Client Information - Paternity - Spearman Law Office

* ALL INFORMATION IS NECESSARY, PLEASE READ CAREFULLY AND FILL OUT COMPLETELY.

TODAY'S DATE: 06/28/2022
REFERRED BY:
CLIENT INFORMATION:
NAME:*
Email*
RACE OR COLOR:
PHYSICAL ADDRESS:*
Street Address County: City State ZIP Code
HOW LONG:
HOME PHONE:
WORK PHONE:
DL#:
STATE:
AGE:
DATE OF BIRTH:
STATE OF BIRTH:
MOTHER's INFORMATION - IF DIFFERENT THAN CLIENT INFORMATION:
NAME:*
RACE OR COLOR:
PHYSICAL ADDRESS:
Street Address County: City State ZIP Code
HOW LONG:
MAILING ADDRESS:
Street Address City State ZIP Code
HOME PHONE:
WORK PHONE:
DL#:
STATE:
AGE:
DATE OF BIRTH:
STATE OF BIRTH:
FATHER's INFORMATION - IF DIFFERENT THAN CLIENT INFORMATION:
NAME:*
RACE OR COLOR:
PHYSICAL ADDRESS:
Street Address County: City State ZIP Code
HOW LONG:
MAILING ADDRESS:
Street Address City State ZIP Code
HOME PHONE:
WORK PHONE:
DL#:
STATE:
AGE:
DATE OF BIRTH:
STATE OF BIRTH:
ADDITIONAL INFORMATION:
WHERE SHOULD THE OTHER PARTY BE SERVED WITH NOTICE AND WHAT TIME OF DAY IS BEST? (IF APPLICABLE)

CHILDREN THAT ARE THE SUBJECT OF THIS SUIT:

NAME (as registered at birth)	SEX	DATE OF BIRTH	PLACE OF BIRTH (County, City, State and name of hospital)	HOUR OF BIRTH

CHILDREN RESIDE WITH:
DO THE CHILDREN OWN ANY PROPERTY?
CHANGE CHILD(REN)'S NAME?
- Yes
- No
IF SO, NEW NAME OF CHILD(REN)
IS THERE A COURT OF CONTINUING JURISDICTION OVER THE CHILD(REN)?
- Yes
- No
IF SO, GIVE THE CAUSE NO, AND STYLE OF THE CASE
DOES ANY OTHER PARTY CURRENTLY HAVE AN ATTORNEY?
- Yes
- No
IF SO, WHO?
CONSULTATION FEE AGREEMENT:
I UNDERSTAND AND AGREE TO PAY $100.00 FOR THE INITIAL CONSULTATION, REGARDLESS OF MY DECISION TO ENGAGE THE SERVICES OF THIS LAW OFFICE.*
- Accept