Application For Approval Of Payment Of Appointed Counsel Fees And Expenses
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Application For Approval Of Payment Of Appointed Counsel Fees And Expenses Form. This is a Ohio form and can be use in Butler County (Court Of Common Pleas).
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Tags: Application For Approval Of Payment Of Appointed Counsel Fees And Expenses, 515, Ohio County (Court Of Common Pleas), Butler
PROBATE COURT OF BUTLER COUNTY, OHIO
IN THE MATTER OF GUARDIANSHIP OF
Case No.
APPLICATION FOR APPROVAL OF PAYMENT OF
APPOINTED COUNSEL FEES AND EXPENSES (ward)
The undersigned, having been appointed counsel for an indigent ward, moves this Court for an
order approving payment of fees and expenses as indicated in the item ized statement on the reverse side hereof. I certify
that I have received no compensation in connection with providing representation in this case other than that described in
this application or which has been approved by the Court in a previous application, nor have any fees and expenses in this
application been duplicated on any other application. Either an attorney under my supervision or I have performed all legal
services itemized in this application.
As attorney for the ward, I was appointed on
,
has/has not been terminated. I am submitting this application on
Name:
. This case
,
.
Signature:
Address:
SUMMARY OF HOURS, EXPENSES, AND BILLING
Out-of-court hours
X (rate)
=
$
In-court hours
X (rate)
=
$
Total Fees
$
Expenses
$
Total amount requested
JUDGMENT ENTRY
The Court finds that counsel performed the legal services set forth on the itemized statement on the reverse side
hereof, and that the fees and expenses set forth on this statement are reasonable.
IT IS THEREFORE ORDERED that counsel fees and expenses be, and are hereby approved, in the amount of
.
Judge/Magistrate
BCPC FORM 515 - APPLICATION FOR APPROVAL OF PAYMENT
OF APPOINTED COUNSEL FEES AND EXPENSES - PDF
4/1/2004
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EXHIBIT A
ITEM IZED FEE STA TEM EN T
OUT-OF-COURT HOURS
D ate of Service
Interview s
Investigation
R esearch
& W riting
N egotiation &
Conferences
IN-COURT-HOURS
Travel
O ut of
Court
O ther
Total
Appointm ent
Hearing
Status
R eview
Hearing
In Court
O ther
Total
T O TA L H O U R S
H R S: OU T
H R S : IN
*NOTE: Time is to be reported in tenth of an hour (6-minute) increments.
I hereby certify that the following expenses were incurred:*
Use the following categories for type: (1) Experts (2) Postage/Phone
(6) Other
EXPENSE
TYPE
(3) Records/Reports
PAID TO
(4)Transcripts
(5) Travel
AMOUNT
TOTAL
*To obtain reimbursement, the purpose of each expense must be clearly identified, and a receipt must be provided for each expenditure of $1.00
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