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New Client Information Form
Contact Information:
Full Legal Name: (Required)
Email: (Required)
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Address:
City/State/Zip:
Date of Marriage: (mm/dd/yyyy)
Date of Separation: (mm/dd/yyyy)
Place of Marriage:
Date of Birth: (mm/dd/yyyy)
Your Occupation:
Employer & Address:
Yearly Income:
Current Spouse (If Remarried):
Matter Information:
Other Party in Question (Required):
Address:
City/State/Zip:
Employer & Address:
Yearly Income:
Work Phone:
Cell:
Date of Birth: (mm/dd/yyyy)
Names / DOB of Children of Relationship in Question:
Names / DOB of Children of Prior Relationship:
Reason for This Consultation (If for Separation, Please Give Reasons for Separation):
Referred By:
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What is Your Biggest FEAR Regarding Your Legal Matter?
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If you Could Wave a Magic Wand, What Result Do You Really WANT out of Your Case?
What are Your Biggest ASPIRATIONS? What Do You Visualize for the Future?
What Else Do You Hope to Accomplish in Your Case? What Else Do You Want Your Attorney to Know?
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Practice Areas
High Net Worth
Divorce
Child Custody and Support
Property Division – Equitable Distribution
Spousal Support
Family Law Appeals
Alienation and Other Civil Actions
Business Planning / Financial Planning for Divorce
Trials / Mediation / Collaborative
International Family Law
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