Free Online Evaluation NameEmail AddressPhoneWhat is your marital status? *SingleMarriedDivorcedHow many minor children live with you? *Have you ever filed bankruptcy before? *YesNoHave you lived in Florida for at least 2 years? *YesNoWhat county do you reside in? *Do you own a home or rent?I own | am purchasing my homeI rent my home | apartmentOtherDo you own any other real estate such as land, a timeshare or interest in a family home? *YesNoDo you own any financial assets such as checking and savings accounts, CD's, Stocks (including Robinhood/Stash accounts), Bonds, Mutual Funds, IRA's, 401k's, 403b's or Cryptocurrencies like Bitcoin/Coinbase accounts?YesNoApproximately how much total debt do you have just in Credit Cards, Medical Bills, Personal Loans, Repo debts and lawsuits? (Do not include student loans, taxes or info you already provided on your Home and/or vehicles/toys) *Please select ALL that apply to you. *I am being sued or have a judgmentA creditor is threatening to sue meMy home is currently in foreclosureI am at risk of my car being repossesedI am in a debt consolidation programI deal with debt collectors dailyNone of these apply to meDo you have any vehicles or toys (motorcycles, atv's, rv's, boats or trailers) registered in your name? *YesNoDo you have any Student Loans? *YesNoHave you filed all required tax returns for the last (4) four years?YesNoDo you currently owe or anticipate owing taxes to the IRS or a State?YesNoUnsureDo you owe any "court ordered" child support an/or alimony to anyone?YesNoAre you currently employed? *Yes, I am a payroll employeeYes, I am a 1099 employeeYes, I am Self EmployedNo, I am currently unemployedDo you know how to use Zoom video meeting with Audio and Video?YesNo – I need assistanceHow did you learn about Us?You must read the disclaimer below and then check the box…. be sure to the CLICK HERE BELOW IN RED TO SUBMIT YOUR FORM! *YesBy clicking this box you understand that all information on this form will be submitted only to the attorney(s) of The DeVries Law Firm,P.A. The information is secure and confidential; however, you understand that the mere submission of this form DOES NOT create an attorney/client relationship. Although the analysis performed by us will be free of charge and you are under no obligation to retain us, an actual and formal retainer would be required for you to consider us your attorney/law firm.Send Message
