Bankruptcy Evaluation - Risen and Ryan - Divorce, Family Law, and Bankruptcy

Bankruptcy Evaluation

Is Filing Your Best Next Step?

Confidential, no-obligation Bankruptcy Evaluation.

Results available within 72 hrs.

Bankruptcy Evaluation

Is Filing Your Best Next Step?

Complete the form below to receive a free, confidential, no-obligation Bankruptcy Evaluation within days. Submitted forms are analyzed by our experienced Bankruptcy attorneys and results are available within 72 hours.

GENERAL INFORMATION

Your Name (required)

Phone Number (required)

Email Address (required)

Street Address (required)

City (required)

State (required)

Zip (required)

How long have you been a resident of Florida?

Have you ever filed for Bankruptcy?YesNo

If yes, in what month and year did you file?

Are you currently married?
YesNo

How many people live in your home?

FINANCIAL INFORMATION

What is your GROSS monthly income (i.e. before taxes)?

What is your NET monthly income (i.e. after taxes)?

What is the total amount in all of your bank accounts?

Do you owe money to any bank where you have an account? (e.g. car loan, home loan)YesNo

What is the total of your Unsecured Debt? (e.g. credit cards, medical bills, personal loans, etc.)

ASSETS

REAL ESTATE

Is there a mortgage on your home?YesNo

If you have mortgage, are you current on your payments?YesNo

If you have a mortgage, what is the current payoff amount?

Do you own real estate other than your home?YesNo

AUTOMOBILES

VEHICLE #1

Make, Model, Year (e.g. Ford Expedition 2015)

Current Value

Balance Owed

Are you current on payments?
YesNo

VEHICLE #2

Make, Model, Year (e.g. Ford Expedition 2015)

Current Value

Balance Owed

Are you current on payments?
YesNo

VEHICLE #3

Make, Model, Year (e.g. Ford Expedition 2015)

Current Value

Balance Owed

Are you current on payments?
YesNo

OTHER SIGNIFICANT PROPERTY (e.g. STEREO, ARTWORK, etc.)

Brief Description

Estimated Value

Brief Description

Estimated Value

Brief Description

Estimated Value

Brief Description

Estimated Value

AVERAGE MONTHLY EXPENSES

Mortgage/Rent

Electricity

Water/Sewer

Phone

Food/Groceries

Medical/Dental

Transportation/Gas

Health Insurance

Life Insurance

Auto Insurance

Recreation

Charitable Contributions

Alimony/Child Support

Auto Loans

Other

How would you like to receive the results of your evaluation?By PhoneBy EmailBy Regular Mail

NOTICE: By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.