Structured Attorney Fees Solution Intake

Full Name:*

Email:*

Age:*

State:*

Firm Name:

Phone:

Business Relationship:*

Firm's Entity Type:*

Amount to Defer:*

How Long to First Payment:*

How Long Will Payments Last:*

Your Highest Federal tax bracket:*

Are these contingency fees?*

Are you interested in a line of credit?

Subject to Net Investment Income Tax*

Comments

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