Stipulate whether you wish to file a Chapter 7, 11, 12, or 13 Petition
Debtor's Full Name:
Debtor's Social Security #.
Debtor's Physical Address, City, State, Zip
Debtor's Mailing Address, City, State, Zip
Debtor's Home, Cell, and Work Phone #.
Joint-Debtor or Spouse's Full Name
Joint-Debtor's Social Security #.
Joint-Debtor's Physical Address, City, State, Zip
Joint-Debtor's Mailing Address, City, State, Zip
Email Address:
Have either of you received a certificate of credit counseling during the last 180 days, if YES, give Certificate #, name of approved agency, and date it issued.
If YES to previous, give address of credit counseling agency.
A Chapter 7 Petition costs about $307 for filing fees, $315 for preparing the petition & schedules, $25 for the pre-filing counseling certificate, and $25 for the pre-discharge budget tutorial certificate. Can you afford this approximate $675 expense to file bankruptcy? Credit report acquisition assistance runs $50/person, unless subsumed in the bankruptcy petition services contract.
Do you have access to the internet and the ability to receive/send e-mail, file attachments, and print out court documents? If not, can you receive such douments by U.S. Mail?
When are the best times/days to schedule an intake interview w/you? If you cannot travel, are you willing to complete all information gathering done during the intake interview by phone and/or internet?

create web form