document.write("<!-- Web Form Generator 2.0 --><center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\"><input type=\"hidden\" name=\"meta_web_form_id\" value=\"93348839\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"linkedin-atty\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_05e371d37783686cbf8e4816cb29e4bb\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"\"><input type=\"hidden\" name=\"meta_message\" value=\"1\"><input type=\"hidden\" name=\"meta_required\" value=\"from,custom Is there a Will,custom Approx value of estate\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center><DIV align=center><FONT size=6 face=Arial><STRONG>Free Estate Review&nbsp;</STRONG></FONT></DIV><DIV align=center><FONT face=Arial>(no obligation)</FONT></DIV><DIV align=center>&nbsp;</DIV></center></td></tr><tr><td>Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Telephone:</td><td><input type=\"text\" name=\"custom Tel\" value=\"\" size=\"20\"></td></tr><tr><td>Relationship:</td><td><select name=\"custom Relationship\"><option value=\"I am a estate executor PR or trustee\">I am a estate executor PR or trustee</option><option value=\"I am a estate benficiary\">I am a estate benficiary</option><option value=\"Other: (state in comment box)\">Other: (state in comment box)</option></select></td></tr><tr><td>State of decedent lived:</td><td><input type=\"text\" name=\"custom State of decedent\" value=\"\" size=\"20\"></td></tr><tr><td>County (or town) decedent lived:</td><td><input type=\"text\" name=\"custom County decedent lived\" value=\"\" size=\"20\"></td></tr><tr><td colspan=\"2\" align=\"left\">Is there a Will:</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom Is there a Will\" value=\"Yes\"> Yes</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom Is there a Will\" value=\"No\"> No</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom Is there a Will\" value=\"Not sure\"> Not sure</td></tr><tr><td>Approx value of estate:</td><td><select name=\"custom Approx value of estate\"><option value=\"Less than $100K\">Less than $100K</option><option value=\"$100K to $300k\">$100K to $300k</option><option value=\"$500k to $1 million\">$500k to $1 million</option><option value=\"1 to $2 million\">1 to $2 million</option><option value=\"2 to $3.5 million\">2 to $3.5 million</option><option value=\"Above $3.5 million\">Above $3.5 million</option></select></td></tr><tr><td colspan=\"2\" align=\"left\">I may need the assistance of a:</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom I may need the assistance of\" value=\"Estate Attorney\"> Estate Attorney</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom I may need the assistance of\" value=\"Probate Realtor\"> Probate Realtor</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom I may need the assistance of\" value=\"Estate Appraiser\"> Estate Appraiser</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom I may need the assistance of\" value=\"Financial Advisor\"> Financial Advisor</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom I may need the assistance of\" value=\"Accountant\"> Accountant</td></tr><tr><td valign=\"top\">COMMENTS Describe your needs:</td><td><textarea name=\"custom COMMENTS Describe your needs\" rows=\"15\" cols=\"30\"></textarea></td></tr>    <tr><td colspan=2><center><DIV><FONT size=1>Submission of information does not create a client / attorney confidentiality relationship. Submission of information allows Estate Settlement LLC to share this information with other professionals. Estate Settlement LLC does not provide any legal or tax advice nor does it endorse any service provider. &nbsp;</FONT></DIV></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr></table></form></center>");

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