LEGAL FEES RECEIPT

This is to certify that the undersigned received the following:

IN RE: Legal Services Agreement No. 2023-

Received from: CLIENT’S NAME Date:
RE: (CASE TITLE)
Total Acceptance Fee: P150,000.00
DP for Acceptance Fee: P75,000.00 (50%) ( ) Full ( X ) Partial
Psychologist Fee: P30,000 (50%) ( ) Full ( X ) Partial
Admin Fee: P5,000 ( X ) Full ( ) Partial
Filing Fee: P5,000 ( X ) Full ( ) Partial

1. Share of the PARTIAL Payment of Acceptance Fee (60%): TWENTY ONE

THOUSAND PESOS ONLY (P21,000.00);
2. Share of the PARTIAL Payment of Psychologist Fee (50%): THIRTY
THOUSAND PESOS ONLY (P30,000.00);
3. Share of the FULL Payment of Admin Fee (100%): FIVE THOUSAND PESOS
ONLY (P5,000.00);
4. Share of the FULL Payment of Filing Fee (100%): FIVE THOUSAND PESOS
ONLY (P5,000.00).

Received by:

LAWYER’S NAME
Senior Partner

X------------------------------------------------------------------------------------------------X

LAW OFFICE SHARE

To: LAWYER’S NAME

I am forwarding for your acknowledgment the amount as specified below:

1. Share of the PARTIAL Payment of Acceptance Fee (40%): FOURTEEN

THOUSAND PESOS ONLY (P14,000.00).

Received by:

LAWYER’S NAME
Handling Counsel