Eash Law, P.C.

114 South Main Street
Middlebury, IN 46540

(574) 825-9665

Please fill out the following information to the best of your ability. IF YOU HAVE BEEN ARRESTED OR YOU ARE INCARCERATED DO NOT TALK TO POLICE WITHOUT A LAWYER PRESENT. REMAIN SILENT. Fill out this form and an Attorney will contact you as quickly as possible. DO NOT resist law enforcement in anyway, but remain silent as this gives us the best chance to create a viable defense for you against this crime.

Contact information: Your Information

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Do you have a bond?

Yes

Do you need assistance in paying your bond? How much is your bond?

Do you want one of our attorneys to meet with you at the jail?

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When is your next hearing in front of a judge?

Were you questioned by Police?

Yes

Do you have adequate funds to pay for us to represent you?

Yes

Please let us know any additional information you may have that will assist us in getting in touch with you. Do not put privileged information or information you wish to remain confidential in this box. Only talk with an attorney about that information.