Leonard F. Berg
Attorney at Law
625 South Bellwood Drive
East Alton, Illinois 62024
Phone: 618-216-6681
Toll Free: 888-353-6236
Fax: (618) 258 7301

*Name:
*Address:
*City:
*State:
*Zip:
*E-mail address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
Are you known by any other names?
YesNo
If yes, list other names you have used:
What is your marital status?
Does this matter involve a business you own or run?
YesNo
If yes, provide the business name, address, and phone:
If a business is involved, how is the business organized (if known)?
Are you employed?
YesNo
If yes, please provide your job title and employer's name and address:
Can you be contacted at work?
YesNo
What area of law does your situation involve (if known)?
Describe your situation, including any relevant dates:
How would you rate your legal needs described here?
Are any other people involved?
YesNo
If yes, provide names, addresses (if known), and their relationship to you, if any:
Do you have any documents that could help explain your situation?
YesNo
If yes, list those documents and their dates:
Are there other documents that you do not have access to that could be of assistance?
YesNo
If yes, list those documents and their dates and location (if known):
Describe how this situation has impacted you:
Describe what you would like to happen to resolve your issue (your preferred outcome):
Have other attorneys worked on this matter?
YesNo
If yes, provide names, addresses, and a brief description of their involvement:
Special Concerns:
Where did you hear about this website?
*Name:
*Address:
*City:
*State:
*Zip:
*E-mail address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
What does this matter involve?

Probate/Administration of an Estate

Name of the decedent:
Date of death:
Residence at the time of death:
Your relationship to the decedent:
Did the decedent leave a will?
YesNoUnknown
If yes, do you have a copy of the will?
YesNo
Are you named as the executor or administrator in the will?
YesNo
If no, who is named?
What was the marital status of the decedent?
If married or separated, please provide the name and address of the spouse:
Did the decedent have any children?
YesNoUnknown
If yes, list their names and addresses. If no, please list the names and addresses of the decedents closest known relatives:
Is there anyone not listed above (including charitable organizations) who is named as a beneficiary of the will, if any?
YesNoUnknown
If yes, list their names and addresses:
Please describe any concerns you have about this estate:
Describe what you would like to happen to resolve your concerns (your preferred outcome):
Have other attorneys worked on this matter?
YesNo
If yes, provide names, addresses, and a brief description of their involvement:

Estate Planning

What is your marital status?
Please list the names and addresses of your children, if any:
Please list the names and addresses of anyone else (including charitable organizations) you wish to provide for in your estate plan:
Do you now have a will?
YesNo
Life insurance?
YesNo
Retirement plan?
YesNo
Do you own a business?
YesNo
If yes, provide the business name, address, and phone:
If you own a business, how is the business organized (if known)?
What is your approximate net worth:
Describe your concerns regarding your estate:
Describe what you would like to happen with your estate (your preferred outcome):
Have other attorneys worked on this matter?
YesNo
If yes, provide names, addresses, and a brief description of their involvement:
Where did you hear about this website?
 

NOTE: The use of the Internet for communications with the firm will not establish an attorney-client relationship and messages containing confidential or time-sensitive information should not be sent.


The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.