5210/08 Expert budget

OMB NUMBER 3064-0122

EXPIRATION DATE: 3/31/2007

Federal Deposit Insurance Corporation EXPERT BUDGET
INSTRUCTIONS: Please complete all requested information.
MATTER NO.		MATTER CAPTION
     		     
INSTITUTION NO.		EXPERT'S NAME
     		     
SECTION I - EXPERT BUDGET INFORMATION
FEES	EXPENSES			TOTAL
           	           			           
           	           			           
           	           			           
SECTION II - EXPERT BUDGET ACKNOWLEDGMENT
I acknowledge that the budget information contained herein is correct to the best of my knowledge and written approval of the Legal Division is required for any increase in the total budget amount.
AUTHORIZED EXPERT SIGNATURE			DATE (MM/DD/YYYY)
     			     
NAME AND TITLE OF EXPERT (Type or print)
     
TELEPHONE NUMBER (Include Area Code)			FAX NUMBER (Include Area Code)
     			     
SECTION III - BUDGET AUTHORIZATION FOR EXPERT TO PROCEED (FDIC Legal Division Approval Only)
FDIC ATTORNEY (Recommending approval of budget)			DATE BUDGET APPROVED (MM/DD/YYYY)
     			     
SIGNATURE OF DELEGATED AUTHORITY			DATE BUDGET APPROVED (MM/DD/YYYY)
			     
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FDIC 5210/08 (4-06)