|
AUTHORITY TO REPRESENT CONTRACT
I, the undersigned client, do hereby retain and employ the law firm of POWELL, POWELL & POWELL, P.A., P.O. Box 277, Crestview, Florida 32536, as my attorneys to represent me in my claim for damages against___________________________________, or any other person, firm, or corporation, liable therefore, resulting from an accident that occurred on the______day of__________________,___.
The undersigned client has, before signing this contract, received and read The Statement of Client's Rights, and understands each of the rights set forth therein. The undersigned client has signed the statement and received a signed copy to keep to refer to while being represented by the undersigned attorneys.
This contract may be canceled by written notification to the attorneys at any time within three business days of the date the contract was signed, as shown below, and if canceled the client shall not be obligated to pay any fees to the attorneys for the work performed during that time. If the attorneys have advanced funds to others in representation of the client, the attorneys are entitled to be reimbursed for such amounts as they have reasonably advanced on behalf of the client.
The undersigned client agrees to pay said attorneys, from the proceeds of recovery, the following fee:
A) 33 1/3% of any recovery up to $1 million up until the time that the lawsuit is filed and Defendants have filed their answer to the lawsuit or in the case of arbitration the Defendants have filed their demand for appointment of arbitrators;
B) 40% of the proceeds of any recovery after the Defendants have filed their answer to the lawsuit or the Defendants have filed their demand for appointment of arbitrators up to $1 million through the trial of the said case;
C) 30% of any recovery between $1-2 million;
D) 20% of any recovery in excess of $2 million;
E) If a Defendant admits liability at the time of filing an answer and requests a trial only on damages:
1) 33 1/3% of any recovery up to $1 million from that Defendant through trial;
2) 20% of any recovery from that Defendant between $1-2 million;
3) 15% of any recovery from that Defendant in excess of $2 million;
F) 5% additional of any recovery if an appeal is necessary and filed by the Plaintiff or the Defendant.
In the event that I am unable to pay all of my medical expenses prior to settlement of my case, I hereby authorize my attorneys to pay all unpaid medical bills incurred by me in connection with my accident, from the proceeds of any recovery affected in my behalf directly to the persons rendering such medical services.
Following settlement, in order to facilitate processing, the Attorneys are authorized by the client to execute settlement drafts or checks on behalf of the clients and to deposit them into Powell, Powell & Powell trust account for collection while releases and other documents are signed.
It is agreed and understood that this employment is upon a contingent fee basis, and if no recovery is made, I will not be indebted to my said attorneys for any sum whatsoever as attorneys' fees.
Dated at ______________________, this the _______ day of _______________, __.
__________________________________________
CLIENT
__________________________________________
CLIENT
The above employment is hereby accepted upon the terms stated therein.
POWELL, POWELL & POWELL
Attorneys at Law
Post Office Box 277
Crestview, Florida 32536
By:_____________________________
|
