Bankruptcy Questionaire

CONFIDENTIAL BANKRUPTCY INFORMATION SHEET

By filingl out the following information we can help you decide whether filing under U.S. Bankruptcy Law is the right course for you. Our Law Firm can also let you know approximately how much a bankruptcy will cost. This is not a complete interview by one of our Attorneys, and any recommendation is preliminary. We cannot make a recommendation for any Legal Services prior to meeting with you and discussing your matter in detail.

If you prefer, you may download this form and list of Questions using an Adobe Acrobat .PDF file, and mail/fax the completed form to our office. Click Here for the download. You must have the free "Acrobat Reader" to open the file. Follow this Link to download the reader. All services are only provided in the areas we are licensed to Practice. Presently those areas cover Maryland, Virginia and The District of Columbia (Washington D.C.)

You may also print out and fax this form to us at 301-881-8896

Your Name
Phone Number
Best Time to Contact You
Email Address
How would you like us to contact you?
Please tell us about your debt
HOW MUCH TOTAL DEBT DO YOU HAVE IN THE FOLLOWING AREAS:
Credit Cards
Lawsuits
Foreclosure
Repossession
Taxes
Student Loans
Medical Bills
Other Debt - Explain
Have you incurred any new debt in the last 90 days? If so, what kind and how much?
What is your annual income?
What is your spouses annual income?
WHAT PROPERTY/ASSETS DO YOU OWN?
House or other real estate current market value
Mortgages on real estate
Are you behind on mortgage payments? If so, how many months and dollar amount?
Value of autos in your possession
Outstanding debt on autos above
Describe any valuable personal property, including jewelry, collectibles and antiques
Retirement accounts or Cash Value Insurance
Total cash in bank accounts
Total cash in stocks, bonds, etc.
Any special considerations or issues you are aware of to help us help you?