Webb County Request for Payment of Attorney Fees
1. Jurisdiction
District County
County Court at Law
Court #_______________
2. County 3. Cause Number Offense
_____________________ _________________________
_____________________ _________________________
_____________________ _________________________
4. Proceedings
Trial-Jury Trial-Court
Plea-Open Plea- Bargain
Other _______________
5. In the case of:
State of Texas v __________________________________________________________________
6. Case Level
Felony 1 Felony 2 Felony3 Felony 3g State Jail Felony Misdemeanor Juvenile Appeal Capital Case
Revocation – Felony Revocation – Misdemeanor No Charges Filed Other _____________________________________
7. Attorney (Full Name)
10. Telephone
8. State Bar Number
8a. Tax ID Number
9. Attorney Address (Include Law Firm Name if
Applicable)
11. Fax
12. Flat Fee – Court Appointed Services
12a. Total Flat Fee
$
In Court Services
Hours Dates
13.
Rate per Hour = Total hours
13a. Total In Court
Compensation.
$
Out of Court Services
Hours Dates
14.
Rate per Hour = Total hours
14a. Total Out of Court
Compensation.
$
Investigator
Amount
15.
15a. Total Investigator
Expenses
$
Expert Witness
Amount
16.
`
16a. Total Expert Witness
Expenses
$
Other Litigation Expenses
Amount
17.
17a. Total Other Litigation
Expenses
$
18. Time Period of service Rendered: From _____________________________ to ____________________________________
Date Date
19. Additional Comments 20. Total Compensation
and Expenses Claimed
21. Attorney Certification – I, the undersigned attorney, certify that the above information is true and correct and in accordance with the laws of the
State of Texas. The compensation and expenses claimed were reasonable and necessary to provide effective assistance of counsel.
Final Payment Partial Payment _____________________________________________________________________________
Signature Date
22. SIGNATURE OF PRESIDING JUDGE: Amount Approved:
Reason(s) for Denial or Variation
23.APPROVAL FOR PAYMENT Auditor’s Signature Date G/L Account No.
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