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.

About You
Name of Primary Contact*

First NameLast Name
Marital Status*
Dependents*
Number
Best Phone Number*
Email*
example@example.com
Date of Birth
SSN
Address

Street Address

Street Address Line 2

CityState

Zip Code
Filed Bankruptcy before?*

YesNo
Year(s) of Prior Case(s)
Year & Chapter
Spouse's Name*

First NameLast Name
Spouse's Phone Number
Spouse's Email
example@example.com
Spouse's Date of Birth
Spouse's SSN
Spouse filed Bankruptcy before?

YesNo
Year(s) of Spouse's Prior Case(s)
Year & Chapter

Real Estate
Do you own Real Estate?*

YesNo
Real Estate Value
See Zillow.com for help
Real Estate Debt
Total Mortgages, Liens, Unpaid Taxes
Are you current on all of your payments?

YesNo
Have you received a Notice of Default?

YesNo
Notice of Default Date
Have you received a Notice of Trustee Sale?

YesNo
Trustee Sale Date
Do you have any concerns about your real estate?
Describe any other real estate or time share you own.

Other Assets, Bank Accounts, Stock, Retirement
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.

Creditors
Estimate your debt. DO NOT use commas, decimals, or cents.*
Are you involved in any LAWSUITS?*

YesNo
Describe any Lawsuits, Other Debts, and your concerns.

Income & Expenses
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.*

Final Questions & Concerns
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.
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