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Bankruptcy Timeline
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Bankruptcy Timeline
Why are you considering bankruptcy?
Creditor Harassment
Judgments
Medical Bills
Lost Job
Garnishment
Repossession
Foreclosure
Divorce
Other
Please Indicate the kind bills you are dealing with:
Credit Cards
Child Support
Student Loans
Auto Loans
Income Taxes
Medical Bills
Utilities
Medical Bills
Auto Loans
Other
What is Your Debt Level?
Select
0-$5,000
$5,000-$10,000
$10,000-$15,000
$15,000-$20,000
$20,000-$25,000
$25,000-$30,000
$30,000-$35,000
$35,000-$40,000
$40,000-$45,000
$45,000-$50,000
Above $50,000
What Is Your monthy Income?
Select
0-$500
$500-$1000
$1000-$1500
$1500-$2000
$2000-$2500
$2500-$3000
$3000-$3500
$3500-$4000
$4000-$4500
$4500-$5000
$5000-$5500
$5500-$6000
$6000-$6500
Over $6500
What are your monthly Expenses?
Select
0$-500
$500-$1000
$1000-$1500
$1500-$2000
$2000-$2500
$2500-$3000
$3000-$3500
$3500-$4000
$4000-$4500
$4500-$5000
Over $5000
Do You Own Real Estate?
Yes
No
If you do own real Estate are you behind on your payments?
Yes
No
Do you Own a Car?
Yes
No
If you do own a car are your behind on your payments
Yes
No
Any Other Information your would like to share with us
First Name
*
Last Name
*
Phone:
*
Email
*
Address
