request reimbursement for necessary and authorized expenses as follows: Expense Amount Authority TOTAL EXPENSES A true and correct itemized accounting of these necessary expenses, including relevant invoices and receipts, is attached as Appendix B.3. I have expended the following hours in attorney work for this appeal and, pursuant to Hawaii Revised Statutes 247 , request amounts as follows: Activity Hours Amounta. Correspondence, Interviews and Conferencesb. Obtaining & Reviewing Recordsc. Legal Researchd. Draftinge. Oral Argument (In-court) f. Other (Specify) @ @ @ @ @ @ TOTAL FEES Attached hereto as Appendix C are hourly worksheets, prepared in accordance with HRAP Form 7 and contemporaneously with the work performed as noted thereon and truthfully reflecting the amount of work actually performed in the representation of the Defendant-Appellant. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 HRAP Form 7 (09/10) I, , declare under penalty of law, as provided by HRAP Rule 52, that the foregoing is true and correct. DATED:. Attorney for American LegalNet, Inc. www.FormsWorkFlow.com