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Conflict Check and Matter Information Form
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First Name
Middle Name
(optional)
Last Name
Phone Number
Email Address
Are you reaching out as a representative of a business or yourself personally?
My business or a business I work for
Myself personally
Business Information
Legal name of the business, including subsidiaries and DBA
Which state is the business incorporated in?
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South Carolina
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Tennessee
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Utah
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Washington
West Virginia
Wisconsin
Wyoming
What is the Employer Identification Number (EIN) of the business.
Are there any business partners or other individuals involved or relevant to this matter? If yes, please provide their full names and affiliation.
What is your business address?
Business Address 1
Business Address 2
Business City
Business State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
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
Business Zip Code
What is your personal address?
Contact Address 1
Contact Address 2
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Contact City
Contact State
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
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
Contact Zip Code
Do you have an assistant?
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Assistant Information
Assistant First Name
Assistant Last Name
Assistant Phone Number
Assistant Email Address
Matter Details & Information
Describe the issue or problem you need assistance with, be as detailed as necessary.
Will anyone else be joining our call? If so, how many?
No, only me
Yes, myself and 1 more person
Yes, myself and 2 more people
Yes, myself and 3 or more people
Additional Parties
Additional Party 1 Full Name
Additional Party 1 Phone number
Additional Party 1 Email
Additional Party 2 Full Name
Additional Party 2 Phone number
Additional Party 2 Email
For all additional parties, list their full names, phone numbers, and emails.
Were you referred to our firm? If so, please tell us by whom. How did you find out about Yormack Law?
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