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Criminal Defense

Main Office

1818 Market Street
30th Floor
Philadelphia, PA 19103
215-665-0766
215-665-1225 fax

King of Prussia

Valley Forge Towers
Suite 107
2000 Valley Forge Circle
King of Prussia, PA 19406
877-4-harklaw
877-442-7552

New Jersey Office

1101 Route 70 West
Suite 100
Cherry Hill, NJ 08002
1-800-888-8296
856-354-0440 fax

Recent Cases
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Criminal Defense Intake Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

Booking #:

Court Date:

Time:

Court Name:

Division/Room:

Arresting Officer's Name and Badge:

City of Arrest:

What were you arrested for (include Code section if known)?

Was the crime for which you were arrested a

Have you been convicted of a similar crime before?
Yes  No 

If yes, when?

Have you been convicted of other offenses?
Yes  No 

If yes, what and when?

Are you on probation or parole?
Yes  No 

For what?

Do you have any other cases pending?
Yes  No 

Was anyone else arrested?
Yes  No 

If so, name(s) of all persons arrested:

What statements do you remember making to the police about the alleged crime?

Describe the order of events leading up to the arrest:

Have you discussed the alleged crime with anybody else?
Yes  No 

If so, who did you discuss it with and what did you tell them?

Were there any witnesses to the alleged crime?
Yes  No 

If yes, provide names and contact information if known:

What is the amount of the bond you posted?

Are there any special bond conditions?
Yes  No 

Were you referred by somebody else?
Yes  No 

Who?

Special concerns:

Where did you hear about this website?

 

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Philadelphia Office

Easily Reached by SEPTA

215-665-0766

Cherry Hill Office

1-877-442-7552

1-800-888-8296

King of Prussia Office

1-877-442-7552

610-431-0133

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