BANRUPTCY INTAKE FORM
How long at this address:
If married, is your spouse included in all of your debt?
Do you have any children living at home?
What is your immigration status?
Are you making mortgage payments where you are living?
Have you ever filed for bankruptcy before?
If yes, please indicate the year and chapter that you filed?
Do you have any prior or are you now in foreclosure proceedings?
If yes, how many months have you not paid your mortgage?
Aside from the current foreclosure (if any), have you ever had a home foreclosed by the bank?
If yes, please indicate when and where this happened:
Do you have a second or third loan on your home?
If yes, with which bank?
How many homes do you own?
Where are they located?
Have you ever had any vehicle or boat repossessed in the past?
If yes, when did this happen?
Please indicate below the type of debt that you have now:
Carro / barco
Car / boat
How many vehicles do you own?
How much do you earn per year?
For each vehicle, please indicate the make, model and miles:
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