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Please print and fill out the following forms and bring them with you to your initial consultation.

Information Sheet
Last Name

First Name & Middle Initial

Name of Spouse

Street Address
City, State, & ZIP
County of Residence
Home Phone
Work Phone, if Any
Other Phone (cell, pager, etc.)
Alternate Address if You Do Not Wish Correspondence Sent to Your Home


Alternate Phone


Referral Information
Are You a Former Client?______ Yes_____ No
How Did You Find Out about This Law Office?
____ Friend/Relative____ Lawyer Referral Service____ Church Bulletin
____ OtherPlease Identify:


If you are here about a possible divorce and/or custody action, please provide the following information.
InformationóDivorce Matter
Name of Spouse (First, Middle Initial, Last)

Date of Marriage

Spouse's Current Address

Date of Separation if Any

Spouse's City, State, and ZIP

Spouse's County Residence

Spouse's Social Security #Your Social Security #
Spouse's Date of BirthYour Date of Birth
County and State Where Marriage Occurred

Maiden Name of Wife

Spouse's Usual Occupation

Your Usual Occupation

Spouse's Employer, if Any

Your Employer, if Any



InformationóCustody Matter
Complete for each child age 18 and under and not yet graduated from high school
Child's First, Middle, and Last Name

Age

Date of Birth

Grade

Born of Marriage ___
Out of Wedlock ___
Child's First, Middle, and Last Name

Age

Date of Birth

Grade

Born of Marriage ___
Out of Wedlock ___
Child's First, Middle, and Last Name

Age

Date of Birth

Grade

Born of Marriage ___
Out of Wedlock ___
Child's First, Middle, and Last Name

Age

Date of Birth

Grade

Born of Marriage ___
Out of Wedlock ___

For Experienced Counsel, Call 724-335-3050.

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