Video Call Quick Questionaire

If you already have a video consultation scheduled with our office, please complete the questionnaire below prior to your video call appointment. Completing this form will help us understand your current financial situation better. Failure to complete the form will result in your appointment being canceled or rescheduled.

You must be a citizen or legal resident of the United States with a valid social security number in order to file bankruptcy.
Click or drag files to this area to upload. You can upload up to 2 files.
Please provide a copy or image of your (and your spouse's) driver's license.

Your Debt Sources & History

If you are married, please include your spouse's debts also.

Employment & Income

If you are married, please include your spouse's income also.
Click or drag files to this area to upload. You can upload up to 6 files.
PDF or JPG

Vehicles

More Information

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