Estate Planning Consultation

CONTACT INFORMATION

Please provide your primary contact information:

^•First Name:

^•Last Name:

^•Email:

^•Phone:

^•How did you hear about The Rodman Law Group?

Select...

Who referred you?

If other, please explain:

TRUSTS & ESTATES

Please provide the following information on your estate planning needs:

^•Do you currently have a will, power of attorney, living trust, and/or medical power of attorney in place?

Select...

If so, please explain

^•Marital Status

Select...

Are you interested in establishing a trust?

Select...

^•Do you have any dependents?

Select...

How many?

^•Tell us a bit about your needs or goals, and how we might assist you: