CRIMINAL INTAKE FORM

Charlotte NC

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First name*

Last name*

Email*

Phone*

Is this related to traffic, what is the charge/citation *

City/County/State where the charges occurred *

If criminal case, what has the defendant been charged with? Please list charges *

Please provide details about the case. *

Has the defendant had first court date?

When is the next court date? *

Does the defendant already have an attorney? If yes, why are you looking to replace them? *

How did you hear about our office *

Has the defendant ever been convicted of a previous crime? If so, what crime and where? *

What is your expected price range? *

$5,000-$7,000

$7,000-10,000

$10,000-$15,000

$15,000+

When was the defendant arrested and/or charged with this crime? *

Is the defendant currently incarcerated? if so where?

Oakhurst Legal Group Headquarters

‪+1 704-218-9749

5309 Monroe Rd.

Charlotte, NC 28205

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