Bankruptcy Lawyer Canton GA | Family Law Attorney, Divorce & Personal Injury Lawyer Alpharetta, Marietta & Woodstock GA - HE&K

Modification Intake Form

Your Contact Information:

Last Name:
First Name:
Date of Birth:
(Maiden Name):
Street Address:
Apt #:
City:
County:
State:
Zip Code:
Home Phone:
Cell Phone:
Work Phone:
Email Address:

Emergency Contact Information:

Emergency Contact:
Phone No:

Other Party's Contact Information:

Last Name:
First Name:
Street Address:
Apt #:
City:
County:
State:
Zip Code:
Home Phone:
Cell Phone:
Work Phone:
Email Address:

Modification Information:

Date of Last Order Entered:
County:
What are you seeking to modify? Child SupportAlimony
CustodyVisitation
Please provide a detailed statement of what has changed since the entry of the last court order. For example, if you are seeking to change child support, is there a change of income or is the number of children different? If you are looking to modify custody or visitation, you must have very specific grounds and reasons to change. Providing us with as much information as possible will help us determine whether your case can be modified.

Flexible payment plans are available.To schedule a free initial consultation, call us at 770-517-0045

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185 Stockwood Drive Suite 100, Woodstock, GA 30188 1326 Concord Road, Smyrna, GA 30080
142 South Park Drive Suite D, Marietta, GA 30060 11545 Park Woods Circle Suite C, Alpharetta, GA 30005

Our lawyers represent clients in Woodstock, Smyrna, and Marietta, Georgia as well as the cities of Atlanta, Canton, Acworth, Kennesaw, Roswell, East Cobb, West Cobb, Holly Springs, Austell, Powder Springs, Dallas, Ball Ground, Waleska, Hiram, Cartersville, Jasper, Rome, and throughout Cherokee, Cobb, Fulton, Bartow, and Paulding counties.

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