Fill and Sign the Breach Contract Questionnaire Form

Breach of Contract Questionnaire Personal Information: Your Name:       Home Address:       Business name and address (if applicable):       Phone Numbers:       (Home)       (Cell)       (Work) Have you ever been involved in a lawsuit before? Yes No If yes, please describe:       Breaching Party(s): 1. Name:       Home Address:       Business name and address (if applicable):       Phone Numbers:       (Home)       (Cell)       (Work) 2. Name:       Home Address:       Business name and address (if applicable):       Phone Numbers:       (Home)       (Cell)       (Work) 3. Name:       Home Address:       Business name and address (if applicable):       Phone Numbers:       (Home)       (Cell)       (Work) Contract Information: Nature of contract:       Date contract signed:       Where signed:       Date(s) contract to be performed:       Date contract to be completed:       Contract Price: $       Person/Entity obligated to make payment:       Payment terms:       Was anyone named as surety/co-signor/guarantor/indemnor? Yes No If yes, who?:       Is there an insurance policy covering loss or damage under the contract? Yes No If yes, please give name and address of insuring party:       Policy type:       Was the contract financed? Yes No If yes, please give name and address of financing party:       Finance terms:       Please list dates and amounts of any payments made: Date Amount       $             $             $             $             $             $       Please describe nature of breach, including date:       Have you arranged for the contract to be fulfilled by other means? Yes No If yes, please describe, including cost involved:       Did you have any forewarning of the breach? Yes No If yes, please describe:       Were there any payments or performances rendered under the contract prior to the breach which did not conform to the contract terms? Yes No If yes, please describe:       Was a complaint lodged? Yes No If yes, please describe:       What type of injury/money damages have you suffered due to the breach?       Does either party claim to not have had the ability to understand the nature of the contract at the time of signing? Yes No If yes, please describe:       Does either party claim fraud/misrepresentation was involved in making the contract? Yes No If yes, please describe:       Were any of the obligations in the contract conditioned on a future event or circumstance? Yes No If yes, please describe:       Does either party claim duress/threats were involved in making the contract? Yes No If yes, please describe:       Does either party claim a mistake was involved in making the contract? Yes No If yes, please describe:       Did either party claim that payment or performance under the contract was prevented by an outside force? Yes No If yes, please describe:       Did either party return something given by the other party after the contract was entered into? Yes No If yes, please describe:       Were any warranties given in connection with the contract? Yes No If yes, please describe:       Did either party orally express terms, conditions or needs not stated in the contract? Yes No If yes, please describe:       Did either party agree to mediation or arbitration in connection with the contract? Yes No If yes, please describe: