10172005 Legal Advice Line New Client Submission Forms 1) Print this document, 2) Complete it. Read and sign the attached AGREEMENT FOR UNBUNDLED LEGAL
SERVICES BETWEEN YOU AND LEGAL ADVICE LINE, LLC
3) Fax this completed sheet, along with your documents and a signed copy of the
AGREEMENT FOR UNBUNDLED LEGAL SERVICES BETWEEN YOU AND LEGAL ADVICE LINE, LLC
to 410-828-6610 *
Please type or print the following information: Contact Information Your name as it appears on the court papers: ___________________________________ Street Address: ___________________________________________________________ City: _____________________________ State: _______ Zip Code:_________________ E-mail Address: __________________________________________________________ Phone numbers: Home: ____________________________ Cellular: __________________________ Fax: ______________________________ Work: ____________________________ Work: ____________________________ What debt negotiating company are you working with, if any? _________________________ Payment Information – please check the payment method you are using and provide the necessary information. _____ Credit Card: Account number: ___________________________ Exp. Date: ___________ or _____ Check: Check number: _______ MICR (this is the series of numbers that appears across the bottom of the check, from left to right): ___________________________________________ Driver‟s license: State: _______ ID Number: ___________________________________ Date of Birth: ____________________________ or _____ Money Order (Send by overnight delivery to: LAL, 300 E. Joppa Rd., Suite 300, Towson, MD 21286.) PLEASE NOTE – LAL cannot provide service until payment is received. Case Information Name of Plaintiff (who is suing you?): ________________________________________ State in which you are being sued: ___________________________________________ Case/Docket Number: _____________________________________________________ Date of Service (when you received the documents): _____________________________ Please check off the documents you are faxing to us: ___ Court Complaint ___ Arbitration Claim ___ Other: ______________________________________________________________ ___ Legal Advice Line Limited Retainer Agreement (required). The Retainer must be signed by ALL defendants named in the complaint/claim. Delivery Information Any documents prepared for you by a Legal Advice Line Attorney will be sent to you by either e-mail, fax, or commercial delivery. There is an additional fee of $25 for commercial delivery ($45 for priority or weekend delivery). Please indicate the method we should use to deliver your documents to you: ____ E-mail to: _________________________________________________ ____ Fax to: ___________________________________________________ ____ Commercial delivery to: ___________________________________ ____________________________________
10172005
AGREEMENT FOR UNBUNDLED LEGAL SERVICES BETWEEN YOU AND LEGAL ADVICE LINE, LLC. Our agreement to advise you begins at the time we receive this completed Authorization Form and will end after we have provided you with legal advice or your legal forms. You are making no commitment to use our services at any time in the future. We have not agreed to represent you by, for example, going to a hearing or trial with you, preparing your case for trial or providing any legal assistance other than the limited legal advice services or document assembly services authorized in this letter. This means that unless we expressly agree to undertake services after the initial incident, you don‟t expect us to do anything else, and we don‟t expect you to pay us anything else. We charge a low fixed fee for each service (telephone or document assembly). The document preparation fee varies based on the complexity of the document and may not include legal advice for which we charge our regular low fixed fee per telephone session. You may ask us several questions about a single topic when you use the telephone service. You understand and acknowledge that Legal Advice Line provides limited legal services to individuals without identifying them. Therefore, the Company has not searched any records to determine whether any person of adverse interest may have also sought advice from a staff attorney. In addition you understand and acknowledge that some person of adverse interest may in the future seek and receive advice from Legal Advice Line concerning the same matter. In accepting these documents and by accepting help from Legal Advice Line you hereby waive any conflict of interest that may exist with respect to any person of adverse interest and hereby consent to the Company providing similar unbundled legal services to such an individual of adverse interest. In the event that any other party has paid all or part of our fee for you on or your behalf, you consent to such payment. We agree that in such an event we represent only you and not the third party and will provide you with completely independent advice. We have the right to refuse service to you if we have not received payment in full and all of your documents in a timely fashion, at least 3 business days in advance of any deadline Legal Advice Line LLC. is a Debt Relief Agency as defined by the Federal Bankruptcy Code and we help people file for Bankruptcy relief under the Bankruptcy Code. We are not offering to provide or willing to provide any services of bankruptcy assistance at this time. You must enter into a Bankruptcy Retainer agreement with us before we will offer to provide or provide any other services or bankruptcy assistance beyond what is contained in this Agreement. We have attached the notices required by sections 527(a) and 527 (b) of the Bankruptcy Code to this agreement for your review. I have read, understand, and agree to be bound by the above, I acknowledge that I have received Disclosure 527 (a) and 527 (b), and I authorize you to provide me with document assembly services, based upon these terms and conditions. Please sign below:
Name Spouse‟s signature (if applicable)
Date Date
Printed Name(s): _______________________________________________________________
10172005
527 a DISCLOSURE
NOTICE The Law Firm is a “debt relief agency” as described in the Federal Bankruptcy Code. The Law Firm helps people file for Bankruptcy relief under the Bankruptcy Code.
I understand that the law firm, by providing me with this NOTICE, is not offering to provide me with legal services relating to Bankruptcy or with any other Bankruptcy assistance by virtue of this NOTICE.
(A) All information that I am required to provide with my Bankruptcy Petition and thereafter during my Bankruptcy case is required to be complete, accurate, and truthful. (B) All of my assets and liabilities are required to be completely and accurately disclosed in the documents I file to commence my case. The “replacement value” of each of my assets must be stated in those documents. The “replacement value” of my assets is defined in the Bankruptcy Code as the repacement value of my property as of the date of the filing of my Petition, without deduction for the costs of selling it or marketing it. For my personal, family, or household property, replacement value as defined in the Bankruptcy Code means the price that a retail merchant would charge for property of the same kind, considering the age and condition of the property at the time its value is determined. It is my obligation to make a reasonable inquiry to establish the replacement value of my property. (C) My current monthly income, must be stated after reasonable inquiry. The Bankruptcy Code also requires that I provide additional information about my monthly income. I must provide the additional information is set forth in section 707(b)(2). And, if my case is filed under Chapter 13, I must provide the additional disposable income information set forth in section 707(b)(2) along with this NOTICE. (D) Information that I provide during my Bankruptcy case may be audited pursuant to the Bankruptcy Code. If I fail to provide this information, my case may be dismissed or the Court may impose other sanctions, including criminal sanctions.
10172005
527 b DISCLOSURE
IMPORTANT INFORMATION ABOUT BANKRUPTCY ASSISTANCE SERVICES FROM AN ATTORNEY OR BANKRUPTCY PETITION PREPARER. If you decide to seek bankruptcy relief, you can represent yourself, you can hire an attorney to represent you, or you can get help in some localities from a bankruptcy petition preparer who is not an attorney. THE LAW REQUIRES AN ATTORNEY OR BANKRUPTCY PETITION PREPARER TO GIVE YOU A WRITTEN CONTRACT SPECIFYING WHAT THE ATTORNEY OR BANKRUPTCY PETITION PREPARER WILL DO FOR YOU AND HOW MUCH IT WILL COST. Ask to see the contract before you hire anyone. The following information helps you understand what must be done in a routine bankruptcy case to help you evaluate how much service you need. Although bankruptcy can be complex, many cases are routine. Before filing a bankruptcy case, either you or your attorney should analyze your eligibility for different forms of debt relief available under the Bankruptcy code and which form of relief is most likely to be beneficial for you. Be sure you understand the relief you can obtain and its limitations. To file a bankruptcy case, documents called a Petition, Schedules and Statement of Financial Affairs, as well as in some cases a Statement of Intention need to be prepared correctly and filed with the bankruptcy court. You will have to pay a filing fee to the bankruptcy court. Once your case starts, you will have to attend the required first meeting of creditors where you may be questioned by a court official called a „trustee‟ and by creditors. If you choose to file a chapter 7 case, you may be asked by a creditor to reaffirm a debt. You may want help deciding whether to do so. A creditor is not permitted to coerce you into reaffirming your debts. If you choose to file a chapter 13 case in which you repay your creditors what you can afford over 5 years, you may also want help with preparing your chapter 13 plan and with the confirmation hearing on your plan which will be before a bankruptcy judge. If you select another type of relief under the Bankruptcy Code other than chapter 7 or chapter 13, you will want to find out what should be done from someone familiar with that type of relief. Your bankruptcy case may also involve litigation. You are generally permitted to represent yourself in litigation in bankruptcy court, but only attorneys, not bankruptcy petition preparers, can give you legal advice.