No Fee Unless You Receive Benefits Mr. Hankus accepts Social Security Disability Benefit cases and Supplemental security income cases on a contingent fee basis.  Mr. Hankus charges a fee of twenty five percent of past due benefits, with the fee not to exceed $6,000.00.     Upon Mr. Hankus accepting your case, you will be required to sign a fee agreement similar to the fee agreement appearing below.  You will receive a signed copy of the fee agreement for your records. FEE AGREEMENT    I, Your name, appoint attorney David S. Hankus as my attorney to represent me before the Social Security Administration in my claim for Social Security Disability Insurance Benefits and /or Supplemental Security Income Benefits.  I give my attorney full authority to act on my behalf in all matters concerning my claim for benefits.    We agree that if the Social Security Administration favorably or partially favorably decides the claim, I will pay my attorney a fee equal to the lesser of 25 percent of the past-due benefits resulting from my claim or the dollar amount established pursuant to 42 U.S.C. section 406(a), which is currently $6,000.00, but may be increased from time to time by the Commissioner of Social Security.    We understand that this fee agreement shall apply to any past-due benefits to which I and any auxiliary beneficiaries (i.e. children) become entitled.  We further understand that the fee for all claims may not exceed the lesser of 25 percent or the dollar amount established pursuant to 42 U.S.C. section 406(a), which is currently $6,000.00, but may be increased from time to time by the Commissioner of Social Security.     We agree that in the event any portion of the past-due benefits is payable in installments, I will pay my attorney the entire fee in one payment, to be made when I receive my first installment payment of past-due benefits.    We agree that this fee agreement related to any and all services performed by my attorney on my behalf before the Social Security Administration alone.  This includes any appeal filed on my behalf by my attorney after any adverse decision by an administrative law judge at the hearing level.  I agree with my attorney that any representation on my behalf before a federal district court will not be performed pursuant to this agreement and will require that a new agreement be negotiated.    We agree that in the event of a favorable or partially favorable decision, I will reimburse my attorney for all out-of-pocket expenses incurred by my attorney in processing my claim.  Out-of-pocket expenses shall include, but not be limited to, the cost of obtaining my medical records.  In the event of an unfavorable decision, I shall not be responsible for any fees or costs.    We have both received copies of this agreement. ____________________________                             Dated: ____________________ Your Name  ____________________________                             Dated: ____________________ David S. Hankus