PERSONAL INFORMATION
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County in Florida
*
Phone
*
Email
*
example@example.com
Preferred Contact Method
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Phone
Email
Text
FINANCIAL INFORMATION
Monthly Income of Each Person in the Household, Including Yourself
*
Number of People in Household
*
Do You Own or Rent Your Home?
*
Own
Rent
What is the Current Outstanding Balance on Your Mortgage?
*
What is Your Current Monthly Rent Amount?
*
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CASE INFORMATION
Case # (Unless There is No Case Yet)
Do You Have a Court Date Scheduled Within the Next 2 Weeks?
*
Yes
No
Name of Adverse Party
*
First Name
Last Name
Are You Currently Represented?
*
Yes
No
Name of Current/Previous Attorney
First Name
Last Name
For What Type of Case Are You Contacting Us?
*
Please Select
Divorce
Paternity
Child Support
Child Custody
Guardianship
Real Estate and Foreclosure Defense
Immigration
Bankruptcy
Estate Planning and Probate
Other
Are You Seeking a Dissolution of Marriage/Divorce?
*
Yes
No
Have You Been Served with a Petition for Dissolution of Marriage/Divorce, or a Petition to Modify a Final Judgment in a Dissolution of Marriage/Divorce?
*
Yes
No
Wills & Probate: Name, Relationship, DOB, Address
Please Describe Your Legal Issue the Best You Can
Please Upload Any Relevant Documents Pertaining to Your Case
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