SAMUEL C.

HASLER
ATTORNEY AT LAW
1106 M ERIDIAN, S U I T E 251 T E L E P H O N E : 765-641-7906
A N D E R S O N, IN 46012 E - MAIL :samuelhasler@yahoo.com

C ONTRACT FOR V ISITATION C ASES

I, of , Indiana (the Client) retain Samuel

C. Hasler (the Attorney), to perform legal services described below. The Attorney agrees to perform
these services faithfully and diligently.

I. Services. Amount of Fees and Terms of Payment

Attorney shall provide the following services:

___ Preparation of petition to modify

___ Preparation of Affidavit for Contempt
___ Preparation of Notice of Hearing
___ Preparation of Interrogatories/Motion to Produce
___ Review of opposing parties’ discovery
___ Calculation of child support
___ Communicating with Client and opposing counsel
___ Settlement negotiations
___ Hearing
__ Preparing a wage assignment or income withholding order.

G FLAT FEE. Attorney estimates the fee will be $_____________ which is based on the following
schedule. Client shall pay a down payment on this fee of $_____________. It may be that additional
work will be required that was not foreseen at the time this agreement was executed.

The following schedule covers the general types of work in a generic case. Based on the information
given by Client at the initial meeting, certain items are checked and form the basis for the estimated
fee. Any work not checked but included below will be billed to the client at the rate shown after
consultation with the Client. Work not included below shall be in addition to the fee quoted above
and shall be based on an hourly basis and will require an additional fee agreement.

9 Petition for Modification of $175.00

Parenting Time
9 Subpoena $50.00 per subpoena
9 Affidavit for Contempt of Court $175.00
9 Motion for Change of Judge $75.00
9 Order on Change of Judge Motion $75.00

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 9 Request for Production of $90.00
Documents
9 Custody Interrogatories $100.00

9 Response to Request to Produce $200.00

9 Third Party Motion to Produce $175.00

9 Notice to Court of Submission of $50.00

Non-party Discovery Request
9 Praecipe for Hearing $100.00

Preparation for Hearing $200.00

Hearing @$200.00/hour

Unless paid in full at the time of signing this contract, the balance of the fee shall be paid as
follows: _________________________________________________________ with the balance due 30 days
before a hearing in this case.

G CLIENT PAYING BY CREDIT CARD.

If paying by credit card, the Client authorizes further payments to made by credit card on the
schedule above without further approval from the Client.

G HOURLY RATE:
The client agrees to pay a retainer of $______________. Attorney’s hourly rate is $200.00 for
court appearances and trial preparation, and $175.00 for all other services including the following:

a. Communications with Client - whether by telephone, e-mail or regular mail.

b. Communications with opposing counsel - whether by telephone, e-mail or
regular mail.
c. Meetings with Client.
d. Communications with any other persons connected with the case - whether
by telephone, e-mail or regular mail.
e. Preparation of any documents related to the case.
f. Travel time

If the original retainer is used up prior to any court date, there shall be an additional retainer
in the amount of time estimated for court time and will be paid no less one week prior to any such
hearing.

Additional retainers and/or statements will be paid within 28 days of billing date unless
otherwise agreed. Hourly fees may be increased every six months or more; hourly billing will be
to the tenth (1/10) of an hour; and that the Client agrees to pay reasonable attorney fees and court
costs for the collection of any unpaid fees.

OTHER TERMS:

Failing to pay the fee at the time due will result in Attorney withdrawing his Appearance

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for the Client. Until the fee is paid, the Attorney is not required to take further action on the case
until payment is received by the Attorney.

If the client requests the Attorney to withdraw, any reimbursement shall be based on the
work paid for but not completed, and the Client will not be responsible for any work not done and
not paid for at the time of the withdrawal request to the Attorney.

II. Court awarded fees: Any fees awarded by the court will be applied as collected against
additional billing over the amount of the retainer and then against the retainer. If the client has
no outstanding balance on the fees, then the client will receive out of any court awarded fees
reimbursement on the retainer as those court awarded fees are collected.

II. Expenses: The client(s) hereby agree(s) to pay all disbursements reasonable necessary to the
proper performance of the legal service, including without limitation: investigations, expert and
other witness fees, photographs, court costs, court reporter transcripts, courier or messenger
services, recording and certifying documents, computer research, long distance telephone and fax
charges, postage expenses, and copying costs.

III. Attorney’s Lien: Client gives the attorney a continuing lien on any claim/cause of action an any
and all property (including personal papers and legal documents of client(s) in attorney's possession,
and an all funds realized by a settlement or recovered by a judgment as security for the payment of
fees and out-of-pocket expenses advanced by the attorney until attorney is fully paid.

IV. Termination of Agreement

A. By Client: Client may, if unsatisfied with the services for any reason, discharge the
attorney at any time; however, it is understood and agreed that client will pay attorney at time of
discharge all fees and expenses then due, calculated at hourly rates set forth.

B. By Attorney: Attorney may withdraw at any time if attorney believes claim/cause of action
lacks merit or is not fiscally practical to pursue. Discharge or withdrawal requires written notice
mailed to last known address of attorney/client. ANY BILLING THAT IS MORE THAN 30 DAYS
OVER DUE WILL RESULT IN THE ATTORNEY WITHDRAWING HIS APPEARANCE AND
TERMINATING HIS REPRESENTATION UNLESS THE DELAY IN PAYMENT IS AGREED TO
BY THE ATTORNEY. THE ATTORNEY MAY ALSO REQUIRE SECURITY FOR ANY FURTHER
BILLINGS.

C. Refund of Fees. Any refund of fees will be based on the amount paid against the work done.

V. Miscellaneous: It is agreed and understood that the fees for services do not include: appeals,

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motions for frivolous or bad-faith suit, or defense. In the absence of a different fee agreement, the
additional services will be compensated as set forth above. It is agreed and understood that the
attorney neither makes nor shall make any guarantee as to the outcome of any litigation or
proceeding in court or otherwise. Client acknowledges: discussion of alternative fee arrangements
and has elected to compensated attorney as recited above: reading and reviewing this agreement; and
receipt of a signed copy. Client understands, agrees, and accepts all of the terms.

VI. ENTIRE AGREEMENT. Client and Attorney agree that this is the entire agreement between
them. Client and Attorney have not made any other agreements except those agreements that are
in writing, signed by Client and Attorney, and attached to this Agreement. Client read this
Agreement, had an opportunity to discuss it with Attorney, understands its terms, and agrees to all
of the terms.

________________________________________ ________________________________________
Client Samuel C. Hasler
Attorney at Law
Date:
_______________________________________ Date:
_______________________________________

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