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Law Office of John M. Given - BK INTAKE
Bankruptcy Intake Form
Spouses Name (if applicable)
How long have you lived in CA?
Is it okay to send text message to this number?
Do you have any Dependents? How many?
Have you Filed Bankruptcy Before?
What Type of Bankruptcy Do You think you want?
I Don't Know
Are you Being Sued/Harassed
Yes, I'm being sued.
No, I'm not being sued, but Creditors are calling me.
No, I'm not being sued, and Creditors are not bothering me.
What Kind of Debt Do You Have?
John M. Given
How much Debt do you have?
Do you Own Real Estate?
If you own Real Estate, what type(s)
Tell me about your car(s). (Year/Make/Model/Balance/Payment)
What are your sources of income?
What is your Typical Gross monthly income?
What are biggest monthly Expenses, and how much? (e.g., Rent, Car Payment, Food, Gas & Transportation, etc.)
How did you hear about us?
A copy of your responses will be emailed to the address you provided.
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