COMPLETE OUR QUESTIONAIRE AND SCHEDULE APPOINTMENT
Full name
Phone
Email
Have you resided in Florida for the past 6 months?YesNo
When did you marry?
When did you separate?
Do you have children together? —Please choose an option—YesNo
If yes, how many? —Please choose an option—12345
Children's ages
Do you own a home together? —Please choose an option—YesNo
If yes, insert address AND date of purchase.
Address
Date of purchase
What is the principle balance on your mortgage?
do you own a business? —Please choose an option—YesNo
If yes, insert name of the business and date it opened.
Name of the business
Date it opened
Do you own vehicles? —Please choose an option—YesNo
If yes, make and model
Do you have stocks, bonds or mutual funds? —Please choose an option—YesNo
If yes, what is there estimated total value?
Do you have credit cards? —Please choose an option—YesNo
If yes, what is the total estimated debt?
Do you own any other real estate NOT your marital home? YesNo
Please share details pertaining to your case that the attorney needs to know. Limited to 150 characters.
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