Stipulation Of Settlement
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Stipulation Of Settlement Form. This is a New York form and can be use in Attorneys Statewide.
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Tags: Stipulation Of Settlement, UCS 137-11, New York Statewide, Attorneys
(Office Use Only)
Case Number: ________________________
UCS 137-11 (11/01)
........................................................................
In the Matter of Fee Dispute
Arbitration between
, Client
and
STIPULATION OF
SETTLEMENT
, Attorney
........................................................................
A request for fee arbitration having been made and the parties having come to an agreement as to
the reasonable amount of the fee due in this matter, it is hereby stipulated and agreed:
1.
The AMOUNT IN DISPUTE is:
$ ........................................
2.
The TOTAL of the AMOUNT IN DISPUTE
to which the attorney is entitled is (including
all costs and disbursements and amounts
previously
paid
by
the
client):
$ ........................................
The AMOUNT of this total PREVIOUSLY
PAID by the client is:
$ ........................................
3.
4.
(a)
The BALANCE DUE by the client
to the attorney is:
$ ........................................
-OR(b)
The
AMOUNT
TO
BE
REFUNDED by the attorney is:
$ ........................................
It is further agreed that the payment of the amount shall be made within _______ days of the date
of this stipulation.
______________________________
ATTORNEY
______________________________
CLIENT
(Please print names below signatures)
Dated: _______________ [Give copy to each party]
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