Consult Intake Form

Fill This Out To The Best Of Your Ability, Not All Fields Are Required

1. Your Information

2. Case & Assets

3. Children & Submit

Your Information

Full Name *

Email Address *

Cell Phone

How Long In SC

Date of Birth

Reason for Consultation

Mailing Address

Physical Address (if different)

Employer (Name & Address)

Estimated Annual Gross Pre-Tax Income

Date of Marriage

Date of Separation

Location of Marriage

Date of Divorce or Prior Final Order (if applicable)

County and Case # of Prior Order (if applicable)

Opposing Party Name

Opposing Party Attorney / Firm

Opposing Party Date of Birth

Opposing Party SSN

Opposing Party Estimated Gross Income

Opposing Party Address

Opposing Party Employer (Name & Address)

Real Estate Addresses, Values, Mortgage Balances

Monthly Mortgage Payments

Retirement / Bank / Brokerage Accounts + Balances

Other Substantial Property + Net Equity

Marital Debts (Lender, Balance, Monthly Payment)

Complete this section if custody/children are involved.

Children or custody issues are involved