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(856) 692-7400
Office@JSilvaJrLaw.com
12 Franklin St., PO Box 1104, Bridgeton, NJ 08302
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Family Law
Municipal – Traffic Court
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Home
About
Areas of Practice
Family Law
Municipal – Traffic Court
Criminal Defense
Estate Planning
Real Estate
Family Law Mediation
Life Coach
Contact
Legal Talk
Contact Us
Last Name
First Name
Middle Initial
Mailing Address
City:
State:
Zip Code:
How long in NJ / PA (Choose one):
NJ
PA
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Home Phone
Work Phone
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Physical Address (If different):
Email Address:
Employer (Name & Address):
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Date of Birth:
Date of Marriage:
Date of Separation:
Location of Marriage:
Date of Divorce:
Who may we contact if we cannot contact you?
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First Name
Last Name
Middle Initial
Mailing Address
City:
State:
Zip Code:
How long in NJ / PA (Choose one):
NJ
PA
How long in NJ / PA :
Home Phone
Work Phone
Cell Phone
Physical Address (If different):
Name of Employer:
Date of Birth:
Is the opposing party represented by counsel? If so, who:
Reason for Consultation:
REASON FOR SELECTING THIS FIRM:
Referred by
Yellow Pages
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Who referred you?
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Wife’s maiden name:
Return to maiden name:
Yes
No
Gross Monthly Income (Her):
Gross Monthly Income (Him):
Are you seeking spousal support?
Yes
No
Please list any and all retirement, 401(k), savings plan, & accounts.
Name
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Whose Name
Name
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Whose Name
Name
Approx. Value
Whose Name
Name
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Whose Name
Name
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Whose Name
Name
Approx. Value
Whose Name
Name
Approx. Value
Whose Name
Name
Approx. Value
Whose Name
List monthly expenses and approximately how much each month:
House/Rent
Car Payment(s)
Utilities
Insurance
Groceries
Gas
Other Expenses:
Monthly Payment
Other Expenses:
Monthly Payment
Other Expenses:
Monthly Payment
Other Expenses:
Monthly Payment
Other Expenses:
Monthly Payment
Debt
Value
Who keeps
Debt
Value
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Debt
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Debt
Value
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Debt
Value
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Debt
Value
Value
Debt
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Value
Debt
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Value
Debt
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Value
Debt
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Value
Home - (Address)
Value
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Vehicle one (make & model)
Value
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Vehicle two (make & model)
Value
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Asset
Value
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Asset
Value
Who Keeps
Asset
Value
Who Keeps
Asset
Value
Who Keeps
Asset
Value
Who Keeps
Asset
Value
Who Keeps
The legal process relating to Divorce, Child Custody/Timeshare, Child Support, and Domestic Violence may be is confusing. Misunderstanding and miscommunications between members of this firm and clients could occur (i.e. who is going to do what), especially at the beginning of a case. In order to make sure that everything is clear, please be advised that our representation of you does not commence until we receive a signed Domestic Relations Fee Agreement and the Retainer.
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