QUESTIONAIRE - CRIMINAL MATTERS

 INSTRUCTIONS
  • Download, fill out, and print the questionare and attorney fee agreement below.
  • Attach relevant documents.
  • Fax or mail the questionare, agreement, and other documents to our office.
  • If you don't have an account with us, send us a check, give us your credit card number below, or call us with your credit card number after you have sent us the documents.
  • After we have received the documents and your payment, we will take it from there and will call you if we need anything more from you.
 
 If you have questions or would like us to fax or mail you a questionare, give us a call at (562) 596-8177, send us a fax at (562) 596-0298, E-mail us at KinseyE@ix.netcom.com.
 QUESTIONARE - CRIMINAL MATTERS
 ATTORNEY FEE AGREEMENT
 PAYMENT OPTIONS


QUESTIONIARE - CRIMINAL MATTERS

SECTION 1
CLIENT INFORMATION

 NAME & ADDRESS
 NAME/ADDRESS:
 _____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
 HOME PHONE:  (_____) _____ - __________
 BUSINESS PHONE:  (_____) _____ - __________
 FAX:  (_____) _____ - __________
 E-MAIL:  ________________________

 SECTION 2
PREVIOUS CONVICTIONS
 
LIST THE PLACES AND DATES OF PREVIOUS CONVICTIONS
    1. ___________________________________________________________
    2. ___________________________________________________________
    3. ___________________________________________________________
 SECTION 3
CURRENT ARREST
Arrest Date: _________ Time: ___________
Place Of Arrest: ______________________________________________________
Arresting Agency: ____________________________________________________
List All Charges: _____________________________________________________

Describe the circumstances surrouding the arrest:

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
SECTION 4
COURT APPEARANCES
Are there currently any court appearances schedualed regarding this matter?
____ Yes ____ No
If yes, indicate:
 Nature Of Hearing:  _______________________________________
 Date:  _______________________________________
 Time:  _______________________________________
 Place:  _______________________________________


 ATTORNEY FEE AGREEMENT
 
__________________________________________________________________,
hereinafter collectively referred to as "CLIENT," agrees jointly and severally to pay LAW OFFICES OF EUGENE E. KINSEY, INC., A California Corporation, hereinafter referred to as "ATTORNEYS," the sums specified below for the following services:
________________________________________________________________
________________________________________________________________
 
1. INITIAL RETAINER: ($300.00) Immediately upon execution of this Agreement, Client shall pay to Attorneys an initial retainer in the amount specified in this Paragraph. This initial retainer is a FEE FOR INITIAL CONSULTATION, ACCEPTANCE OF THE CASE OR OTHER UNDERTAKING, AND CREATION OF A NEW FILE ONLY. THE INITIAL ATTORNEY RETAINER IS NOT REFUNDABLE AND SHALL NOT BE APPLIED TO ANY HOURLY FEE.
 
2. HOURLY FEE FOR ATTORNEY TIME: ($225.00) In addition to the initial attorney retainer and additional flat fee specified below, Client promises to pay to Attorneys a fee of $225.00 per working hour for each and every hour spent by a licensed attorney working on the above-described matter including but not limited to phone time, investigation, research, drafting, travel and court time. MINIMUM BILLING: Said hourly fee shall be billed in increments of no less than .25 hours; i.e. Client shall be billed for .25 hours for each billable period of .25 hours OR PART THEREOF.
 
3. OTHER HOURLY FEES: In addition to other fees described in this Agreement, Client promises to pay to Attorneys the following sums for services rendered by office personnel other than licensed attorneys:
 Paralegals:  $75.00 per hour
 Law Clerks:  $60.00 per hour
 Secretarial:  $15.00 per hour
 Word Processing:   $15.00 per hour
4. HOURLY RATES SUBJECT TO CHANGE: The rates for hourly fees described above are the prevailing rates for services as of the date of execution of this Agreement and are subject to change on 30 days written notice. Should Client decline to pay any increased rate, Attorneys shall have the right to withdraw from representation of Client.
 
5. FLAT FEE: ($_______________) In addition to other fees specified in this Agreement, Client shall pay to Attorneys the flat fee specified in this Paragraph for the following services:
________________________________________________________________
________________________________________________________________
 
6. MINIMUM FEE & ADVANCE PAYMENT: Client shall pay in advance to Attorneys a MINIMUM FEE of One Thousand Dollars ($1,000) for the above-described services, exclusive of any and all costs of suit. Client understands that the said Minimum Fee is the least that Client shall pay to Attorneys for the above-described services and that the total fee to be incurred by Client may exceed the said Minimum Fee. All fees paid to Attorneys below the said Minimum Fee are NOT REFUNDABLE.

7. COSTS PAID BY CLIENT: In addition to attorney fees described above Client agrees to pay all costs which are reasonably necessary to perform the above-described service or to prosecute any court action which may be brought on behalf of Client in this matter or which are otherwise reasonably necessary in the representation of Client. Costs include but are not limited to court costs, process service fees, expenses of investigation, expenses of medical examination, computer database access, and the cost of obtaining and presenting evidence. Client shall immediately upon execution of this Agreement advance to Attorneys the sum described in this Paragraph for costs to be placed in a trust account for the benefit of Client. All costs which are not used ARE REFUNDABLE.
 
8. ADVANCEMENT OF ESTIMATED TRIAL FEES & COSTS UPON NOTICE OF TRIAL (LITIGATION MATTERS ONLY): Should a court action be prosecuted by Attorneys in connection with the above-described matter(s), within ten (10) days of receipt by Attorneys of notice of a trial date, Client promises to advance to Attorneys 1) all attorney fees and costs then due and unpaid and 2) all attorney fees and costs which Attorneys estimate will be incurred by client in the preparation for and prosecution of the trial. Should Client fail to advance the fees and costs described in this Paragraph when due, Attorneys, at their option, shall be permitted to withdraw from representation of Client and Client, upon the exercise of such option by Attorneys, shall sign all documents and do all things reasonably necessary to accomplish such withdrawal.
 
9. AUTHORIZATION FOR WITHDRAWAL FROM TRUST ACCOUNT: Attorneys are authorized to withdraw and disburse from Client's trust account such sums as are reasonably necessary to pay costs of suit brought on behalf of Client and which are reasonably necessary to pay Attorney fees as they are incurred.
 
10. PAYMENT OF FEES: Client promises to pay Attorneys all sums due in full on or before the fifth day after billing. Should client fail to make any payment when due, Attorneys are authorized to withdraw from Client's trust account and pay the amount of any such payment to Attorneys without prior notice to client.
 
11. CREDIT CARD AUTHORIZATION: Client authorizes Attorneys to debit any credit card to which Client is signatory including but not limited to the following a] immediately for any returned check and/or b) for any and all sums due and unpaid on the Thirtieth (30th) day after the due date thereof:
 
 CARD:  ________________________________
 HOLDER  ________________________________
 CARD NUMBER  ________________________________
 EXPIRATION DATE:  ________________________________
BILLING ADDRESS FOR THIS CARD:
 
________________________________
________________________________
________________________________
 

12. LATE SERVICE CHARGE: If any payment or portion thereof due under this Agreement is not received by Attorneys within ten (10) days after the due date thereof, Client agrees to pay Attorneys, in addition to the payment due, a late service charge of five percent (5%) of the amount of such payment due and unpaid.
 
13. DISCLAIMER OF GUARANTEE: Nothing in this Contract and nothing in Attorneys' statements to Client will be construed as a promise or guarantee about the outcome of Client's matter. Attorneys make no such promises or guarantees. Attorneys' comments about the outcome of Client's matter are expressions of opinion only.
 
14. ATTORNEY FEES FOR COLLECTION FROM CLIENT: In case suit or action is instituted to collect any sums due under this Agreement, Client agrees to pay such additional sum over and above the amount of Client's indebtedness to Attorneys as the court may adjudge reasonable as Attorney fees incurred in such suit or action.
 
15. EFFECTIVE DATE: This agreement will not take effect and Attorneys shall have no obligation to provide legal services until Client both 1) returns to Attorneys a signed copy of this agreement and, 2) makes the entire advance payment specified in Paragraph 6 herein.
 
EXECUTED at Seal Beach, California on _________________, 19____.
 
 CLIENT(S):  ATTORNEYS:
   
 ______________________________  ______________________________

 PAYMENT OPTIONS
 CREDIT CARD
- VISA, MASTERCARD,
AMERICAN EXPRESS-
  • Bring your card to the office or;
  • Include your credit card information below;
  • Call us with the information.
CHECK,
MONEY ORDER
Mail you check or money order with your questionare and attorney fee agreement.
   

CREDIT CARD INFORMATION
 CARD TYPE:  __________________________________________
 CARD NUMBER:  __________________________________________
 EXACT NAME ON CARD:  __________________________________________
 CARD NUMBER:  __________________________________________
 EXPIRATION DATE:  __________________________________________
 BILLING ADDRESS FOR THIS CARD:
 __________________________________________
 __________________________________________
 __________________________________________
 __________________________________________
   


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