Contact the Benson Law Firm

Contact the Benson Law Firm
First Name:
Last Name:
Address:
City:
State:
Daytime Phone:
Evening Phone:
Email:
Best Contact Method:	Daytime Phone
	Evening Phone
	Email
Reason for Inquiry:
*Misdemanor Criminal Defense: Flat Fees starting at $350.00 plus cost
Date of Birth:
What have you been charged with?
What County/City?
When is your next Court date?
*Speeding Tickets (non-commercial only): Flat Fees starting at $250.00
Clay, Craighead, Crittenden, Greene, Lawrence, Mississippi, Poinsett, and Randolph Counties only! Services of this type are available in other Arkansas Counties, but fees will have to be discussed!
Date of Birth:
How many miles over the speed limit were you traveling?
What City or County did you receive the ticket?
Have you received any other driving violations (including hazardous driving, speeding, and inattentive driving) in the last 3 years?
When is your Court date?
Do you have a copy of your driving record?
Click Here to find out how to obtain a copy of your Driving Record!
*Commercial Driving Violation Flat Fees start at $500.00
What violations did you receive?
What County?
What violations are on your driving record now?
Do you have a copy of your driving record?
Click Here to find out how to obtain a copy of your Driving Record!
*Uncontested Divorce: $350.00 plus Court costs
Clay, Craighead, Crittenden, Greene, Lawrence, Mississippi, Poinsett, and Randolph Counties only! Services of this type are available in other Arkansas Counties, but fees will have to be discussed!
Click Here to fill out our Online Unconstested Divorce Form!
*Wills: Flat Fee starting at $125.00
Are you married?
- If so, for how long?
What is the name of your spouse?
Will your spouse also need a will?
How many children under 18 do you have?
	Please list children
Have you listed all the children that you have?
Are you excluding any children as a beneficiary of your estate?
	If so, please list children
Who do you want to be the Executor of your estate?
Who do you want to be the Guardian of the minor children?
Do you want a trust within your will so that persons of a certain age will not have free reign over what they may receive from your will?
Until what age do you want a Trustee to oversee the use of estate benefits for persons under the age determined by you?
Who do you want to serve as Trustee of such trust that may be created?
How do you want your estate to be distributed if your spouse survives you?
How do you want your estate to be distributed if your spouse precedes you in death?
Do you have a Power of Attorney document?
Do you have a Living Will?
*Expungement of Criminal Record: Flat Fees starting at $600.00 plus cost
Of what charge were you convicted?
When?
What County/City?
What Court?
Were you sentenced as a 1st Time Offender?
*Personal Injury Contingent Fees starting at 25% so you keep more of your money!
Date of Accident?
Locations of Accident:
-Street?
-City?
-Intersection?
Did anyone involved in accident recieve a ticket?
If so, who recieved a ticket?
If so, what kind of ticket was recieved?
Description of how accident occured:
Description of your injuries:
Do you have a copy of the Police Report?
Comments:

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Benson Law Firm · 1400 West Court Street · Paragould, AR 72450 · Phone: 870-236-1414 · Fax: 870-236-1416