Free Bankruptcy Evaluation

Bankruptcy Law

Fill out the following free bankruptcy evaluation form and submit it for review by Bankruptcy Attorney, Timothy Trichler.  We will contact you after reviewing it.

Check the following that apply:

Creditors calling
More bills than I can pay
Wages Garnished
Automobile repossessed
Home foreclosed
Divorce
License to drive
I am being sued
Job loss
Other


What is your total monthly income


What is your total debt (not including home and autos)?


What are your total monthly living expenses?

Do you own your home?
Yes or No

Are you current on the payments?   Yes or No

What is your home worth if you sold it?


How much do you owe on your mortgage?


Do you wish to keep the home?  
Yes or No

Do you own any automobiles?  Yes or No

Are you current on all the payments? 
Yes or No

How much is your auto worth?


How much do you own on it?


Do you wish to keep the auto?
Yes or No

Name


Street Address


City


Zip


Phone


Email Address


How would you like to be contacted? 
Phone or Email

Brief Description of Legal Situation & Questions