New Clients

Questionnaire for New Debt Relief Clients

What to bring to your appointment.

  • Drivers License or State ID
  • Recent Credit Report (if available)
  • Bills/Collection letters
  • Vehicles / Car Loan Information
  • Real Estate and/or Mortgage Information
  • Proof of Insurance on your House
  • Tax Returns (2 years if available)
  • Recent Paystubs
  • Our Questionaire

Complete the Questionnaire to the best of your ability. This form will help prepare you for the initial consultation, and can help the attorney best determine the most appropriate form of debt relief. You may either complete the form online below or download it and bring it with you to your appointment.

Client Confidential Worksheet

  • LIST OF CREDITORS

    Please list creditors below. Any additional creditors, please list on back.

  • PROPERTY INFORMATION

    Real Property: (i.e.: home or land)

  • EMPLOYER INFORMATION

  • Your Employer

  • (before deductions)
  • Spouse Employer

  • (Child support, pension, unemployment compensation, disability etc.)

  • ESTIMATED MONTHLY LIVING EXPENSES

  • (if not included in mortgage payment)
  • We put in standard amounts the court allows for transportation, home maintenance, recreation and clothing. Please fill out to the best of your ability. Thank you.