Free Affidavit - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON THIRD JUDICIAL DISTRICT Probate Department In the Matter of the Guardianship of: ) ) ) ) ) )

Case No. AFFIDAVIT IN SUPPORT OF MOTION FOR APPROVAL OF ATTORNEY FEES

______________________________________ A Protected Person. STATE OF OREGON ) ) County of _______________ ) I hereby swear or affirm that: 1.

ss.

I am the attorney for the Petitioner in this matter and have provided valuable and

necessary services on behalf of the protected person for which I am requesting compensation. 2. I am requesting approval of a fee in the amount of $____________. (The total

requested fee may not exceed $500.00, or $600.00 if both a temporary and "permanent" guardianship petition were done.) The amount of this fee is calculated as follows: Attorney time spent on guardianship matter: Legal Assistant time spent on guardianship matter: Attorney hourly rate (not to exceed $75.00/hour): Legal Assistant hourly rate (not to exceed $50.00/hour) 3. ___________ hours ___________ hours $__________ $__________

An itemization of the time spent on this guardianship matter is attached to this

Affidavit. (Attach time itemization)

AFFIDAVIT IN SUPPORT OF MOTION FOR ATTORNEY FEES - Page 1 of 2

FC (10/20/04)

4.

The amount of the requested attorney fee was arrived at after consideration of the

customary fees in the community for similar services, the time spent on estate matters, the attorney's experience in guardianship matters, the skill displayed by the attorney, the amount of responsibility assumed by the attorney in connection with the matter and the fee guidelines of the Marion County Indigent Guardianship Fund. 5. To the best of my knowledge, no funds of the protected person have been found from

which my fees could be paid. 6. My usual hourly rate for these types of matters is $____________. If billed on a

"full-fee" basis, my requested attorney fees for this case would have been in the amount of $______________. 7. I make this Affidavit in support of my Motion for Approval of Attorney Fees. ______________________________ Signature of Attorney SUBSCRIBED AND SWORN TO before me this _______day of ________________, 20______. _______________________________ Clerk/Notary/Judge My Commission Expires: __________ Submitted by: ______________________________________ Name Bar No. _______________________________________ Address _______________________________________ City, State, Zip _______________________________________ Telephone _______________________________________ E-mail Fax AFFIDAVIT IN SUPPORT OF MOTION FOR ATTORNEY FEES - Page 2 of 2 FC (10/20/04)