Ramond A. Burke Bar# 23028 6135 Park South Drive, Suite 510 Charlotte, North Carolina 28210 Client Cell/Email Client Name: Client maiden name if needed (Leave blank if not needed): Client address or PO Box: Indigency? ----------Marriage Information---------- **Date Married: Date separated. (Leave Blank if Not Separated) **City/State of marriage. ----------Defendant name---------- Defendant's address. Defendant Cell/Email First name and age (oldest first) of all children Additional Comments