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Ch. 7 Bankruptcy Inquiry
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* Indicates required question
Email
*
Your email
Full legal name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Social Security number
Your answer
Current address
*
Your answer
Prior address within past 3 years
Your answer
Marital status
*
Married, spouse is also interested in filing bankruptcy
Married, spouse does not want to file
Separated
Divorced
Widowed
Single
How many other people live in your house with you?
*
Your answer
List all your household income, including any employment income, food stamp amount, Social Security benefits, VA or pension income received by anyone in your household
*
Your answer
Do you own any real estate, including inherited property that hasn't been put in your name yet?
*
No
Yes
Address and value of any real estate you have an ownership interest in
*
Your answer
If you own real estate, how much is owed on the mortgage?
*
Your answer
Phone number where you can be reached
*
Your answer
A copy of your responses will be emailed to the address you provided.
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