Sandra 163792 SignedContract
Sandra 163792 SignedContract
Sandra 163792 SignedContract
This retainer agreement (the “Agreement”) is made between Sheldon Law Group, LLP
(hereinafter "Firm") and the undersigned client (hereinafter "Client") to retain Firm to represent
Client in a potential USDA Farm Loan Program Discrimination lawsuit or otherwise obtaining
relief under the Inflation Reduction Act.
THE FIRM’S AUTHORITY. Client fully authorizes and directs the Firm to manage and
handle its claims as the Firm deems proper and to investigate and prosecute them, with or
without filing a lawsuit, in any manner that the Firm deems necessary or advisable. Client
authorizes the Firm to deliver in its name any and all notices, receipts, authorizations, releases,
pleadings and any other documents proper in and to the handling of its claims. Client authorizes
the Firm to use its professional judgment and any relevant documents, records, or other
information that the Firm deems necessary or advisable to the proper representation of Client. If,
at any time, the Firm determines, for any permissible reason, that prosecution of Client’s claims
should be discontinued, the Firm may withdraw from representation of Client. Client understands
and agrees that the Firm may transmit Client’s protected health information electronically in the
course of representing Client.
CLIENT’S COOPERATION. Client agrees to cooperate fully with the Firm, promptly disclose
all relevant facts and other information known or available to it and to promptly advise the Firm
in writing of any change in address, email address or telephone number, and to promptly and
diligently comply with all reasonable requests of the Firm on all matters related to this
Agreement. Client understands and agrees that failure to fully cooperate may be a basis for
termination of this Agreement. Client agrees not to attempt to unilaterally settle the claims which
are the subject of this Agreement. The Client will rely exclusively upon the representation of the
Firm during any settlement negotiations. Firm agrees that it will not enter into a settlement
without the Client's consent.
COSTS AND EXPENSES. The Firm agrees to pay, as an advance, any and all reasonable
costs and expenses associated with the prosecution of the Client’s claim(s). It will be
MULTIPLE CLIENTS. Client understands and agrees that the Firm may be representing more
than one client in this matter and that the following aspects of joint representation have been
disclosed: (1) the Client might gain or lose some advantages if represented by separate counsel;
(2) the Firm cannot serve as an advocate for one client against another client; (3) the Firm must
deal impartially with every client; (4) information received by the Firm from or on behalf of any
jointly represented client concerning the matter may not be confidential or privileged as between
the jointly-represented clients; and (5) if a conflict arises between clients, the Firm might not be
able to continue representing any of the clients involved. Client consents to the Firm
representing more than one client in this matter.
TIMELINESS OF CLAIMS. Client recognizes that the Firm must have certain information to
determine whether Client has a claim. Client further understands that if a lawsuit is not filed
prior to the expiration of the statute of limitations, Client will lose its right to make a claim. By
signing this Agreement, Client recognizes that its statute of limitations may have already expired
and, if it has not, each day that passes brings Client closer to the expiration of the statute of
limitations. Furthermore, Client agrees and understands that whether it has a viable claim or the
Firm files a lawsuit or or takes other action on its behalf is subject to investigation by Firm.
Client also understands that it will take the Firm a minimum of (120) days after the receipt
NO SOLICITATION OF CLIENT. By signing and entering into this agreement, Client hereby
affirms that Client’s case was not solicited by the Firm, this Agreement is not being entered into
as a result of promises of money, no promises of a successful recovery have been made to Client,
and Client has freely and voluntarily entered into this Agreement.
POWER TO SIGN. Client hereby expressly gives permission to Firm to sign documents on its
behalf during and for this litigation only. Specifically, Firm has the express permission of Client
to sign litigation documents, HIPPA authorizations and HITECH letters on behalf of the Client.
Client also expressly authorizes Firm to sign Plaintiff Profile forms and Plaintiff Fact Sheets on
its behalf.
ASSOCIATION OF COUNSEL. Firm may associate with other attorneys during its
representation of Client. This will not add additional costs to Client. Client agrees that Firm may
associate with any other attorneys and disclose Client’s information in connection with any such
association.
ARBITRATION. Any and all disputes, controversies, claims or demands arising out
of or relating to (1) this Agreement or (2) any provision hereof or (3) the providing of services by
Firm to Client or (4) the relationship between Firm and Client, whether in contract, tort or
PARTIES BOUND. This Agreement shall be binding upon and inure to the benefit of the
parties hereto and their respective heirs, executors, administrators, legal representative,
successors and assigns.
LEGAL CONSTRUCTION. In case any one or more of the provisions contained in this
Agreement shall for any reason be held invalid, illegal, or unenforceable in any respect, such
invalidity, illegality, or unenforceability shall not affect any other provisions thereof and this
Agreement shall be construed as if such invalid, illegal, or unenforceable provision had never
been contained herein.
PRIOR AGREEMENTS SUPERSEDED. This Agreement constitutes the sole and only
Agreement of the parties hereto and supersedes any prior understandings or written or oral
agreement between the parties respecting the within subject matter.
NO ADVICE REGARDING THIS AGREEMENT: Firm is not acting as your counsel with
respect to this Agreement. If you wish to be advised on whether you should enter into this
Agreement, we recommend that you consult with independent counsel of your choice.
I certify and acknowledge that I have had the opportunity to read this Agreement. I further state
that I have voluntarily entered into this Agreement fully aware of the terms and conditions.
I understand and acknowledge that this Agreement has no force and effect, and there is no
attorney-client relationship, until and unless the Firm counter-signs this Agreement.
Sandra Sales
CLIENT:___________________________________________________________________________
STREET ADDRESS:___________________________________________________________
2017 Carpenter Rd,
TELEPHONE NUMBER:_______________________________________________________
+13343547127
Firm:
By: ________________________________________
Name:
Sandra Sales
By signing this form I, ___________________________, understand that my signature will be
captured electronically and reproduced by Sheldon Law Group, LLP as necessary for requests of records and to
obtain any and all other documents necessary to pursue my claim(s), including but not limited to:
USDA Farm Loan Program applications and related communications, discrimination complaints
investigation reports, limited power of attorney (permission to date the requests with the current date),
(Please sign inside the box provided and stay within the lines)
(Please initial inside the box provided and stay within the lines)
Sandra Sales
Client: _____________________________________
(Print name)
______________________________________
(Sign name)
Certification of Identity
Privacy Act Statement. In accordance with 28 CFR Section 16.41(d) personal data sufficient to identify the individuals submitting
requests by mail under the Privacy Act of 1974, 5 U.S.C. Section 552a, is required. The purpose of this solicitation is to ensure that the
records of individuals who are the subject of U.S. Department of Agriculture systems of records are not wrongfully disclosed by the
Department. Failure to furnish this information will result in no action being taken on the request. False information on this form may
subject the requester to criminal penalties under 18 U.S.C. Section 1001 and/or 5 U.S.C. Section 552a(i)(3).
Public reporting burden for this collection of information is estimated to average 0.50 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Suggestions for reducing this burden may be submitted to Director, Facilities and Administrative Services
Staff, Justice Management Division, U.S. Department of Justice, Washington, DC 20530 and the Office of Information and
Regulatory Affairs, Office of Management and Budget, Public Use Reports Project (1103-0016), Washington, DC 20503.
1
Full Name of Requester Sandra Sales
_____________________________________________________________________________________
2
Citizenship Status US Citizen
__________________________________________________________________________________________
3
Social Security Number _____________________________________________________________________________________
597@
I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct, and that I am
the person named above, and I understand that any falsification of this statement is punishable under the provisions of 18 U.S.C.
Section 1001 by a fine of not more than $10,000 or by imprisonment of not more than five years or both, and that requesting or
obtaining any record(s) under false pretenses is punishable under the provisions of 5 U.S.C. 552a(i)(3) by a fine of not more than
$5,000.
4
Signature 09 / 27 / 2023
__________________________________________________________________ Date ________________________
Further, pursuant to 5 U.S.C. Section 552a(b), I authorize the U.S. Department of Agriculture to release any and all information
relating to me to:
Sheldon Law Group
___________________________________________________________________________________________________________
Print or Type Name
1
Name of individual who is the subject of the record sought.
2
Individual submitting a request under the Privacy Act of 1974 must be either “a citizen of the United States or an alien lawfully
admitted for permanent residence,” pursuant to 5 U.S.C. Section 552a(a)(2). Requests will be processed as Freedom of Information Act
requests pursuant to 5 U.S.C. Section 552, rather than Privacy Act requests, for individuals who are not United States citizens or aliens
lawfully admitted for permanent residence.
3
Providing your social security number is voluntary. You are asked to provide your social security number only to facilitate the
identification of records relating to you. Without your social security number, the Department may be unable to locate any or all records
pertaining to you.
4
Signature of individual who is the subject of the record sought.
Sandra
1. First name: ______________________________________________________________
Sales
2. Last Name: ______________________________________________________________
Deatsville
5. City: ___________________________________________________________________
AL
6. State: _________________________________________________________________
7. Zip: ___________________________________________________________________
36022
8. DOB: __________________________________________________________________
02/25/1978
9. SSN(last4): ______________________________________________________________
597@
+13343547127
10. Phone Number: __________________________________________________________
[email protected]
11. Email address: ___________________________________________________________
23
12. Farm Number(s): _________________________________________________________
,2020
13. When did incident Occur?__________________________________________________
Don't remember
14. What agency/bank did you apply to_________________________________________
Tuskee
16. What county was agency/bank in?__________________________________________
No
17. Did you file a complaint about the incident(s) with another federal agency or court?______________