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New Business Request Form - Order(s)

You may complete and submit this form online, or download it for later use. (To download, right-click and select "Save target as")

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NON-ATTORNEYS/PRO SE

Name:
Address:
Phone:
Fax:
E-mail:

Are we being jointly retained in this matter (we will automatically copy your adversary on all correspondence and the completed documents).
Yes No

Adversary Name:
Adversary Firm Name: (if attorney)
Adversary Address:
Adversary Phone:
Adversary Fax:
Adversary E-mail:

Do you represent the Husband or Wife?
Husband Wife

Did we prepare a pension evaluation report in this matter?
Yes No

Which party has the benefit to be divided?
Husband Wife

Full name of the party who has the benefit:

Name of Plan(s) to be drafted against. (If you are not clear on the exact name of the Plan(s) provide the name of the employer for the party who has the benefit and advise if the Plan is a "Pension Plan" or a "401(k) Plan", etc.):

Do you want the forms sent to you by Email, Fax or U.S. Mail:
E-mail Fax U.S. Mail

Florida: (941) 388-0556 | Toll Free: (877) 443-4867 | Fax: (941) 388-0906
7345 Professional Pkwy. E
Sarasota, FL 34240

Principal office location:
7345 Professional Parkway East, Sarasota, Florida 34240.

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