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Divorce- Client Intake Form

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Divorce- Client Intake Form Powered By Docstoc
					                          Law Office of
                    Oressa P. Campbell, Esq.
                    100 Fourth Street, Suite 29
                      Honesdale, PA 18431
                      (570) 253-7937 phone
                        (570) 253-7938 fax
                       CampLaw@ptd.net
                  CLIENT INTAKE FORM
Date:              ____________________
Client Name(s):    ____________________________________
                   ____________________________________
Address:           ____________________________________
                   ____________________________________
Phone Number:      ____________________ home
                   ____________________ work
                   ____________________ cell

                    DIVORCE WORKSHEET
Plaintiff’s full name:   ________________________________

Defendant’s full name: ________________________________

Plaintiff’s Address:     _____________________________
                         _____________________________

Defendant’s Address: _____________________________
                     _____________________________

Date of Marriage:        __________________
City of Marriage:        __________________
State and County:        ________________ _______________

Date and docket of prior action: ___________________________

Either party in the military or navy?: _________________

				
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posted:11/24/2011
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