Free Bankruptcy Case Evaluation

Fill out our free bankruptcy case evaluation form and receive an immediate response

Welcome to our free bankruptcy case evaluation: chapter 7 and chapter 13 bankruptcies

Hello!  Please take a couple short minutes to complete the following free bankruptcy case evaluation form.  We’ve created this form with you in mind and hope it is a convenient tool for you.  After your submission, an Atlantis Law bankruptcy attorney will carefully review your information.  An attorney will promptly call you or email you within 24 hours to personally speak with you about your bankruptcy case.  Our attorneys will use this form to see if you qualify for a chapter 7 bankruptcy or a chapter 13 bankruptcy.

Additionally, based on the information you submit, our bankruptcy attorneys will also be able to give you a more accurate estimation for the fees for your case.  You might even qualify for a free chapter 7 bankruptcy filing from Atlantis Law!  For more urgent matters, such as emergency filings, please contact us directly.  Emergency filings can immediately prevent foreclosure sales, wage garnishments, and bank levies.

We hope this free bankruptcy case evaluation will start on you on the course to financial relief.  We are here to help, and please do not hesitate to call or email us with any questions.





Case Information

Marital Status*

Please tell us your marital status.


Your Motivation*

Please tell us why you are considering bankruptcy.


Questions or Specific Concerns

Please list any other questions or concerns you have regarding your case.


Liabilities

Expenses*

Please estimate your monthly expenses total (rent/mortgage, utilities, food, clothing, etc) .


Debts*

Please estimate your total unsecured debt (credit cards, medical bills, repossession deficiencies, etc).


Do you owe back taxes?*

Are you paying or being asked to pay back taxes to the IRS, Franchise Tax Board or some other agency?

 Yes No


Assets

Do you own a home?*

Do you own your primary residence?

 Yes No

Vehicles

Please list any vehicles you own. Include year, make, model and balance on loan if applicable.

Other assets

Please list any other important assets you have (401(k), retirement accounts, pension, etc).

Primary income

Please enter just YOUR income.

Secondary income

Please enter your secondary income source or your spouse’s income.


Contact Information

Full name

Please enter your full name.

City, State

Please enter city and state.

Email address*

Please enter your email address.

Phone

Please enter your phone number.

Best time to call

Please let us know what is the best time to reach you.

 Morning Afternoon Evening

Preferred Method of Contact

How would you like to be contacted?



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