Bankruptcy Questionnaire

Fill out this form to jump start your case

Name *

Email *

Phone

Have you ever filed for bankruptcy in the past? When? What chapter?

Are you married?

How many people do you support in your household?

Are you currently employed? If not, how long have you been unemployed?

What is your estimated monthly earnings?

Are you paying a mortgage on your home? If yes, do you owe any arrears? If so, how many months in arrears? Do you want to keep your home or return it to the bank?

Are you financing any vehicles? If yes, do you owe any arrears? If so, how many months in arrears? Do you want to keep your car or return it to the bank?

Please estimate the value of all your household goods. This includes, televisions, computers, desks, furniture, clothes, etc. The best way to estimate is to consider what you would get paid for your household goods at a yard sale.

Please estimate the total amount owed in unsecured debt. This includes credit cards, medical bills, and personal loans.

Do you owe any past due taxes to the IRS? If so, how much?

Do you owe any student loans? If so how much?

Are you involved in any lawsuits? This includes you being sued or you suing someone else. If yes, please provide a case number and the county where the matter is pending.

Benavidez

Law Firm, PC

Bankruptcy Questionnaire

Fill out this form to jump start your case

Benavidez Law Firm, PC

Legal Services

Client Links