The Shakoori Law Group
Attorney at Law

Concentrating in Bankruptcy Law
in Orange County, California and surrounding counties

 
bankruptcy attorney in Orange County California, Rochelle Shakoori, concentrating in consumer, chapter 7 and chapter 13 bankruptcybankruptcy attorney in Orange County California, Rochelle Shakoori, concentrating in consumer, chapter 7 and chapter 13 bankruptcybankruptcy attorney in Orange County California, Rochelle Shakoori, concentrating in consumer, chapter 7 and chapter 13 bankruptcy
 

 

CONFIDENTIAL INFORMATION SHEET

Please fill out the following information, and we can help you decide whether filing for bankruptcy appears to be the right course for you. We can also let you know approximately how much a bankruptcy will cost. This is not a complete interview, and any recommendation is preliminary. We cannot make a recommendation prior to meeting with you and discussing your matter in detail.

If you prefer, you may download this form in an Adobe Acrobat .PDF file, and mail/fax to our office.  Click here for the download.  You must have the free "Acrobat Reader" to open the file.  Follow this link to download the reader.

You may also print out and fax this form to us at 714-542-3119

Your Name
Phone Number
Best Time to Contact You
Email Address
How would you like us to contact you?
Please tell us about your debt
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.
How did you find us?

If you prefer, you may download this form in an Adobe Acrobat .PDF file, and mail/fax to our office.  Click here for the download.  You must have the free "Acrobat Reader" to open the file.  Follow this link to download the reader.

You may also print out and fax this form to us at 714-542-3119
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