ALG PRENUP INTAKE FORM

BANK ACCOUNTS

Checking Account 1 of Spouse 1. List Financial Institution and Last 4 digits of account number:

Checking Account 2 of Spouse 1. List Financial Institution and Last 4 digits of account number:

Checking Account 3 of Spouse 1. List Financial Institution and Last 4 digits of account number:

Checking Account 4 of Spouse 1. List Financial Institution and Last 4 digits of account number:

Upon divorce, Spouse 1's checking accounts will be handled in the following way:

Checking Account 1 of Spouse 2. List Financial Institution and Last 4 digits of account number:

Checking Account 2 of Spouse 2. List Financial Institution and Last 4 digits of account number:

Checking Account 3 of Spouse 2. List Financial Institution and Last 4 digits of account number:

Checking Account 4 of Spouse 2. List Financial Institution and Last 4 digits of account number:

Upon divorce Spouse 2's checking accounts will be handled in the following way:

Savings Account 1 of Spouse 1. (List Financial Institution, and Last 4 digits of account number:

Savings Account 2 of Spouse 1. List Financial Institution and Last 4 digits of account number:

Savings Account 3 of Spouse 1. List Financial Institution and Last 4 digits of account number:

Savings Account 4 of Spouse 1. List Financial Institution and Last 4 digits of account number:

Upon divorce, Spouse 1's savings accounts will be handled in the following way:

Savings Account 1 of Spouse 2. List Financial Institution and Last 4 digits of account number:

Savings Account 2 of Spouse 2. List Financial Institution and Last 4 digits of account number:

Savings Account 3 of Spouse 2: List Financial Institution and Last 4 digits of account number:

Savings Account 4 of Spouse 2. List Financial Institution and Last 4 digits of account number:

Upon divorce, Spouse 2's savings accounts will be handled in the following way:

retained by Spouse 1 alone.shared equally by both spouses.Other

Please further describe how the increase in value of Spouse 1's property will be divided upon divorce:

retained by Spouse 2 alone.shared equally by both spouses.Other

Please further describe how the increase in value of Spouse 2's property will be divided upon divorce:

I have received and reviewed financial documents from my significant other throughout this process, and I am completely satisfied with what has been disclosed.I knowingly and voluntarily waive any financial disclosures from my fiance. I understand that I have a right to request financial disclosures, and I am not interested in doing so. No financial disclosures will change my mind about being willing to sign this prenuptial agreement, and I am ready to proceed with signing the prenuptial agreement immediately.

Please describe how the engagement and wedding rings for each party will be treated in the event of divorce? For example, will each parties keep their respective rings worn in the marriage? Or, will a family heirloom engagement ring be returned to the giver?

Miscellaneous (Please discuss any other topics you would like to include):

LIMITED SCOPE REPRESENTATION AGREEMENT

CLIENT UNDERSTANDS THAT THE ATTORNEY AND CLIENT MAY AGREE TO ENTER INTO A FULL REPRESENTATION ARRANGEMENT FOLLOWING A CONSULTATION. AN ATTORNEY MAY ENTER AN APPEARANCE IN A LEGAL MATTER AT ANY STAGE OF THE CASE. THIS LIMITED SCOPE LEGAL SERVICE IS BEING MADE AVAILABLE TO CLIENTS WHO NEED IMMEDIATE ASSISTANCE, PRIOR TO THE NEXT AVAILABLE CONSULTATION.

This Limited Scope Representation Agreement ("Agreement") is entered into between Patricia A. Ames, Esquire, of Ames Law Group, LLC (hereinafter "Attorney"), and the undersigned client (hereinafter "Client"). By submitting this Agreement electronically and/or checking the acceptance box, Client acknowledges reading, understanding, and agreeing to all terms set forth herein.

1. NATURE AND SCOPE OF REPRESENTATION
Attorney agrees to provide limited scope legal services only, as selected by Client through the Ames Law Group self-service portal. This representation is strictly limited to the specific task(s) identified at intake and does not constitute full or general representation of Client in any matter. Attorney is not entering an appearance with any court, agency, or tribunal on Client's behalf unless separately and expressly agreed to in writing.

Limited scope services may include, but are not limited to:
•Preparation or review of a specific document, pleading, or legal form;
•Drafting a response, answer, or motion based on information provided by Client;
•Providing written legal guidance on a discrete legal issue;
•Assisting Client in completing intake information for a full-representation bankruptcy matter.

This Agreement covers matters arising in or governed by the laws of the Commonwealth of Pennsylvania, the State of New Jersey, and/or the State of New York, within Attorney's licensed jurisdictions.

2. CLIENT RESPONSIBILITY TO PROVIDE COMPLETE AND ACCURATE INFORMATION
Client bears full and sole responsibility for providing Attorney with all information, documents, facts, and records that are relevant, material, or necessary to the requested legal task. This includes but is not limited to: court documents, pleadings, complaints, summonses, orders, agreements, correspondence, financial records, and any other materials that bear upon the matter at hand.

Client acknowledges and agrees that:
•Attorney can only work with the information and documents provided by Client;
•Attorney is not responsible for independently investigating, researching, or discovering facts, information, or documents that Client fails to disclose or upload;
•Any inaccuracy, incompleteness, omission, or misrepresentation in the information or documents provided by Client — whether intentional or unintentional — is solely Client's responsibility;
•Attorney's work product is based entirely upon the materials and representations submitted by Client, and Attorney makes no warranty as to outcomes where Client has provided incomplete or inaccurate information;
•If Attorney determines that insufficient information or documentation has been provided to complete the requested task, Attorney will contact Client via email to request the missing materials. If Client does not respond or does not provide the requested materials within a reasonable time, Attorney reserves the right to decline the matter and issue a refund of any fees paid, less any administrative costs incurred.

WAIVER: To the fullest extent permitted by applicable law, Client hereby waives and releases any claim against Attorney arising from or related to Attorney's reliance on incomplete, inaccurate, or misleading information or documents provided by Client. Client acknowledges that this waiver is a material term of this Agreement and a condition of Attorney's agreement to provide limited scope services.

3. CLIENT'S OBLIGATION TO MONITOR EMAIL
All communications from Attorney regarding this matter, including but not limited to requests for additional information, delivery of completed work product, notices of declination, and status updates, will be sent exclusively by email to the address provided by Client at intake. Client is solely responsible for monitoring their email account, including spam and junk folders, and for responding in a timely manner. Attorney shall have no liability for any failure by Client to receive, read, or respond to email communications.

4. FEES AND PAYMENT
Fees for limited scope services are collected at the time of submission through the Ames Law Group self-service portal. All fees are non-refundable once work has commenced on Client's matter. If Attorney declines the matter prior to commencing work, a full refund will be issued, less any applicable processing fees.

Clients covered under a legal insurance plan (LegalEASE, ARAG, LawPoint, or similar) are subject to the terms of their respective plan coverage, which will be verified prior to the commencement of work.

5. NO GUARANTEE OF OUTCOME
Attorney makes no representation, warranty, or guarantee regarding the outcome of any legal matter. All work product is provided based on the information supplied by Client and the applicable law at the time of preparation. Client is encouraged to review all documents carefully before filing or relying upon them.

6. CONSULTATION AND POTENTIAL FULL REPRESENTATION
Client is strongly encouraged to schedule a consultation with Attorney to discuss the matter in greater depth, even after limited scope services have been delivered. A consultation allows Attorney to assess the full scope of Client's legal needs, identify issues that may not have been apparent at intake, and determine whether full representation is appropriate.

This Agreement does not create an obligation on the part of Attorney to accept Client for full representation. If Attorney agrees to undertake full representation following a consultation, the parties will execute a separate retainer agreement governing the full representation. Until such a separate agreement is executed, this Agreement governs and the scope of representation remains limited as described herein.

7. JURISDICTION AND VENUE FOR DISPUTES
Any dispute arising out of or related to this Agreement or the legal services provided hereunder shall be governed by the laws of the Commonwealth of Pennsylvania. The exclusive venue for any legal action arising hereunder shall be the Court of Common Pleas of Delaware County, Pennsylvania. Client expressly consents to personal jurisdiction in Delaware County, Pennsylvania and explicitly waives any objection to venue in that jurisdiction.

8. CONCLUSION OF LIMITED REPRESENTATION
Attorney's representation of Client under this Agreement concludes upon delivery of the specific work product requested, or upon written notice of declination by Attorney, whichever occurs first. Attorney has no obligation to provide follow-up services, supplemental filings, or ongoing representation beyond the specific task agreed upon, unless a separate written agreement is executed.

9. ENTIRE AGREEMENT
This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior discussions, representations, or understandings. This Agreement shall be binding upon and inure to the benefit of the parties and their respective heirs, estates, executors, administrators, successors, and assigns.

ACKNOWLEDGMENT AND ELECTRONIC SIGNATURE
By signing below (or by checking the acceptance box on the online intake form), Client certifies that: (1) Client has read and understands this Agreement in its entirety; (2) Client agrees to be bound by all terms and conditions set forth herein; (3) Client's electronic signature or checkbox acceptance constitutes a legally binding signature under applicable federal and state electronic signature laws, including the Electronic Signatures in Global and National Commerce Act (ESIGN) and, where applicable, the Uniform Electronic Transactions Act (UETA).

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