Form 5000/33 Amended Non-Litigation Budget

OMB Number: 3064-0122
Expiration Date: 01/31/2023

Federal Deposit Insurance Corporation

AMENDED NON-LITIGATION BUDGET
PAPERWORK REDUCTION ACT NOTICE
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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
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FDIC 5000/33 (5-21)

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OMB Number: 3064-0122
Expiration Date: 01/31/2023

Federal Deposit Insurance Corporation

AMENDED NON-LITIGATION BUDGET
INSTRUCTIONS: An amended budget amount is a cumulative total of all past amounts incurred plus future amounts necessary
for completion of a matter. An amended budget worksheet must also be completed prior to amended budget approval (1) if the
original budget required a worksheet, or (2) if directed by an FDIC Attorney.
SECTION I - INSTITUTION INFORMATION
1. Matter Number

3. Institution Number

2. Matter Caption

4. Institution Name

5. Firm Name

6. Institution Type
Bank

7. Select Amendment:

1st Amended Budget

2nd Amended Budget

Thrift

3rd Amended Budget

SECTION II - AMENDED NON-LITIGATION LITIGATION BUDGET INFORMATION
Attorney's Fees:
Hourly Rate:

Estimated Recovery Value

Fixed Fee:

$

TOA Fee:
Contingent Fee:

% of

Specify Nature of Non-Litigation work to be Performed

Last Approved Budget
Fees

Estimated Hours for Completion:

Expenses

Amended Budget
Fees

Expenses

Estimated Completion Date:
Total Fees and Expenses
SECTION III - LAW FIRM AMENDED 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
Name

Title

Signature

Telephone

Fax

Date

SECTION IV - AMENDED BUDGET APPROVAL
FDIC Attorney (Recommending approval of amended budget)
Name

Signature

Date Budget Approved

Delegated Authority
The amended budget has been reviewed and is approved.
Name
FDIC 5000/33 (5-21)

Signature

Date Budget Approved
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