Bankruptcy Qualify Forms


Just a few steps and we can assist with the right process.

 
Why are you considering bankruptcy? (select all that apply)
 
Garnishment Illness/Disability
Creditor Harassment License Suspension
Repossession Divorce
Foreclosure Loss of Income
Lawsuits Other:
 
Estimate Total Debt: $  
 
Which bills do you have? (select all that apply)  
 
Credit Cards or
Store cards 		Income Taxes
Personal Loans PayDay Loans
Child Support Medical Bills
Student Loans Other:
Auto Loans    
Est Total MONTHLY Expenses:    $
What do you own?      (check the box if YES)
Do you own real estate ?
If YES, are you behind in these payments?
Do you own an automobile ?
If YES, are you behind in these payments?
Do you have any additional assets worth more than $1000?

If YES, please describe:

Which types of income do you have? (select all that apply)
Employed, Full-time ChildSupport or Maintenance
Employed, Part-time Other:
Social Security No Income
Pension/Retirement  
Est. Total MONTHLY INCOME :   $
   
       

* Please Note ALL fields below MUST be completed. Thank You

Email:
First Name:
  
Last Name:
Address:

City:
ZipCode:
PHONE:
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Steve Hood Att
Steve Hood Attorney at Law, P.S.
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