Nacogdoches County Defense Claim for Services

NACOGDOCHES COUNTY DEFENSE CLAIM FOR SERVICES OR EXPENSES FOR CAPITAL OFFENSES, APPEALS OR HABEAS CORPUS

STATE vs.______

OFFENSE CAUSE NO. Is Request for partial payment? Yes/No ______Number of Hrs. Judicial Authorization Appeals: Draft motion ______Research ______Transcript review ______Oral Argument ______Motion for New Trial ______Travel ______Other:______Capital Offenses: Voire Dire (# of days ____) ______Trial (# of days ____) ______Motions/Hearings ______Court Appearances (Other) ______Client interviews ______Prosecutor conference ______Witness interviews ______Family interview ______Investigator conferences ______Legal research ______Draft of pretrial motions ______Motion for New Trial ______Bills of Exception ______Designation of record ______Research of jury panel ______Other: ______Writ of Habeas Corpus: ______

Total: ______

Affirmation I, the undersigned attorney, am appointed to represent the above named defendant and am requesting payment in accordance with the laws of the State of Texas. I further affirm to the truth and correctness to the above listed services performed; and I have not received, nor will I receive, any other monies or anything else of value for said services.

______Attorney at Law

ATTORNEY INFORMATION (Print):

Name______(As shown on tax return)

TO THE COMMISSIONER’S COURT OF NACOGDOCHES COUNTY, TEXAS:

I, the undersigned Judge of Nacogdoches County, Texas do hereby certify that the defendant in the above cause(s) has/have on file with this court an affidavit of indigency and an inability to afford counsel, that the attorney shown above has been appointed to represent the defendant, and that said attorney is entitled under Article 26.05 of the Texas Code of Criminal Procedure, to be paid from the General Fund of Nacogdoches County, Texas for services performed in the amount shown above.

Date:______Judge of the 145th District Court ______Findings, if any, as to why the amount authorized is different from that requested: ______NACOGDOCHES COUNTY DEFENSE CLAIM FOR SERVICES OR EXPENSES

STATE vs.______

OFFENSE CAUSE NO. ______

Number of Hrs. Judicial Authorization NON CAPITAL OFFENSES: Plea (#of cases____) FLAT FEE $______Obtain a dismissal (#_____) FLAT FEE ______Agreed probation modification (#______) FLAT FEE ______Agreed probation revocation (#______) FLAT FEE ______Contested revocation hearing(#______) ______Detention Hearings (#______) ______Voir Dire ______Trial (# of days ___) ______Client conference ______Prosecutor conference ______Judge conference ______Witness Conference ______Pre-trial hearings ______Draft pre-trial motions ______Legal research ______Examining trial ______Other:______

Investigation ($_____ bill attached w/prior court approval) ______

Expert ($______bill attached w/prior court approval) ______

Translator ($______bill attached w/prior court approval) ______

TOTAL: $______

Affirmation

I, the undersigned attorney, am appointed to represent the above named defendant and am requesting payment in accordance with the laws of the State of Texas. I further affirm to the truth and correctness to the above listed services performed; and I have not received, nor will I receive, any other monies or anything else of value for said services.

______Attorney at Law

ATTORNEY INFORMATION (Print):

Name______(As shown on tax return)

TO THE COMMISSIONER’S COURT OF NACOGDOCHES COUNTY, TEXAS:

I, the undersigned Judge of Nacogdoches County, Texas do hereby certify that the defendant in the above cause(s) has/have on file with this court an affidavit of indigency and an inability to afford counsel, that the attorney shown above has been appointed to represent the defendant, and that said attorney is entitled under Article 26.05 of the Texas Code of Criminal Procedure, to be paid from the General Fund of Nacogdoches County, Texas for services performed in the amount shown above.

Date:______Judge of the 145th District Court ______

Findings, if any, as to why the amount authorized is different from that requested: ______