DELUCA & ASSOCIATES
4560 South Decatur Blvd Ste. 302
Las Vegas, Nevada 89103
E-mail: [email protected]
Phone: (702) 252 - HOPE (4673)
Fax: (702) 975 - 6261
Consultation and Letter of Disengagement
Thank you for allowing DeLuca & Associates to help you decide whether bankruptcy is the right
decision for you. Please answer every question. Please do not leave any blanks.
Please be advised that any fee paid today is solely to reserve your consultation time for today. This does
not in any way mean that DeLuca & Associates now represents you in your legal matter. This consultation does
not in any way legally bind Anthony J. DeLuca, DeLuca & Associates, and/or any of its employees, to file your
bankruptcy, contact creditors or any other entity, or in any way represent your interests in the future. PLEASE
NOTE that if you retain the firm today, any fee paid towards this consultation will be applied towards your
retainer. Should you decide to use our services, I will have you sign a separate retainer agreement with our
office specifying DeLuca & Associates’ agreement to represent your case.
Sincerely,
Anthony J. DeLuca,Esquire
The information I supply in the following pages will be true and correct to the best of my knowledge. I
understand that my electronic signature below has same weight as my actual signature.
Your Name: Date:
Spouse Name: Date:
Address: __________________________________________
Phone: __________________________
Email: ______________________________________
How did you hear about us? ______________________
CLIENT INTERVIEW SHEET