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Bankruptcy Form

Bankruptcy Information

  • Filing as individual or jointly, if married?
  • Only if married filing jointly.
  • Number of dependents that reside in household.
  • Number of total household size.
  • Estimated gross monthly income, over the last 6 months.
  • Spouses estimated current monthly income,only if married.
  • What is your source(s) of income? (employer name, social security, pension, other)
  • Do you own a home or rent your principal residence?
  • If own home, are payments late, and if so, how late?
  • Are you financing any vehicles, if so, how many?
  • If financing vehicles, are payments late, if so, how late?
  • Have you filed bankruptcy in the past? And if so, when?
    Date Format: MM slash DD slash YYYY
  • Do you the IRS any back taxes, if so, approximately how much?
  • How much unsecured debt, debt without collateral, do you have?
  • Do you have any pending lawsuits or judgments against you?
  • Are you a member of any legal plan? If Met Life, what is your case number and the last 4 digits of your social security number? If Texas Legal, what is your subscriber ID?
  • This field is for validation purposes and should be left unchanged.

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