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Client Questionnaire

SAM HASLER
ATTORNEY AT LAW
1106 Meridian Street, Suite 251 Anderson, IN 46016
765-641-7906
E-mail: samuelhasler@yahoo.com

   
Client Consultation Information

    Thank you for choosing Hasler Law Office to handle your legal matter. In order to assist you better, please take a few moments to answer the following questions.  Please understand that any information that you give me will be confidential but that an attorney-client relationship will not exist until and unless I am retained in this matter.




1. Please list your full name:   ____________________________________________________



2.    Current address where you are residing, including the Zip Code:

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3.    What is your telephone number and what is the best time to call?

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4.  What is the legal problem that you want to consult with me about?

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Date: _____________________

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Your name (signature, please)