Massachusetts Auto Accident
Lawyer
Reservitz Law Offices, P. C.
One Center Plaza, Suite 230
Boston, MA 02108
Dave Reservitz, Attorney at Law
(617)523-5010
SAMPLE Massachusetts Auto Accident Settlement statement
Below is a sample document showing the typical accounting process in a car
accident settlement. The data is based on a real case result.
If you've been injured in any kind of a motor vehicle, car or auto accident in Massachusetts, call our MA
based attorneys
now at (617)523-5010 to set up a free case consultation. There is absolutely
no obligation, and we'll offer you some free advice.
| KATHLEEN SMITH VS. WILLIAM F. JONES |
| AUTOMOBILE ACCIDENT ON OCTOBER 23, 2001 |
|
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| SETTLEMENT: |
$ |
120,000.00 |
| Less: 1/3 Attorney’s
Fee: |
- |
40,000.00 |
| Less: Expenses: |
- |
861.46 |
| Less: Outstanding
Medical Bills (Liened): |
- |
16,157.69 |
| NET TO CLIENT: |
$ |
62,980.85 |
|
|
|
| EXPENSES |
|
|
| Dr. Stephen Johnson (Narrative Report) |
$ |
500.00 |
| South Shore Hospital (records) |
|
59.57 |
| Weymouth MRI (records) |
|
35.00 |
| South Shore Hospital (bills) |
|
62.49 |
| Harbor Medical (records) |
|
22.36 |
| Jordan Hospital (records) |
|
92.04 |
| South Shore Neurological (records) |
|
50.00 |
| Request for Police Report |
|
5.00 |
| Weymouth MRI (report) |
|
35.00 |
| TOTAL EXPENSES: |
$ |
861.46 |
|
|
|
| OUTSTANDING MEDICAL BILLS |
|
|
| UFCW
(Liened) $21,596.76
Reduced to: |
$ |
15,117.73 |
| South Suburban Neurological (Liened) $1,625.00 Reduced to: |
|
1,000.00 |
| Denmark’s, Inc. (Liened) |
|
39.96 |
| South Shore Hospital |
|
820.32 |
| Weymouth MRI |
|
10.00 |
| South Shore Anesthesia Associates |
|
64.80 |
| Bay State Physical Therapy |
|
140.00 |
| Plympton Fire Department/Ambulance |
|
10.47 |
| Harbor Medical Associates |
|
66.00 |
| TOTAL OUTSTAIND MEDICAL BILLS: |
$ |
17,269.28 |
|
|
|
| P.I.P. DISBURSEMENT |
|
|
| 12/26/01 Lost Wages |
$ |
3,596.87 |
| 4/12/02 Bay
State Physical Therapy |
|
10.00 |
| 6/10/02 Co-Pay
Reimbursement |
|
30.00 |
|
$ |
3,636.87 |
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