Client Intake Questionnaire
What is your Full Legal Name *
Have you used any other names in the past 8 years? Please provide all spellings and include abbreviated names like John Doe, John A. Doe, John Arron Doe. *
What is your phone number *
What is your Email Address *
Have you filed bankruptcy before? *
What is your home address? Please provide the street address only below. For example 123 Main Street, Charleston, SC should only be "123 Main Street". If there is an apartment it would be "123 Main Street, Apt A" *
What is the City for your home address *
What is the State *
What is the zipcode? *
Do you have a different mailing address? If so please provide.
How many people live with you? *
Number of children living in the home and claimed as dependents on your tax return at 100%
Have you filed all of your past tax returns. *
Which County do you live in? *
How did you find the Markham Law Firm, LLC *
How long have you lived in South Carolina? *
What is your spouses name
Are you employed? *
Do you have a social security card? *
Do you have a government picture ID *
Has your spouse used any other names in the past 8 years? Please provide all spellings and include abbreviated names like John Doe, John A. Doe, John Arron Doe.
Do you own your home? *
What is your Date of Birth MM/DD/YYYY *
Do you own a car? *
If you own a car what is the make, model, year, mileage, VIN, and approximate value?
Do you own a home? *
If you own a home I need the following information: 1. Your monthly payments (or the payments last time you made them); 2. The number of months left on your mortgage; 3. the amount of arrearages (past due payments and interest); 4. the interest rate on your mortgage; and 5. your taxes and insurance for your home on an annual basis.
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