Confidential Divorce Questionnaire Form Page 5
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26. List any other assets you or your Spouse might have such as retirement accounts, land
holdings, business interests, etc. How are they to be split?
27.
Do you want your former name restored? Yes __________ No _________
28.
Please give the name, address and telephone number of an individual to contact in
case we are unable to reach you.
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29.
Have you consulted us for legal advice before? Yes _____ No _____
30.
Please let us know how you were referred to this office.
a.
Individual referral (please give name) ___________________________________
b.
Telephone book yellow pages _________________________________________
c.
Other ____________________________________________________________
I UNDERSTAND THAT LILLIAN QUINN HAS NOT
ACCEPTED MY CASE AND WILL NOT ACT AS MY
ATTORNEY UNTIL I HAVE SIGNED A FEE
AGREEMENT AND PAID THE RETAINER.
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Date
Signature
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