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Bankruptcy Form

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Bankruptcy Form

GET YOUR BANKRUPTCY PROCESS STARTED TODAY BY SUBMITTING THE FORM BELOW SECURELY TO OUR OFFICE


SPOUSE INFO (If applicable):


EMPLOYMENT INFO:


SPOUSE’S EMPLOYMENT INFO:


REAL PROPERTY INFO:


VEHICLE INFO:


1st Vehicle

2nd Vehicle

3rd Vehicle

PERSONAL PROPERTY INFO: (List description and value of each):


1. Cash on hand:

2. Checking, Savings, etc:

3. Security Deposits w/landlords, public utilities, etc.

4. Household goods and furnishings:

5. Books, pictures, art objects, collectibles:

6. Wearing Apparel:

7. Furs and Jewelry:

8. Firearms, sports, hobby equipment:

9. Interest in insurance policies:

10. Annuities:

11. Interest in IRA or other pension or profit sharing plans:

12. Stocks, bonds:

13. Interest in partnership or joint ventures:

14. Government or corporate bonds:

15. Accounts Receivables:

16. Alimony, Maintenance, Support and property settlements in which the debtor may be entitled:

17. Other liquidated debts owing debtor including tax refunds:

18. Equitable of future interests other than these listed in Schedule or Real Property:

19. Contingent and non-contingent interests…

20. Other contingent and unliquidated claims…

21. Patents, copyrights:

22. Licenses, franchised, etc.

23. Automobiles, trucks, trailers and other vehicle and accessories:

24. Boats, motors and accessories:

25. Aircrafts and accessories:

26. Office equipment, furnishings and supplies:

27. Machinery, fixtures, equipment and supplies used in business:

28. Inventory:

29. Animals:

30. Crops growing or harvested:

31. Farming equipment:

32. Farm Supplies:

33. Other personal property:

QUESTIONS RELEVANT TO SCHEDULES E & F:


DEPENDENT INFO:


1.

2.

3.

MONTHLY EXPENSES:


STATEMENT OF FINANCIAL AFFAIRS INFO:


ADDITIONAL QUESTIONS RELEVANT TO BANKRUPTCY CASE:


Security Questions to pull the credit report:


Name and amount of previous 2 Banks that you may have obtained a Mortgage from:

Electronic Signatures:

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