The undersigned, * * , hereby hires, retains, and employs the Mancini Law Group, P.C., for legal representation of their claim(s), arising out of the personal injuries and damages sustained by * , for the accident and/or injuries sustained on * , against * , or any other party, known or unknown, that may be held responsible to the undersigned, for said personal injuries and damages.
In consideration of the legal services rendered and to be rendered by the Mancini Law Group, P.C., I, the undersigned, agree to pay the Mancini Law Group, P.C., a contingency fee of ONE-THIRD (1/3rd) of any and all gross amounts which may be recovered either by way of lawsuit, settlement or in any other manner associated with their services, including any Quatum Meruit based compensation, if recovery is made by another party. Such fee is contingent upon a recovery for the undersigned, and if no recovery is had, then there will be no charge for the services rendered.
At this time, I hereby authorize the Mancini Law Group, P.C., its attorneys, and/or any of its employees thereof, to commence work on said matter, with the express authority to act as my representation in the matter, and in doing so, to take any and all reasonable action(s) necessary and in furtherance of my claim. In the event, any costs or expenses are incurred in connection with the investigation, preparation, settlement, or prosecution of said cause of action, I agree to reimburse the Mancini Law Group, P.C. in the amount equal to the actual costs and expenses incurred, after the attorney’s fees are deducted from the recovered amounts.
The undersigned further acknowledges the Mancini Law Group, P.C. has the sole right to act on my behalf in this matter, and I grant such a right to place an Attorney Lien upon said claim(s), with the express permission to receive any said recovered funds on my behalf. I will not attempt to settle, or discuss this matter with any party without the consent of Mancini Law Group, P.C. I further agree to notify the Mancini Law Group, P.C.of any change in contact information within 10 days of such change, and that all information concerning myself and my claim, that I have provided to Mancini Law Group, P.C., is true and accurate to the best of my knowledge.
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