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Lemon Law Intake Form

ABOUT YOUR VEHICLE:
Is the vehicle you purchased:
Was the vehicle purchased through any sort of discount program offered by the manufacturer (i.e., employee discount, etc)?
Do you use this car for business or personal use?
ABOUT YOUR PROBLEMS:
Does the defect still exist?
Do you have a repair order for every repair attempt?
Any communication with the manufacturer?
Written letter?
Inspection by factory rep?
Have you demanded a refund?

Privacy Notice: Your privacy is very important to us. We will not sell your personal information to anyone for any purpose. Your personal information is collected solely for the purposes of evaluating your potential claim, and then handling your claim if we agree to represent you.

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Thank you so much for all your help and time regarding my situation. I was really unsure of how to handle things and you made me feel so much better. You’re both wonderful people.

Kim A.

Thank you for all you’ve done for me, I am so grateful. You called me back when nobody else would. It meant so much. I can’t begin to say thank you enough, I was able to help my mom and niece.

Juanita T.

I would like to say Thank You for your time and effort concerning my legal issues. Your kind and intelligent words were of great comfort.

Jennifer S.
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