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<td colspan="8"><h3 id="federal-deposit-insurance-corporation">Federal
Deposit Insurance Corporation</h3>
<p id="outside-counsel-legal-services-agreement-lsa"
class="heading">OUTSIDE COUNSEL LEGAL SERVICES AGREEMENT (LSA)</p>
<p><strong>RATE SCHEDULE (Continuation Sheet)</strong></p></td>
<td colspan="2">Page <u>    </u> of <u>    .</u></td>
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<td><p><strong>BILLABLE INDIVIDUAL</strong></p>
<p><em>(First, Middle, Last)</em></p>
<h6 id="alphabetical-order">Alphabetical Order</h6></td>
<td><strong>STATE LICENSES</strong></td>
<td><p><strong>POSITION</strong></p>
<p>Partner (P)<br />
Associate (A)<br />
Paraprofessional <em>(PP)<br />
</em>Specify Other Position <em>(O)</em></p></td>
<td><strong>YEARS<br />
IN<br />
PRACTICE</strong></td>
<td><p><strong>MINORITY<br />
STATUS</strong></p>
<p>Asian American <em>(A)</em><br />
Black American <em>(B)</em><br />
Hispanic American <em>(H)</em><br />
Native American Indian <em>(N)</em></p></td>
<td><strong>GENDER</strong> (<em>M OR F)</em></td>
<td><strong>STANDARD RATE</strong></td>
<td colspan="2"><strong>PERCENT<br />
%<br />
DISCOUNT</strong></td>
<td><p><strong>PROPOSED FDIC</strong></p>
<p><strong>RATE</strong></p></td>
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<td colspan="10"><p><strong>Paperwork Reduction Act Notice:</strong>
Public reporting burden for this collection of information is estimated
to average <u>1.0</u> hour per response, including the time for
reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, completing and reviewing the collection of
information.  Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for
reducing this burden to the Paper Reduction Act Clearance Officer, Legal
Division, Federal Deposit Insurance Corporation, 550 17<sup>th</sup>
Street, N.W., Washington, D.C.  20429, and the Office of Management and
Budget, Paperwork Reduction Project (3064-0122), Washington, D.C. 2053.
Any agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently
valid OMB control number.</p>
<p> </p></td>
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FDIC 5210/10A (10-05)