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BANKRUPTCY QUESTIONNAIRE

GET YOUR BANKRUPTCY PROCESS STARTED TODAY BY SUBMITTING THE FORM BELOW SECURELY TO OUR OFFICE

 



























    SPOUSE INFO (If applicable):










    EMPLOYMENT INFO:









    SPOUSE’S EMPLOYMENT INFO:










    REAL PROPERTY INFO:














































    VEHICLE INFO:


    Make & Model Year & Value Mileage Purchase Date Monthly Payment Balance Condition Automatic
    1. YesNo
    2. YesNo
    3. YesNo

    PERSONAL PROPERTY INFO: (List description and value of each):



    Description of property Value
    1. Cash on hand:
    2. Checking, Savings, etc:
    3. Security Deposits w/landlords, public utilities, etc.
    4. Household goods and furnishings:
    5. Books, pictures, art objects, collectibles:
    6. Wearing Apparel:
    7. Furs and Jewelry:
    8. Firearms, sports, hobby equipment:
    9. Interest in insurance policies:
    10. Annuities:
    11. Interest in IRA or other pension or profit sharing plans:
    12. Stocks, bonds:
    13. Interest in partnership or joint ventures:
    14. Government or corporate bonds:
    15. Accounts Receivables:
    16. Alimony, Maintenance, Support and property settlements in which the debtor may be entitled:
    17. Other liquidated debts owing debtor including tax refunds:
    18. Equitable of future interests other than these listed in Schedule or Real Property:
    19. Contingent and non-contingent interests…
    20. Other contingent and unliquidated claims…
    21. Patents, copyrights:
    22. Licenses, franchised, etc.
    23. Automobiles, trucks, trailers and other vehicle and accessories:
    24. Boats, motors and accessories:
    25. Aircrafts and accessories:
    26. Office equipment, furnishings and supplies:
    27. Machinery, fixtures, equipment and supplies used in business:
    28. Inventory:
    29. Animals:
    30. Crops growing or harvested:
    31. Farming equipment:
    32. Farm Supplies:
    33. Other personal property:

    QUESTIONS RELEVANT TO SCHEDULES E & F:




    DEPENDENT INFO:


    Complete Name(s) of Dependent(s): Age(s): Relationship(s):
    1.
    2.
    3.

    MONTHLY EXPENSES:



    Are property taxes and insurance included? YesNo


















    STATEMENT OF FINANCIAL AFFAIRS INFO:























    ADDITIONAL QUESTIONS RELEVANT TO BANKRUPTCY CASE:





    YesNo
    If yes, please list detailed information regarding activities:

    Security Questions to pull the credit report:










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    The Law Offices of Navid Kohan, A Professional Law Corporation, believes that every client deserves personal attention and care. Your matter is extremely important to us.

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    ENCINO AND TORRANCE

    5535 Balboa Boulevard Ste 228, Encino, CA 91316
    21150 Hawthorne Boulevard, Ste 203, Torrance, CA 90503

    Contact Info

    (866) 411-7759
    (818) 428-1234

    Hours of Operation

    Monday - Friday
    12:00am - 12:00pm

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