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Free Bankruptcy Case Evaluation
We here at The Taylor Law Firm want to help. Submit your information below, we will review your situation, and get back to you within 1-2 business days. Please be aware that the submission of information on this form does not constitute an attorney-client relationship.
Email *
Full Name *
Address *
Phone Number *
Email *
Best Time to Contact You? *
What types of bills do you have? (Check all that apply) *
Required
Amount Owed *
Approximate Value of Home: *
Approximate Balance on Mortgage: *
Monthly Mortgage Payment: *
Are you up to date on your mortgage payments? *
Are there any other mortgages on this property? *
Vehicle 1 (Year / Make / Model / Approximate Value/ Approximate Balance / Monthly Payment) *
Are your payments for Vehicle 1 up to date? *
Vehicle 2 (Year / Make / Model / Approximate Value/ Approximate Balance / Monthly Payment) *
Are your payments for Vehicle 2 up to date? *
Enter any other property of significant value: (example: if you own a boat, list it here) *
Are you employed? *
How often do you get paid? *
Net Pay: *
What other types of income do you have? (check all that apply)
How often does your spouse get paid? *
Spouse Net Pay
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