FREE EVALUATION

CONFIDENTIAL INFORMATION SHEET

Does it make sense for you to consider bankruptcy? For a free evaluation, please fill out the following information. We can help you decide whether filing for bankruptcy makes sense.  This is not a complete interview, and any recommendation is preliminary, but it will give you a good idea of what to expect.

Your Name
Phone Number (Please list only if it is okay to call you to discuss your information)
Best Time to Contact You
Email Address
How would you like us to contact you?
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?

Additional Information or Questions

 


John Joseph Volin, P.C.
 Arizona Bankruptcy Attorneys

2033 East Warner Road, Suite 107
 Tempe, Arizona 85284

5400 West Northern Avenue, Suite 203
  Glendale, Arizona 85301

480-820-0800 or 1-800-750-0200
joe@volinlaw.com