#1046 @005 Enter date of letter: @001 Enter law firm name: @002 Enter street address of law firm: @003 Enter city, state, zip code of law firm: @004 Enter individual attorney's name: @006/@006/@006 Enter salutation for letter: Gentlemen Dear Sir: KEY IN VALUE @007 Enter name of adverse party: @008 Enter brief description of nature of the case: @009 Enter percentage fee- recovery before suit in numerals: @010 Enter percentage fee- if suit is required in numerals: @011 Enter percentage fee- if appeal is required in numerals: @444 Enter name of signatory of letter: #end control section #1046 /* Para. 1046: Contingent */ @005 @001 @002 @003 Attention: @004 Dear @006: We retain your law offices to represent us in regard to a claim against @007, related to @008. Your fee shall be contingent on collection from the responsible parties, and shall be as follows: @009 per cent for recovery before suit @010 per cent for recovery after suit is instituted @011 per cent for recovery if an appeal is required Out of pocket costs reasonably expended and with prior approval of us will be deducted from settlement. If this arrangement is acceptable, please sign and return a copy of this letter to us. Sincerely, @444 Accepted: _________________________________