doan.law easy online intake

James P. Doan, Esq.

(760) 290-1400 | jamesdoan.com

Easy Online Intake Form - Free Attorney Evaluation

Your basic information helps me determine how I may be able to help you.
I only need estimates at this time.

PRIVACY: I DO NOT share your information with anyone. Your SSN is only required to search PACER for prior bankruptcy case information and has no effect on your credit.

If you have any problems or questions completing this form, please call me.
- Name of Primary Contact
  
  First NameLast Name
- Marital Status
- Dependents
  Number
- Best Phone Number
  Format: (000) 000-0000.
- Email
  example@example.com
- Date of Birth
- SSN
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Filed Bankruptcy before?
- Year(s) of Prior Case(s)
  Year & Chapter
- Spouse's Name
  
  First NameLast Name
- Spouse's Phone Number
  Format: (000) 000-0000.
- Spouse's Email
  example@example.com
- Spouse's Date of Birth
- Spouse's SSN
- Spouse filed Bankruptcy before?
- Year(s) of Spouse's Prior Case(s)
  Year & Chapter
- Do you own Real Estate?
- Real Estate Value
  See Zillow.com for help
- Real Estate Debt
  Total Mortgages, Liens, Unpaid Taxes
- Are you current on all of your payments?
- Have you received a Notice of Default?
- Notice of Default Date
- Have you received a Notice of Trustee Sale?
- Trustee Sale Date
- Do you have any concerns about your real estate?
- Describe any other real estate or time share you own.
- How many cars/motorcycles do you have?
- Vehicle 1 (V1) Information
- V1 Yr/Make/Model
  ie 2017 Honda Accord
- V1 Private Party Value
  See www.kbb.com
- V1 Subject to a Loan or Lease?
- V1 Payoff Amount
  Balance Due on Loan/Lease
- V1 Intention
- Vehicle 2 (V2) Information
- V2 Yr/Make/Model
  ie 2017 Honda Accord
- V2 Private Party Value
  See www.kbb.com
- V2 Subject to a Loan or Lease?
- V2 Payoff Amount
  Balance Due on Loan/Lease
- V2 Intention
- Vehicle 3 (V3) Information
- V3 Yr/Make/Model
  ie 2017 Honda Accord
- V3 Private Party Value
  See www.kbb.com
- V3 Subject to a Loan or Lease?
- V3 Payoff Amount
  Balance Due on Loan/Lease
- V3 Intention
- Vehicle 4 (V4) Information
- V4 Yr/Make/Model
  ie 2017 Honda Accord
- V4 Private Party Value
  See www.kbb.com
- V4 Subject to a Loan or Lease?
- V4 Payoff Amount
  Balance Due on Loan/Lease
- V4 Intention
- Do you have any other Vehicle, RV, Trailer, Boat, ATV, etc?
- Please describe the item and how much is owed, if any, against the item(s):
  Additional cars, RV, boat, motorcycles, etc., and debts against them.
- How much cash do you have on you or in the bank?
  Enter 0 if none
- How much of a tax refund are you expecting (or already received)?
  Enter 0 if none
- Describe any other valuable assets you own:
  ie, Stocks, Bonds, Retirement, 401K, Cryptocurrency, etc. Enter NA if none.
- Estimate your debt. DO NOT use commas, decimals, or cents.
- Are you involved in any LAWSUITS?
- Describe any Lawsuits, Other Debts, and your concerns.
- Estimate your YEARLY GROSS INCOME (before deductions) for this year-to-date, and last year. DO NOT use commas, decimals, or cents.
- What's your AVERAGE MONTHLY GROSS INCOME (before deductions)? Include spouse's income if married. DO NOT use commas, decimals, or cents.
- How many people live at your household? (Disregard Median $ number)
  Number of people living at your home.
- Estimate your AVERAGE MONTHLY LIVING EXPENSES. DO NOT use commas, decimals, or cents.
- Describe any recent cash advances, loans, or major purchases you made within the last six months.
- What else do you think Attorney Doan needs to know? Include any questions or concerns you may have.
- How did you hear about the Doan Bankruptcy Attorneys?
- That's it! Click the SUBMIT button below. We will email you a copy of this form, review the information you submitted, and contact you to discuss your options.
- Should be Empty: