| Name (Last, First, Middle)*: |
|
| Physical Address: |
|
| Mailing Address (if different from physical address): |
|
| Home Phone: |
|
| Work Phone: |
|
| Cell Phone: |
|
| Fax: |
|
| Email*: |
|
| Identify the type of case you need assistance with |
| Landlord and Tenant: |
eviction
lease/conditions of the premises dispute
lease drafting
letter drafting
document/lease review
security deposit dispute
other
|
| Real Estate Representation: |
closing
drafting of real estate contract
drafting of real estate documents (deeds, mortgages, notes, etc)
real estate contract dispute
review of construction contract
other
|
| If you are the owner of the real estate in question, name of the purchaser: |
|
| If you are the purchaser of the real estate in question, the name of the owner: |
|
| Briefly describe how the Residential Realty Law Firm can assist you with this matter: |
|
| Drafting Real Estate Documents: |
real estate contracts
deeds
promissory notes
mortgages
contracts for deed
lease/rental agreements
construction contracts
other
|
| Name of the other person(s) who will be involved in the proposed transaction: |
|
| Briefly describe any special circumstances surrounding the proposed transaction: |
|
| Construction: |
drafting construction contracts
review of construction contracts and/or other documents relating to construction
representing you in a construction dispute
lien disputes
other
|
| If you are the homeowner and/or renter, name of the contractor: |
|
| If you are the contractor, name of the homeowner/renter: |
|
| Briefly describe how the Residential Realty Law Firm can assist you with this matter: |
|
| Homeowner Insurance Dispute |
| You are the: |
homeowner
adjuster
insurance company
|
| Name of all other involved parites: |
|
| Briefly describe how the Residential Realty Law Firm can assist you with this matter: |
|
| Homeowner/Condo Association Disputes |
| Name of the Homeowner: |
|
| Name of the Homeowner/Condo Association: |
|
| Briefly describe how the Residential Realty Law Firm can assist you with this matter: |
|
| Property Dispute |
| Names of all other parties involved: |
|
| Briefly describe how the Residential Realty Law Firm can assist you with this matter: |
|
| Estate Planning (wills, trusts, deeds, health care documents): |
wills
powers of attorney
trusts
deeds
living will
health care directive/surrogate
|
| None of the Above: |
| Briefly describe how the Residential Realty Law Firm can assist you with this matter: |
|
|
