Free Form 5.080 - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY FOR ) ) ) ) ) ) ) ) )

, Plaintiff, v. , Defendant.

CIVIL CASE NO. STATEMENT FOR ATTORNEY FEES, COSTS, AND DISBURSEMENTS FOR (PLAINTIFF/DEFENDANT)

The undersigned attorney offers the following facts in support of an award of reasonable and necessary attorney fees, costs, and disbursements: 1. Plaintiff/Defendant is entitled to recover attorney fees, costs, and disbursements pursuant to the following facts, statute or rule:

2. Legal Fees including the number of hours and services provided in this matter by each attorney, clerk, and legal assistant and the hourly rates for each are set forth in detail in Exhibit 1. The total sum of these . Exhibit 1 is summarized as follows: fees is $ Name Position Hourly Rate Number of Hours Fees

Page 1 - Form 5.080 ­ STATEMENT FOR ATTORNEY FEES, COSTS, AND DISBURSEMENTS FOR G PLAINTIFF G DEFENDANT ­ UTCR 5.080 (Please designate one of the above) (Revised 8-1-08)

UTCR App. Page 16

3. The specific factors supporting an award and the amount of legal fees pursuant to ORS 20.075 or other statute or rule are set forth in Exhibit 2. 4. Litigation expenses billable directly to the client that are not overhead expenses already reflected in the hourly rate for legal services are set forth in detail in Exhibit 3. The total sum of these costs and . disbursements is $ 5. Costs and disbursements supported by ORCP 68 A(2) or other statute or rule, including the prevailing party fee, are set forth in detail in Exhibit 4. The total sum of these costs and disbursements is . $ 6. In anticipation of efforts that will be spent in postjudgment proceedings, plaintiff/defendant seeks the as explained more fully in Exhibit 5. additional sum of $ 7. In summary, plaintiff/defendant is entitled to an award of reasonable and necessary attorney fees in , litigation expenses in the sum of $ , costs and disbursements in the the sum of $ , and postjudgment work in the sum of $ . sum of $ I hereby declare that the above statement, including the information contained in the exhibits to this statement, is true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and is subject to penalty for perjury.

Date OSB# (if applicable)

Signature Type or print name

Page 2 - Form 5.080 ­ STATEMENT FOR ATTORNEY FEES, COSTS, AND DISBURSEMENTS FOR G PLAINTIFF G DEFENDANT ­ UTCR 5.080 (Please designate one of the above) (Revised 8-1-08)

UTCR App. Page 17