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Attorney Disclosure Statement Regarding Attorneys Fees Form. This is a Washington form and can be use in USBC Western Federal.
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Tags: Attorney Disclosure Statement Regarding Attorneys Fees, Washington Federal, USBC Western
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
UNITED STATES BANKRUPTCY
COURT
Index No.
WESTERN DISTRICT OF WASHINGTON
:
In re:
Case No.
Plaintiff(s)
Name of Debtor(s)
-against1.
Calendar No.
:
JUDICIAL
(If Known)
SUBPOENA
:
Pursuant to 11 U.S.C. ' 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named
:
debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed
to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in
:
connection with the bankruptcy case is as follow:
For legal services, I have agreed to accept . . . . . . Defendant(s) . . . . . .:. . . . . . . . . . . . . . . . . .
..........
$_____________
Prior to the filing of this statement I have received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$_____________
Balance Due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$_____________
......................................................
2.
THE PEOPLE compensation paid to me was:
The source of the OF THE STATE OF NEW YORK
q TO
3.
q Other (specify)
The source of compensation to be paid to me is:
q
4.
Debtor
GREETINGS:
Debtor
q Other (specify)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
q the Honorable agreed to share the above-disclosed compensation withCourt
I have not
any other person unless they are
,
at the
members and associates of my law firm.
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
q
I have agreed to share the above-disclosed compensation with a person or persons who are not members or
or adjourned date, to testify and give evidence as a witness in this action on the part of the
associates of my law firm. A copy of the agreement, together with a list of the names of the people sharing
in the compensation, is attached.
5.
In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case,
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
including:
a.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Analysis of the debtor=s financial situation, and rendering advice to the debtor in determining whether to file a
petition in bankruptcy;
Witness, Honorable
, one of the Justices of the
b. Court Preparation and County,any petition, schedules, statement of affairs and plan which may be required;
filing of
in
day of
, 20
c.
Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned
hearings thereof;
(Attorney must sign above and type name below)
d.
e.
6.
Representation of the debtor in adversary proceedings and other contested bankruptcy matters;
[Other provisions as needed].
Attorney(s) for
By agreement with the debtor(s), the above-disclosed fee does not include the following services
CERTIFICATION
Office and P.O. Address
I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for
representation of the debtor(s) in this bankruptcy proceeding.
__________________________________
Date
Telephone No.:
__________________________________________
Facsimile No.: of Attorney
Signature
E-Mail Address:
__________________________________________
Mobile Tel. No.:
Name of Law Firm
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