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Questionaire

Real Estate Intake Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

Please provide the address of the property involved:

What type of issue does your matter involve?

Are you the present owner of the property?
Yes  No 

If no, please provide the owner's name and address.

Describe your situation, including any relevant dates:

How would you rate your legal needs described here?

Are any other people or businesses involved in this matter?
Yes  No 

If yes, provide names, addresses (if known), and their relationship to you, if any:

Do you have any documents that could help explain your situation?
Yes  No 

If yes, list those documents and their dates:

Are there other documents that you do not have access to that could be of assistance?
Yes  No 

If yes, list those documents and their dates and locations (if known):

Describe how this situation has impacted you:

Describe what you would like to happen to resolve your issue (your preferred outcome):

Have other attorneys worked on this matter?
Yes  No 

If yes, provide names, addresses, and a brief description of their involvement:

Special concerns:

Where did you hear about this website?

 

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Where To Find Us

Kings County
111 Livingston Street
Suite 1110
Brooklyn, New York

Queens County
163-10 Northern Blvd
Suite 205
Flushing, New York

Nassau County
One Old Country Road
Suite 125
Carle Place, New York

Suffolk County
2100 Deer Park Avenue,
Suite 1
Deer Park, New York


E-Mail


Phone Numbers

800-479-6330

516-873-6330

718-461-6330

© 2005 Richard S. Feinsilver. All rights reserved.Save This Page
We are a debt relief agency serving individuals and businesses located in New York’s Kings (Brooklyn), Queens, Nassau and Suffolk Counties (Long Island). We assist people and businesses to file for relief under the Bankruptcy Code.

This is an advertisement for legal services provided by an attorney serving the residents and businesses of the counties of Kings (Brooklyn), Queens, Nassau and Suffolk (Long Island) in the State of New York.