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Real Estate Intake Form

Real Estate Intake Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

Please provide the address of the property involved:

What type of issue does your matter involve?

Are you the present owner of the property?
Yes  No 

If no, please provide the owner's name and address.

Describe your situation, including any relevant dates:

How would you rate your legal needs described here?

Are any other people or businesses involved in this matter?
Yes  No 

If yes, provide names, addresses (if known), and their relationship to you, if any:

Do you have any documents that could help explain your situation?
Yes  No 

If yes, list those documents and their dates:

Are there other documents that you do not have access to that could be of assistance?
Yes  No 

If yes, list those documents and their dates and locations (if known):

Describe how this situation has impacted you:

Describe what you would like to happen to resolve your issue (your preferred outcome):

Have other attorneys worked on this matter?
Yes  No 

If yes, provide names, addresses, and a brief description of their involvement:

Special concerns:

Where did you hear about this website?

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Platt & Westby | Lawyers

2916 North Seventh Avenue
Phoenix, AZ
Phone 602-277-4441
Fax 602-277-0388 | Map

Intersection of I-101 & 51st Ave
Arrowhead, Phoenix | Map

Scottsdale/Paradise Valley | Map

Mesa/Tempe/Chandler/
Gilbert area | Map

Litchfield Park/Goodyear

The law firm of Platt & Westby PC, offers a wide range of legal services to residents of Maricopa County, Arizona, from its six branch offices in Phoenix, Metro Center, Arrowhead, Tatum, Cactus, Mesa, and Mid Town. Our attorneys represent clients in the surrounding communities of Avondale, Buckeye, Tolleson, Aguila, Gilbert, Glendale, Peoria, Scottsdale, Sun City, and Goodyear, Chandler, Tempe, Queen Creek, and Anthem.

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