NOTICE: The information contained in this questionnaire is CONFIDENTIAL and will be used by the law firm of Old Towne Associates, P.C. to assist in determining whether the firm can help you with your case. No attorney-client relationship is established by the provision of confidential information, and no attorney-client relationship will be established until such time as you and we sign a written agreement establishing an attorney-client relationship. It is understood that the law firm of Old Towne Associates, P.C. will rely on the fact that the information contained herein is truthful, accurate and complete unless noted otherwise.