Seattle Tax Law Attorney Lana Kurilova Rich, PLLC 11004 NE 11th St., Ste. 119 Bellevue, WA 98004 Ph: (425) 289-0629 Fax: 425-289-0636 How May We Help? Please send the Case Evaluation Form below.Personal Information Name * E-mail * Phone * Postal Address Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Contact Preferences How would you like to be contacted? E-mail Telephone Postal Mail How may we help you? Briefly describe your legal issue. * Disclaimer The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form. Agreement * I have read and understand the disclaimer What code is in the image? * Enter the characters shown in the image.