Sagebrush Law Intake Form

SAGEBRUSH LAW FIRM, LLC

GARRETT WHITSON

449 S Main Street . Sheridan, Wyoming 82801

 Phone: (307) 672-9771 . Fax: (307) 672 – 8244

Email: Garrett@sagebrushlawfirm.com

POTENTIAL CLIENT INTAKE FORM

Please fill out the following form in as much detail as possible. This “Client Intake Form” will only be used for preliminary information gathering and does not effectuate any attorney-client relationship. Once the information on this page has been reviewed, we will give you more information about signing an Attorney-Client Engagement Letter and an invoice.

**Note that this information is not protected under Attorney-Client Privilege, please do not include sensitive information.

First Name

Last Name

Mailing Address:

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

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Email *

Phone

Company/Entity Name (if applicable):

What can we help you with? (required)

Breach of ContractCollection ActionForeclosureAssociation DisputeShareholder or Partnership DisputeLandlord/Tenant DisputeReal Property Title ActionMineral Rights Title ActionWater Rights Title ActionOther (please describe issue on page 2)

Do you have an existing litigation case? (required)

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Opposing Parties (list any and all people/entities who may be opposing you):

How did you hear about Sagebrush Law Firm?

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