Follow Up Questionaire | Quad Cities, Illinois Estate Planning Attorneys

445 U.S. Hwy 6 East

PO Box 63

Geneseo, IL 61254

Fax: (309)944-3960

Reply to Geneseo office

Curtis J. Ford*

Mary Ann Brown*

Benjamin T. Young*

JohnPatrick Brown*

James H. Nash of Counsel

Robert N. Nash, of Counsel

John W. Bean, of Counsel

*Also Admitted in Iowa

Weir Professional Bldg.

5030 38th Ave. Suite 2

Moline, IL 61265

Conference facilities

Available throughout

Northwest and Central Illinois

Check all that apply:

*
- I didn’t feel convinced to take the next steps in creating an estate plan.
- I don’t feel ready to take the next steps in creating an estate plan.
- The distance from Nash Bean Ford and Brown and my home is too great for me to continue.
- I’m unable to schedule an appointment at the moment, but would like a call to help set the appointment. (If yes, please fill out your name and phone number below.)
Name :*
Phone Number:*
*
- I already have an estate plan in place that works for me and my situation.
- Creating an estate plan isn’t a priority for me and my situation at the moment.
- Other. (If yes, please fill out why.)

Warmest regards,

Nash Bean Ford & Brown, LLP