Family Law Interview

Don't Make A Move Without Knowing Your Options

Family Law Interview

Date

Referred by

Name

Spouse or other party

Address

Phone-Res

Phone-Bus

Phone-Cell

Cell Phone Company (e.g. Verizon, AT&T, T-mobile, Sprint, Metro PCS, Xfinity, etc.)

Employer

Employer Address

Employer Phone

Monthly Gross $

Date of Birth

Soc. Sec. No.

CDL #

Nature of Case (Dissolution, Legal Separation, Nullity, Paternity, Post-Dissolution – Custody, Support, Judgment Issues, Etc.)

Case Number (if applicable)

Court County

If Post-Disso, date of judgment or last court order (Please Provide a copy)

Date of Marriage

Date of Separation

YOUR FIRST INITIAL CONSULTATION IS $100.00 FOR ½ HOUR ( WITHOUT DOCUMENTS ). IF THE CONSULTATION EXCEEDS 30 MINUTES OR YOU HAVE DOCUMENTS ( WITH THE EXCEPTION OF AGREEMENTS WHICH ARE OF DIFFERENT CHARGE ) FOR YOUR APPOINTMENT, YOU WILL BE CHARGED $350 PER HOUR. YOUR PAYMENT WILL BE COLLECTED PRIOR TO CONSULTATION.

I AGREE ( initial )

Child 1 Name

B/Day

Sex

Male

Female

Child 2 Name

B/Day

Sex

Male

Female

Child 3 Name

B/Day

Sex

Male

Female

Date Purchased

Purchase Price

Monthly Payments

Fair Market Value

Balance Owing

Current Equity

Any non-community monies paid for purchase of house

By Whom

If sold: when

how much received from sale

who has it

Other Real Properties:

Date Purchased

Purchase Price

Monthly Payments

Fair Market Value

Balance Owing

Current Equity

Any non-community monies paid for purchase of house

By Whom

If sold: when

how much received from sale

who has it

IRA/401K

Life Insurance

Stock Options

Investments

Vehicles

Other Assets

Comments

Name

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