Sworn Statement Of Services And Expenses By Attorney Ad Litem - Order Approving Ad Litem Fees And Authorizing Payment
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1CAUSE NO. PR-__________
IN THE MATTER OF THE ESTATE OF
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IN COUNTY COURT AT LAW NO. 2
§
_________________________________
§
OF
§
DECEASED
§
WISE COUNTY, TEXAS
SWORN STATEMENT OF SERVICES AND EXPENSES
BY ATTORNEY AD LITEM
On this day personally appeared __________________________________ (Attorney Ad litem) known to me,
who first being duly sworn upon oath to tell the truth, deposed and stated:
I am an attorney licensed to practice law in the State of Texas and appointed by the Court in the above entitled
and number cause to represent unknown heirs. I have performed all of the services required with due diligence
and attached hereto as Exhibit “A” is an itemized statement and explanation of all fees and expenses incurred
relative to my services as Attorney Ad Litem.
I therefore request the following fees and expenses for my representation:
Attorney Ad Litem Fee:
$____________
Expenses and reimbursement requested.
$____________
Total of Attorney’s Fees and Expenses Requested:
$____________
Signature: ________________________________________
Taxpayer ID/SS#:__________________
Address: _________________________________________
Bar Card #: ______________________
_________________________________________
Phone: __________________________
SUBSCRIBED AND SWORN TO BEFORE ME on ____________________________________________.
___________________________________________
Notary Public, State of Texas
ORDER APPROVING AD LITEM FEES AND AUTHORIZING PAYMENT
On this day the Court considered the foregoing, and the Court finds that said Attorney Ad Litem has rendered
necessary services on behalf of the unknown heirs of Decedent, that such attorney’s fees and expenses are reasonable and
just, and should be paid.
It is therefore ORDERED that said Attorney be paid at the address above the total sum of $_______________ to
be taxed as costs against the Applicant herein and be immediately paid from the funds held in the Registry of this Court
for such purpose, with any balance due over and above the $450 paid into the Registry of the Court to be paid directly to
the Attorney by the Applicant herein within thirty (30) days of the date hereof.
It is further ORDERED that the remaining balance of the $450 ad litem fee currently held in the Registry of the
Court, being $_________ shall be immediately paid to the attorney of record for the Estate, _______________________
at ________________________________________________________________________________________.
It is further ORDERED that this appointment is terminated and that the Attorney named herein is discharged as
Ad Litem in this cause.
SIGNED this _______________________________.
_______________________________________________
Judge Presiding
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