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
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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