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.

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