Free Bankruptcy Evaluation
Getting meaningful advice and guidance from an attorney requires sharing information about your case to determine the best course of action. Although every bankruptcy case is different, the form below can provide us with the necessary information to help resolve your problem. There are NO Obligations to do any work with us, and the form can be filled out in less than 5 minutes.
Please feel free to contact us by phone at (888)540-3740 or by email (case@) at or fill out the form below:
Which of the following types of bills do you have? |
Credit Cards Medical Bills Judgments Student Loans Tax Debts Government Fines Personal Loans |
| How many different bills do you have? | |
| How much debt is owed: |
Under $5,000 $5,000 - $50,000 $50,000 - $100,000 Over $1000,000 |
| Estimated value of your house: | $
(if you don’t have a house, please leave blank) |
| Estimated Monthly mortgage | $ |
| Have you made all your mortgage payments? |
Yes No |
| Do you have more than 1 mortgage on this property? |
Yes No |
| Do you own a car? |
Yes No |
| Estimated Value: | $ |
| Estimated Balance: | $ |
| Monthly Payment: | $ |
| Have you made all recent payments? |
Yes No |
| Do you own a Second Car? |
Yes No |
| Estimated Value: | $ |
| Estimated Balance: | $ |
| Monthly Payment: | $ |
| Do you own any other property? | |
| Do you currently have a job? |
Yes No |
| Do you have any other income? (Mark all boxes that apply) |
Part-time Job
Child Support |
| First Name | |
| Last Name | |
| Address | |
| Home Phone Number | |
| Cellphone Number | |
| Best time to contact you? | |
| What stage in the Bankruptcy Process are you in? |
Just starting to consider Shopping around I’m ready to file |
| Have you met with any Bankruptcy Attorneys yet? |
Yes No |
| If you have any specific questions or concerns that we can answer on your behalf, please input it on the form to your right? Please add anything you feel is important for us to consider. | |
