Form CN:11645 "Certification of Unearned Retainer/Fee" - New Jersey

What Is Form CN:11645?

This is a legal form that was released by the New Jersey Lawyers’ Fund For Client Protection - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2012;
  • The latest edition provided by the New Jersey Lawyers’ Fund For Client Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CN:11645 by clicking the link below or browse more documents and templates provided by the New Jersey Lawyers’ Fund for Client Protection.

ADVERTISEMENT
ADVERTISEMENT

Download Form CN:11645 "Certification of Unearned Retainer/Fee" - New Jersey

Download PDF

Fill PDF online

Rate (4.3 / 5) 81 votes
Print Form
Clear Form
New Jersey Lawyers' Fund for Client Protection
Certification of Unearned Retainer/Fee
The following information is provided in support of the claim filed with the New Jersey Lawyers' Fund for Client Protection:
1. How much money did you pay Respondent? $
List Dates of Payment:
How was payment made?
Cash
Check
Other
(Attach proof of payment, copy of receipt, copy front & reverse sides of cancelled check, etc.)
Was this to be the entire fee?
Yes
No
If no, state the entire fee quoted by Respondent:
2. What kind of case was Respondent to handle?
3. Briefly describe the current status of this matter.
4. Have you hired another attorney to complete this matter?
Yes
No
If yes, give name and address of new attorney.
What is the fee arrangement between you and the new attorney?
State the amount of payment and date of payment to the new attorney.
5. How many times did you meet with Respondent?
Briefly describe each meeting giving the date such meeting took place, how long it lasted, what was discussed, etc.
Please be specific.
(Use additional sheets if necessary).
6. Briefly describe any major telephone calls with Respondent.
7. Did Respondent ever prepare any legal papers on your behalf?
Yes
No
If yes, list them and tell whether, to your knowledge, these papers have been filed or used.
If you are in possession of such documents, please attach a copy of the same to your Statement of Claim Form.
8. Did Respondent make any Court appearances on your behalf?
Yes
No
If yes, briefly describe, giving the date, the name of the judge and the reason for the Court appearance.
I (We) certify that the above statements are true. I am (We are) aware that if any of the foregoing statements are
willfully false, I am (we are) subject to punishment.
Signature of claimant
Date
Signature of co-claimant
Date
Published: 09/2012, CN: 11645
page 1 of 1
Print Form
Clear Form
New Jersey Lawyers' Fund for Client Protection
Certification of Unearned Retainer/Fee
The following information is provided in support of the claim filed with the New Jersey Lawyers' Fund for Client Protection:
1. How much money did you pay Respondent? $
List Dates of Payment:
How was payment made?
Cash
Check
Other
(Attach proof of payment, copy of receipt, copy front & reverse sides of cancelled check, etc.)
Was this to be the entire fee?
Yes
No
If no, state the entire fee quoted by Respondent:
2. What kind of case was Respondent to handle?
3. Briefly describe the current status of this matter.
4. Have you hired another attorney to complete this matter?
Yes
No
If yes, give name and address of new attorney.
What is the fee arrangement between you and the new attorney?
State the amount of payment and date of payment to the new attorney.
5. How many times did you meet with Respondent?
Briefly describe each meeting giving the date such meeting took place, how long it lasted, what was discussed, etc.
Please be specific.
(Use additional sheets if necessary).
6. Briefly describe any major telephone calls with Respondent.
7. Did Respondent ever prepare any legal papers on your behalf?
Yes
No
If yes, list them and tell whether, to your knowledge, these papers have been filed or used.
If you are in possession of such documents, please attach a copy of the same to your Statement of Claim Form.
8. Did Respondent make any Court appearances on your behalf?
Yes
No
If yes, briefly describe, giving the date, the name of the judge and the reason for the Court appearance.
I (We) certify that the above statements are true. I am (We are) aware that if any of the foregoing statements are
willfully false, I am (we are) subject to punishment.
Signature of claimant
Date
Signature of co-claimant
Date
Published: 09/2012, CN: 11645
page 1 of 1