PAYDAY LOAN ARBITRATION RETAINER AGREEMENT

Please fill out the information below. Fields with a star are mandatory fields but please provide as much information as possible. Read the Agreement below. Then click the box to hire the Lakeshore Law Center and click “submit.” Your information will be reviewed. You will be notified by email that your material was received and whether your case is accepted. Be sure to check your spam/junk email folders for the reply. You do not need to submit any documents at this time, but will be notified by email about submitting documents in the future.

PAYDAY LOAN ARBITRATION FORM

First Name*
First Name
Middle Name*
Middle Name
Last Name*
Last Name
Date of Birth*
Did you file bankruptcy in the last 5 years?*
- No
- Yes
Gender*
- Male
- Female
Marital Status
- Single
- Married
Any criminal convictions in past 10 years?
- No
- Yes (call to discuss)
Email*
Alternative Email
Home Phone Number*
Work Phone Number
Cellular Phone Number
Can you receive text messages?
State the identity of the lender and how much money you paid to the lender*
Best Contact Address*

Street Address
Address Line 2

Address Line 2
City*

City
State*
State
Zip Code*

Zip Code
By clicking the box below, I agree to hire the Lakeshore Law Center on the terms set forth below.*
- I agree to hire Lakeshore Law Center and Spencer Law Firm
Phone
This field is for validation purposes and should be left unchanged.

I authorize ATTORNEY (Lakeshore Law Center) to arbitrate a claim for damages or other appropriate relief against whoever is responsible for making the payday or installment loans listed above.

Except as stated below, I am not responsible for ATTORNEY’S legal fees or costs/expenses unless there is a recovery in my favor, whether by settlement or court judgment. I authorize ATTORNEY to negotiate with the companies I am suing for a separate payment, based upon his “lodestar” and for his costs and expenses, or to file a motion with the arbitrator to compel the companies to pay those fees, costs and expenses. I understand the term “lodestar” means the ATTORNEY’S hourly fee of $750 multiplied by the number of hours spent on my case.

I understand that once I commence arbitration, if I cancel or abandon that effort without good cause I could be responsible for payment of my ATTORNEY’S legal fees and costs as calculated above.

I have been advised and am aware that contingency fee arrangements are not set by law, and that a contingency fee between ATTORNEY and CLIENT is negotiable. ATTORNEY’S professional skill and experience will be used to serve me, but no specific results can be guaranteed.

In the event I terminate ATTORNEY’S services, he shall have a lien against any recovery I obtain equal to his fee as specified above and I will reimburse any costs/expenses he incurred.

I have the right to accept or reject any settlement offer. I understand that ATTORNEY’S consent is also required if the settlement amount allocated to fees and costs is less than actual lodestar and costs. In such a circumstance, unless ATTORNEY provides such consent, I will be responsible for payment of any attorney’s fees or costs not obtained through the settlement. If I cannot be located, ATTORNEY will act in my best interests and sign settlement documents on my behalf. I authorize ATTORNEY to endorse any monetary payment check on my behalf and to forward any proceeds thereof to which I am entitled. With respect to ATTORNEY’S right to recover fees, I may seek the advice of an independent lawyer of my choice and have been given a reasonable opportunity to seek that advice before agreeing to this provision.

I acknowledge that I have read and fully understand all of the terms and conditions of this Agreement before signing it, and have received a copy of this Agreement upon execution thereof. I understand that this agreement is not binding on ATTORNEY until he has confirmed his representation of me in writing and has identified which claims against which lender(s) are being arbitrated.