If you would like us to fax you the questionnaire for your free consultation, fill in the form below and click the Submit button. The proper consultation form will be faxed to you promptly.
My name is
Address line 1
Address line 2
Address line 3
County I live in is:
Alachua
Aroostook
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Clinton
Collier
Columbia
Dade
DeSoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
Santa Rosa
Sarasota
Seminole
St. Johns
St. Lucie
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
I am inquiring for:
Single individual
Married, but only Husband is filing
Married, but only Wife is filing
Married, both filing
Corporation
Please fax to:
Check if you want us to contact you to set up an appointment.
Yes, call me at
I prefer to have the consultation at Ruff & Cohen's
Gainesville office
Jacksonville office
The attorney I prefer to meet with is:
Either attorney
Eric S. Ruff
Lisa C. Cohen
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