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Anastasiya Patel Law
17827 Murdock Cir Suite B,
Port Charlotte, FL 33948
CALL 833-FMLY-LAW
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New Client Intake Form
Welcome to Anastasiya Patel Law
First name
Last name
Phone Number
Email
What type of case? Divorce or Criminal?
Address
Have you been in trouble before? To jail?
Spouse's Name or Other Person's Name
Please describe any details:
I agree to the terms & conditions. I understand this does not create a lawyer / client relationship. I understand everything I say is confidential as per Florida Bar Ethics Guidelines and Florida Law.
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