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Lemon Law Questionnaire

Questionnaire If you feel you may have a Lemon Law / Auto Fraud case and would like an attorney to look at the case, we have provided the below form for your convenience.

IMPORTANT NOTE: Robert F. Brennan is licensed to practice law in the State of California only and cannot give legal advice regarding any case in any other state. Please see LINKS for information on attorneys in your state if you are not in California.

Please fill out the following form: (Email Address and detail of specific request required for response.)

About You
First Name

Last Name

Middle Initial

Daytime Phone

Evening Phone

Email

State of Residence

Referred By

About the Vehicle
Year of Vehicle

Vehicle Make

Vehicle Model

Purchase Date

Vehicle Purchased As

Mileage when Purchased

Current Mileage

Purchase Price

Dealer Name

Warranty/As Is

Business Use%

About the Incident
Accident Damage

If Yes, Provide Amount

Describle the Vehicles Problem

Number of repair attempts

Condition still Exist?

Last Repair Attempt

Auto Fraud Type

Comments:

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Lemon Law Questionnaire