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732 201 6460
Law Office of Robert Aufseeser
New Client Questionnaire
Name (as it appears on your ID)
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List any alternate names or maiden names
Email
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Cell Number
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Home Address
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Business Address
U.S. Citizen?
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Yes, I'm a U.S. Citizen
No, I'm not a U.S. Citizen
Other - Please explain at the end
Last 4 digits of SSN
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Date of Birth
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How can we help? Describe the issue you're facing.
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Are you seeking representation on someone else's behalf, or on behalf of a business entity? Please explain.
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Are any parties adverse to you?
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If yes, who is adverse to you? List all names
What is your timeframe?
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Is there anything else we should know?
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How did you hear about us?
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If you participate in a legal plan, provide your plan number and a case number
Check to confirm you have read the firm's
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Disclaimer
TYPE NAME IF AGREED: By submitting this form, you acknowledge that the Law Office of Robert Aufseeser LLC will rely on this information. You acknowledge that completion of this form does not itself create an attorney-client relationship and that the information provided is for consultation purposes only.
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By submitting this form, you acknowledge that the Law Office of Robert Aufseeser LLC will rely on this information in evaluating your case. You acknowledge that completion of this form does not itself create an attorney-client relationship and that the information provided is for consultation purposes only.
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