Bankruptcy Questionaire

There is Life After Bankruptcy

Not long ago, most people thought bankruptcy would never happen to them. Today, things are different. Especially in Michigan. Bankruptcy is happening to people in record numbers. If you are worried about losing your home to foreclosure, or if you are struggling under a mountain of debt and fear you will never be able to pay it all back, you need to speak with a knowledgeable bankruptcy attorney.

You have options | We can help
Our lawyers can explain how filing Chapter 7 or Chapter 13 bankruptcy can help you come to terms with your financial problems, whatever their cause, and how we can help you get back on track with a fresh start. Take a moment right no to complete the brief questionnaire provided below.

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*First Name:			*Last Name:
Address:
City:		State: Select State Michigan Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  Zip:
Phone:			Alt Phone:
*Email:
Information to assist us in our preliminary evaluation?
Status:		Single    Married    Separated    Divorced
Dependants:		Spouse   Children - ages    Other Dependants
		if married, Spouse's name
Home:		Rent - Mothly Rent $
		Own - Monthly Mortgage $
		if own, are you current Yes    No - Months Behind
		if own, Home Value $ (est)    Mortgage Balance $
Vehicle 1:		Year   Make   Model
		Mo Payment $    Value $    Balance Owed $
		Are you current? Yes   No   -   Months behind
Vehicle 2:		Year   Make   Model
		Mo Payment $    Value $    Balance Owed $
		Are you current? Yes   No   -   Months behind
Credit Cards:		Number of Accounts    Total balance of cards $
Medical Bills:		Number of Accounts    Total balance of bills $
Personal Loans:		Number of loans    Total balance of loans $
Income:		Monthly wages $    Other monthly income $
Additional Information that may be helpful:
NOTE: 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. Your privacy is important to us. We do not share your information with any 3rd party.