5000/35 Litigation Budget

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OMB NUMBER: 3064-0122
EXPIRATION DATE: 07/31/2013

Federal Deposit Insurance Corporation

LITIGATION BUDGET
INSTRUCTIONS: Please complete all requested information.
Matter Number
Matter Caption

Institution Number

Institution Name

Institution Type
Bank

PART I

–

Firm Name

Thrift

LITIGATION BUDGET INFORMATION

Attorneys' Fees:
Hourly Rate: $

__

Fixed Fee: $

.

TOA Fee: $
Contingent Fee:

Estimated Recovery Value: $
Estimated Judgement Amount: $

.

Estimated Judgement Probability:

% of $

%

.

Estimated Hours For Completion:

Fees

Estimated Completion Date (MM/DD/YYYY):

PART II

Expenses

Total

as

.a

– LAW FIRM 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 Law Firm Delegate's Signature

Date (MM/DD/YYYY)

Name and Title of Authorized Law Firm Delegate (Please type or print)

Telephone Number (Include area code)

PART III

–

FAX Number (Include area code)

BUDGET AUTHORIZATION FOR OUTSIDE COUNSEL TO PROCEED

FDIC Attorney (Recommending approval of budget)

Date Budget Approved (MM/DD/YYYY)

Signature of Delegated Authority

Date Budget Approved (MM/DD/YYYY)

PAPERWORK REDUCTION ACT NOTICE
Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden to the Public Reporting Act Clearance Officer, Legal Division, Room MB 3082, Federal Deposit Insurance
Corporation, 550 17th Street, N.W., Washington, D.C. 20429; and the Office of Management and Budget, Paperwork Reduction Project
(3064-0122), Washington, D.C. 20503. An agency may not conduct or sponsor, and a person is not required to respond to, a collection
of information unless it displays a currently valid OMB control number.

FDIC 5000/35 (10-05)