J. Michael Mullis
Attorney at Law
(877) 638-4489 Website:
www.georgiadefenders.com 
info@georgiadefenders.com

CLIENT QUESTIONNAIRE


{PLEASE COMPLETE EVERY PART OF THIS FORM TO THE BEST OF YOUR ABILITY. YOUR DETAILED ANSWERS TO THESE QUESTIONS WILL BE THE PRIMARY SOURCE OF INFORMATION THAT I USE TO TRY TO EVALUATE YOUR CASE. LACK OF INFORMATION GREATLY IMPEDES MY ABILITY TO DISCOVER WINNING DEFENSES OR JURY ARGUMENTS.

ALL PERSONAL DATA WILL BE KEPT CONFIDENTIAL.

DO NOT DELAY IN RETURNING THE QUESTIONNAIRE SINCE “TIME” CAN BE AN IMPORTANT FACTOR IN YOUR CASE.}

QUICK REFERENCE INFORMATION

 
  
Arrest Date     Court Date
Arrest Time   Court Time
List All Charges Court Name

If you've already been to court, list date and tell what happened

 

(e.g. Fulton County Superior Court)
Address   Home Phone
City   Work Phone
State   Other Phone
Email Address   Alternate Email Address
Drivers License State   License Number
Licensed is    Suspended?        
 
OFFICIAL USE ONLY
 
Trial

Pretrial

Plea

Other

 
Full Name     Nickname
Birth date   Age at Time of Arrest
SSN      
Marital Status      
Ages of Children      

If not the custodial parent, do you pay child support?

How much and how often?
How Much Schooling?   Is it court ordered?
Employer   How Long There?
Supervisors Name   Supervisor or Other Contact Phone Number

 

Will He/She Give You a Good Reference?

Were You In The Military? When
Rank   Medals / Commendations
     

Do You, Your Relatives, or Close Friends Own Property?

 

How Much Equity is in the Property?

How Much Bail Can You Make?
   

DESCRIBE THE CURRENT CASE
Date of Incident     Time of Day
Location  
Describe That Location (Residential, Commercial, Rural, Indoors, Out-of-Doors, Street, Parking Lot etc.)
 

Who was there? (Witnesses: Full Name, address, Phone Number and Relationship to Client)
   

Who brought the charges?
Date Arrested    

Name, Address and Phone Number of Person Signing Bond
 
Number of Days /   Months In Custody   

Who Else Was Arrested?
 

Summarize ANY Statement You made to Police at ANY Time
 

Did the Police Ever Read Your Miranda Rights to You (Right to an attorney, Right to Remain Silent etc.)

When Were You Advised of Your Rights?

DESCRIBE IN DETAIL THE EVENTS SURROUNDING YOUR CASE
 
 

What Do You Wish To Do at This Time?

 

PRIOR CRIMINAL RECORD
Arrest 1  
Date  
Charge  
Disposition  
Sentence  
 
Arrest 2  
Date  
Charge  
Disposition  
Sentence  
 
Arrest 3  
Date  
Charge  
Disposition  
Sentence  
 
Arrest 4  
Date  
Charge  
Disposition  
Sentence  
 
Arrest 5  
Date  
Charge  
Disposition  
Sentence  
PROBATION OR PAROLE INFORMATION
Offense(s)  
Sentence  
Time Remaining      
Probation Officer   Phone Number
 
Offense(s)  
Sentence  
Time Remaining      
Probation Officer   Phone Number

COMPLETE THE FOLLOWING IF YOUR PROBATION/PAROLE HAS EVER BEEN REVOKED
On Probation/Parole For What?
 
Violation(2)  
Amount Revoked  
When