5000/33 Amended Non-Litigation/Transactional Budget

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OMB NUMBER: 3064-0122
EXPIRATION DATE: 07/31/2013

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.
Matter Number
Institution Number

Matter Caption
Institution Name

Institution Type
Bank

1st Amended Budget

Firm Name

Thrift

2nd Amended Budget

3rd Amended Budget

PART I - AMENDED NON-LITIGATION BUDGET INFORMATION
Attorneys' Fees:
Estimated Recovery Value:
Hourly Rate: $
$
.
Fixed Fee: $
.
TOA Fee: $
Contingent Fee:
% of $
Specify Nature of Non-Litigation work to be Performed: (Attach additional sheet(s) as necessary.)

Last Approved Budget
Estimated Hours for Completion:

.

Fees

Estimated Completion Date (MM/DD/YYYY):

Expenses

Amended Budget
Fees

Expenses

.

Total Fees and Expenses

PART II - LAW FIRM AMENDED ACKNOWLEDGMENT
I acknowledge that the budget information contained herein is correct to the best of my knowledge and prior written approval of
the Legal Division is required for any increase in the total budget amount.
Authorized Law Firm Delegate's Signature
Date (MM/DD/YYYY)
Name and Title of Authorized Law Firm Delegate (Please type or print)
Telephone Number (Include area code)

FAX Number (Include area code)

PART III - AMENDED BUDGET APPROVAL
FDIC Attorney (Recommending approval of amended budget)

Signature of Delegated Authority

Date (MM/DD/YYYY)

The amended budget has been reviewed and is approved.
Date (MM/DD/YYYY)

PAPERWORK REDUCTION ACT NOTICE
Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to the Paper Reduction Act Clearance Officer, Legal Division, Federal Deposit Insurance Corporation, 550 17th Street,
N.W., Washington, DC 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 collection of information unless it displays a
currently valid OMB control number.
FDIC 5000/33 (10-05)