QUESTIONNAIRE Tina C. Bennet, Esq. 100 Kreischer Road North Syracuse, NY 13212 Phone: (315) 422-3029 Fax: (315) 422-3259 Email: tcb@attorneytinabennet.com [DRIVING DIRECTIONS] Please provide the following information regarding your family law matter and my office will contact you shortly: Last Name: Street Address: City: State: SELECT Alabama Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode: Home Phone: Cell Phone: Work Phone: Best Phone Number to Reach You: Best Time to Contact You: Type of Matter:   --- Select Type --- Divorce Separation Agreement Custody Visitation Child Support Domestic Violence Adoption Prenuptial Postnuptial Do you have any children:   --- Select Yes/No --- Yes No How long have you been married:   Are you presently employed:   --- Select Yes/No --- Yes No Are you familiar with the Child Support Standards Act? --- Select Yes/No --- Yes No Are you or your spouse seeking child support? --- Select Yes/No --- Yes No Are you or your spouse seeking spousal support/maintenance? --- Select Yes/No --- Yes No Are you or your spouse seeking custody of your child/ren? --- Select Yes/No --- Yes No *Please allow 24 hours for a response. For immediate assistance, please call us at (315) 422-3029. NOTE: The use of the Internet for communications with the firm will not establish an attorney-client relationship and messages containing confidential or time-sensitive information should not be sent. [ TOP ] THE INFORMATION YOU OBTAIN AT THIS SITE IS NOT, NOR IS IT INTENDED TO BE LEGAL ADVICE. YOU SHOULD CONSULT AN ATTORNEY FOR INDIVIDUAL ADVICE REGARDING YOUR OWN SITUATION. COPYRIGHT © 2010 BY TINA C. BENNET, ESQ. ATTORNEY AT LAW. ALL RIGHTS RESERVED. YOU MAY REPRODUCE MATERIALS AVAILABLE AT THIS SITE FOR YOUR OWN PERSONAL USE AND FOR NON-COMMERCIAL DISTRIBUTION. ALL COPIES MUST INCLUDE THIS COPYRIGHT STATEMENT. ATTORNEY ADVERTISING SITE DESIGN BY DESTINED STUDIOS; COPYRIGHT © 2010 DESTINED STUDIOS, INC.