Contact Name

 

Are you known by any other names?

 Yes No

 

If yes, please list any other names you have used

 

Telephone Number

()

 

Alternate Number

()

 

Address




 

Email

 

Does this matter involve a business that you own or run?

 Yes No

 

If yes, provide the business name, address, and phone

 

Are you being sued?

 Yes No

 

Name of the party suing you

 

Name, address, and telephone number of the attorney for the party suing you, if any

 

Date you were served with court papers

/ /

 

Name and location of the court you are being sued in

 

Are you suing someone or planning on suing them

 Yes No

 

Please provide their name

 

How much are you suing for/ how much are you being sued for?

$.

 

Please provide us with a brief description of what your matter is about

 

Is there any other information that we should be aware of?

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