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CONFIDENTIAL CLIENT INTAKE QUESTIONNAIRE

This questionnaire is meant solely for the use of the consulting attorney for purposes of analyzing and evaluating the prospective client’s case. The contents of this document are therefore protected by the attorney-client privilege and the attorney work product doctrine. It is very important that you be completely truthful, accurate and complete in answering the following questions. It is crucial that we are aware of all information; including information you may believe will damage your case, in order to best represent you.

Personal Information
Full Legal Name:
Address
City
State or Province:
Zip or Postal Code:
Home phone:
Work phone:
Mobile
Email
Date of Birth: (MM/DD/YYYY)
Place of Birth:
Citizenship:
Highest level of Education:
Did you receive a Degree?
Field of Study:
Are you married: Yes    No
Do you have children: Yes    No    If yes, how many:
Relatives in the U.S.: Yes    No    Indicate relationship:
Have you ever applied
for Green Card
Yes    No    Result:: 
 
Employment Information
Employer’s Name:
Employer’s Address:
Title or Occupation:
Gross Income/Salary:   
How long employed with current employer?
What type of business is the employer in?
If you wish to immigrate to the U.S. as an
investor, what is the maximum amount can you invest? 
 
If in the U.S, complete the following:
Date of last arrival: (MM/DD/YYYY)
A Number (if any):
I-94#: