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Client Information Sheet for Family Law Clients - (Section I)
Instructions: Please complete sections I, II, and III completely and thoroughly. If you have any questions, please do not hesitate to contact our office at (704) 542-2525. If a question does not apply to your case, please put "N/A."
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Your Full Legal Name: *
Preferred Name: *
Your Physical Address: *
Your Mailing Address (if not the same as above):
How long have you lived at this address? *
Your Telephone Number (Cell): *
Can we leave a message at your cell number? *
Your Telephone Number (Home): *
Can we leave a message at your home number? *
Your Telephone Number (Work): *
Can we leave a message at your work number? *
Your Email address: *
Your Employer's Name: *
Your Employer's Address: *
Your Social Security # (You can provide this over the phone if you are not comfortable completing this section on the web form):
Your Birth Date: *
MM
/
DD
/
YYYY
Spouse/Significant Other's Name: *
Spouse/Significant Other's Address: *
Spouse/Significant Telephone Number: *
Spouse/Significant Employer: *
Date of Marriage:
MM
/
DD
/
YYYY
Place of Marriage:
Date of Separation:
MM
/
DD
/
YYYY
# of Children *
Please include full name(s), birth date(s), and current address(es) for each child.
Referred by: *
Type of case: *
Provide as much detail as you can regarding your legal concerns and your desired outcomes. 
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