Schedule Appointment

TO REQUEST AN APPOINTMENT, PLEASE EMAIL ME AT: dan@danielspitzerlaw.com.

The Request for Appointment form below is currently being reconstructed and is not operable at this time.

Thank you for contacting my office. I look forward to meeting with you.

Step 1. Personal Information

*First Name:

*Last Name:

*Email:

*Address:

*City:

*State: *Zip:

*Phone:

Step 2. Spouse's Information

*Are you married? No Yes

*First Name:

Last Name:

Address:

City:

State: Zip:

Phone:

Step 3. Financial Information

*Current monthly income (all sources, before taxes or deductions):

*Average monthly income for the past 6 months:

*Have you filed bankruptcy before?
No Yes When did you file?

*Number of dependents:

*Are you being sued?
No Yes By Whom?

*Is a creditor currently threatening to repossess or foreclose upon any of your property?

No Yes

*Has any property been repossessed, garnished or foreclosed upon in the last year?

No Yes

Step 4. Additional Information

Review the information provided in the notices package - download

It is helpful for you to bring with you the last 7 months of pay stubs, or if you are self-employed or in business, a P/L (profit/loss statement) for the previous 6 months, together with your last two years of tax returns.

Please fill in all required fields

Daniel G. Spitzer | Attorney at Law | 1911 Main Ave, Suite 103, Durango, CO 81301 | Tel: (970) 385-5898 Fax: (970) 385-6954