Disbursement statement

Deducts the attorney fee, case costs and liens from the gross recovery, in that order, and produces a closing statement for the client headed with your firm’s details.

Gross settlement

Total recovery Before any fee, cost or lien is deducted.

Attorney fee

Fee basis

Choose the fee basis.

Case costs

Filing and service fees, experts, records and other costs advanced by the firm.

Liens and medical

Enter the original amount of each lien and the payoff negotiated. Both print on the statement.

Client

Matter or file number

Disbursement statement

Net to clientAmount disbursed

$0.00

Prepared with JuraSumLegal Math · jurasum.com

Before you rely on this statement

This statement is a calculation aid and is not legal or accounting advice. Verify every figure against the executed settlement agreement and the lien documentation before disbursing funds.

Figures are computed on this computer. Saved matters are encrypted with your firm’s key before they leave it. Data handling · Terms of service