* In which of the following Counties will your case be filed?
What is your marital status?
How many children do you have?
Do you own a home?
Do you have any other assets?
Do you work?
What type of services are needed (check all that apply)?
Please describe your situation:
* If your case is accepted, are you willing to pay a minimum retainer of $2500.00 for professional services rendered?
* What is the best method for the attorney to contact you?
If by telephone, what is the best time for the Attorney to contact you?
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