Cell Phone (Your Number for Video Call) * Home Phone Email * Are you a citizen or legal resident of the United States? *
You must be a citizen or legal resident of the United States with a valid social security number in order to file bankruptcy.
Marital Status * Single Married Seperated Divorced Is your spouse also filing with you? Yes No Spouse's Email * How Many People Are In Your Household? Your Debt Sources & History
If you are married, please include your spouse's debts also.
Debt Sources - Please check all that apply How much total debt do you have? (please provide an estimation) Are any of your creditors suing you? Which creditor is suing you? Do you rent or have a mortgage? Are you current on your rent or mortgage? Yes No NA If you are behind on rent or mortgage, what amount are you behind? Do you own real estate or are you on the deed to someone else's real estate? Briefly describe all forms of real estate that you own or in which you may be entitled to in some form.
Examples: My home, my rental property, I am on the deed to my mother's house, I have real estate entitled to me through an inheritance, etc.
Have you filed for bankruptcy before? Yes No What year did you file bankruptcy in the past? Employment & Income
If you are married, please include your spouse's income also.
What is your employment status? What is your estimated income amount per year? What is your spouse's employment status? What is your spouse's income amount per year? Vehicles How many vehicles do you have? More Information Does anybody owe you any money? Or can you sue anybody for anything? Or do you have trust, inheritance, annuity, or any other source whre money could be owed to you? If yes, please explain below. * Are you facing a dire collection situation right now? (such as a lawsuit, garnishment, repossession, foreclosure, or sheriff sale) Please provide the details below: By typing my name below I attest that all information provided is true and accurate *