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Quick Contact | Oakland Bankruptcy Lawyer | JC Law Group

Bay Area Bankruptcy Attorneys



This form helps your Oakland bankruptcy attorney from JC Law Group evaluate your financial circumstances. For those who schedule an appointment for a consultation, the client will have to provide this information. As such, it is to your benefit to fill out this two-page bankruptcy questionnaire so that your Oakland bankruptcy attorney can properly advise you.

1. Personal Information
First Name: *
Last Name: *
Email Address: * ( Privacy Policy )
Street Address: *
City: *
State: *
Zip: *
Phone: *
 
2. Bills (check all that apply)
Credit Cards Personal Loans
Home Mortgage Judgments
Tax Debts Government Fines (i.e., parking tickets)
Student Loans Auto Loans
Medical Bills    
Credit Card balance: $
Home Mortgage balance: $
Student Loan balance: $
Tax Debt balance: $
Auto Loan balance: $
 
3. Property
Approximate Value of Home: $
Monthly Mortgage Payment: $
Are you behind on your mortgage payments? Yes     No
Vehicles you own or make payments on?
Monthly Car Payments: $
Are you behind on your car payments? Yes      No
 
4. Income
Monthly Household Income (after taxes and deductions): $
Other Monthly Income: Disability Part-Time Job
(check all that apply) Social Security Child Support
  Pension Unemployment
  Rental Property Worker's Compensation
 
5. How Did You Hear About JC Law Group ?
Google Yahoo
MSN Craig's List
Ask Jeeves Yellow Pages
City Search Findlaw.com
BankruptcyAction.com Personal Referral
Attorney Referral Saw Building
AOL Search    
  If Other (Please mention)  
  Other Search Engine:
  Other Website:
 
6.  Finish
We are a law firm and not a company that uses untrained operators to generate leads for other attorneys.  Therefore, we request that you select a time frame Monday through Friday between 8 a.m. and 6 p.m. for us to contact you to review your case. Or, you can submit your questionnaire then call us during regular business hours at your convenience.
Time:
Please enter the phone number you would prefer to be contacted at:

* I understand that by filling out this free consultation form I am not forming an attorney-client relationship.  I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I agree that the above does not constitute a request for legal advice.  I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail.  I understand that email is not secure and thus I am forming only a semi-confidential relationship.





We are a debt relief agency. We help people find relief by filing bankruptcy in California under the Bankruptcy Code. The information you obtain at this
site is not, nor is it intended to be, legal advice. You should consult a Bay Area bankruptcy lawyer for individual advice regarding your own situation.