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*IMPORTANT Before we begin, the Firm must determine whether there is a conflict of interest with an existing client. Therefore, you must provide your name, address and telephone number. If there is a conflict, the Firm will be unable to give you any legal advice and you should seek the advice of other counsel.
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* First Name
* Last Name
* Zip Code
Your area(s) of legal concern: Auto Accident Bankruptcy Child Support Custody Divorce Drunk Driving/DUI Landlord/Tenant Personal Injury Real Estate Restraining Orders Slip & Fall Traffic Tickets Wills and Trusts Workers Compensation (Other)
How did you find Attorney Eger: Mailer/Postcard Newspaper Referred Web Search Yellow Book Yellow Pages (Other)
If Referral or Other, please specify :
Please explain your legal concern below:
Relationship Status: Single Married Divorced Widowed
Children: (Not Selected) 1 2 3 4 5 more than 5 # of Children?
Child Support Services: (Not Selected) No Yes Do you need child support services?
Residency: (Not selected) Own Rent Do you own or rent your home?
Amount of Mortgage/Rent?
US Citizen or Other
Estate: Do you have a Will/Trust or Estate Plan? Yes No
Bankruptcy: Have you ever filed for Bankruptcy? Yes No
How much debt do you have now?