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English (US)
Doan Law Free Bankruptcy Evaluation
Find out if Bankruptcy is right for you. Simply fill out and submit our FREE five step bankruptcy evaluation form and we will get right back to you!
1 of 5
Tell Us About Your Debt
Please check the boxes that best fit your situation. (Select all that apply)
Credit-Charge Cards
Medical Bills
Payday Loans
Personal Loans
Business Loans
Auto Loans
Mortgage or Rent
Student Loans
Spousal - Child Support
Taxes
Traffic fines
Tickets
Restitution
Estimated Total Debt
What to do now? : Simply add up ALL of your total debt from the items you checked (estimated is fine) and enter the total in this box. Then click NEXT.
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2 of 5
Tell Us About Your Monthly Payments
Please Describe Your Debt
Auto Loans
Child Support
Credit Cards or Charge Cards
Income Taxes
Medical Bills
Mortgage or Rent
Payday Loans
Personal Loans
Estimated Total Monthly Bills
What to do now?: Simply add up ALL of your total debt from the items you checked (estimated is fine) and enter the total in this box. Do not include any other debts... yet. Then click NEXT.
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3 of 5
Tell Us About Your Assets
Do You Own A House?
Yes
No
Value
List the current market value
Debt
List the total of all liens
Besides a house, do you own other real estate?
Yes
No
Value
List the current market value
Debt
List the total of all liens
Do you own a car, truck or motorcycle?
Yes
No
Value
List the current market value
Debt
List the total of all liens
Additional Assets
Other assets :Tip: If you own other assets not mentioned above, please list them in the box, with current values and Debts. Then click NEXT.
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4 of 5
Tell Us About Your Monthly Income
Please Describe your Income
Full-time job
Part-time job(s)
Self Employed
Social Security
Pension or Retirement
Child/Spousal Support
I currently have no income
Estimate Total Monthly Income
What to do now? : Simply add your monthly income from the above and enter the total in this box. Then click NEXT.
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5 of 5
Your Contact Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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