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Lady Bird Intake Form

The Law Offices of Carolina Nunez, P.A.

About You

Date of Birth
Month
Day
Year
Martial Status

To accurately guide you, you must provide information about your spouse or ex-spouse for asset protection to the fullest extent of the law.

Preferred Language
Request a tentative date and time for your consultation. Once reviewed, we will send you further information. Please note that appointments are not scheduled or confirmed until payment is received for the initial consultation.
Nov - Dec 2025
SunMonTueWedThuFriSat
Week starting Sunday, November 30
Time zone: Coordinated Universal Time (UTC)Business location
Thursday, Dec 4
10:00 AM - 11:00 AM
11:00 AM - 12:00 PM
12:00 PM - 1:00 PM
1:00 PM - 2:00 PM
Do you have children under the age of 18?

Your Florida Estate Planning Goals

What are your goals? Check all the apply.
Who is this for?
Is this your Florida homestead?
Do you currently have a mortgage?

Nominating Agents and Beneficiaries

Example:

First Choice: John Doe - Orlando, Florida - 100% - Son (407) 123-4567


Second Choice: Jane Doe - Tampa, Florida - 50% - Daughter (407) 234-5678

Would you prefer to sign in person or online? Please note, notary fees are third-party services not included unless you sign in office.
Product

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