EMPLOYMENT CONTRACT BETWEEN ATTORNEY AND CLIENT

FOR PARTICULAR LITIGATION ON DEATH CLAIM

_____________date_________________
____________Place_________________

To: ______(Administrator or Heir)________

___________(address)________________
___________________________________

You have authorized me to prosecute an action for you against

________________________________ for the purpose of recovering
damages on the account of the death of
________________________________ in
____________(date)____________________, 20____. Our
understanding is that you are to pay me for the services as attorney a
sum equal to ________________________________ per cent (__%)
of the amount recovered if the claim is settled without trial, and a sum
equal to ________________________________ per cent (__%) of
the amount recovered, if with trial.

_____________Signature of Lawyer__________
ATTY. _____ Name of Lawyer _____________
OFFICE: _______________________________
ROLL NO. _____ ADMITTED AT BAR: ______
IBP NO. ________ ; __/__/__ ; ______________
PTR NO ________ ; __/__/__ ; ______________
MCLE COMPLIANCE No. __________; _______

The above is our agreement.

_____Signature of Administrator or Heir ______

_____Name of Administrator or Heir_________