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Divorce Contact Form

Your choice of attorney to represent your interests during a divorce could mean the difference between successful negotiations or expensive, ongoing litigation. Please contact our firm today to schedule a consultation with a divorce attorney who can provide a clear explanation of your legal rights and options.

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Divorce Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

At current address since:

Please let us know if we should contact you confidentially and list the phone number and address contact information.
Yes No

Name and address of employer

Annual gross salary

Job title and description

Employed since

Name of spouse

Number of years married

Do you have children and if so, what are their ages?

Have you been divorced before and if so please list the dates of your previous marriages and divorces.

Are you currently separated from your current spouse?
Yes No

Date last lived together

Have you discussed reconciliation?
Yes No

If so, what is the status?

Have there been any incidents of violence in the marriage?
Yes No

Is your spouse currently represented by an attorney?
Yes No

If yes, please list the name of the firm and/or attorney.

Please provide a general description of the assets of both parties.

Please provide a general description of the liabilities of both parties.

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Elisabeth A. Barker, Attorney at Law

120 East Washington Street
Suite 422

Syracuse, NY 13202

Telephone: 315-472-4332
Fax: 315-425-5990

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