icon image - legal scale SILVERBLATT & ASSOCIATES, Family Law
15 Public Square | Suite 310 | Wilkes-Barre, PA 18701 | Phone: 570.820.9800 | Fax: 570.820.9600
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Divorce

Custody

Support

Relocation

Equitable Distribution

Marital Dissolution Agreements

Prenuptial Agreements

Alimony

Alimony Pendente Lite

Grandparent Rights

Questionnaire

Full Name


Street Address


City


State


Zipcode


Home Phone


Business Phone


Cell Phone


Fax Phone


Email Address


Please indicate your matter of inquiry (check all that apply).
Divorce
Spousal Support
Equitable Distribution
Custody
Child Support
Relocation
Protection from Abuse
Prenuptial Agreement
Postnuptial Agreement
Grandparent Rights


Have you been served with court documents regarding your matter of inquiry?
Yes     No

If yes, what is the name of the opposing party and their relationship to you?


If yes, what is the name of the attorney representing the opposing party?


If yes has a hearing date been set by the court in your matter?
Yes     No

Date of the hearing?



Additional Comments:


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