Doan Law Bankruptcy Intake

Doan Law Group - Free Evaluation

Tell us what's going on. Don't worry about being exact, we only need estimates at this time to see the big picture. The information you provide is confidential and will not be shared with anyone.

About You
Name of Primary Contact *

First Name Last Name
Marital Status *
Dependents *
Number
Best Phone Number *

Area Code Phone Number
Email *
example@example.com
In the event we need to check for prior bankruptcy cases or obtain a credit report, please provide your Date of Birth and Social Security Number. We will not do either without your express permission. If you do not wish to share this information at this time, simply enter a zero.
Date of Birth *
SSN *

Address

Other Valuables
Describe any other valuable assets you own:
ie, Stocks, Bonds, Retirement, 401K, Savings, Cryptocurrency, etc.

Creditors
Please estimate your debt for each item. PLEASE DO NOT use commas or decimal points. *
Are you involved in a LAWSUIT? *

Yes No
Describe any Lawsuits, Other Debts, and your concerns.

Income & Expenses
What is your GROSS INCOME (before deductions) for this year so far, and the prior two years? DO NOT use commas or decimal points. *
Please estimate your AVERAGE MONTHLY GROSS INCOME from all sources. Gross Income is the amount BEFORE any deductions (taxes, insurance, 401k loans, levies, etc). Include spouse's income (if you have one). PLEASE DO NOT use commas or decimal points. *
How many people live at your household? (Disregard the Median $ number) *
Number of people living at your home.
Please estimate your AVERAGE MONTHLY LIVING EXPENSES. PLEASE DO NOT use commas or decimal points. *

Other Questions, Comments & 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? *
How would you like Attorney Doan to contact you?

Email Phone Either
How do you prefer to meet with Attorney Doan?

Over the Phone At a Doan Law Office Either

The information you provided gives us an airplane view of your unique scenario, and allows us to best address your financial situation. We will review your information and contact you per your preference.

PRIVACY: We value your privacy as much as we value our own, and will not share your information with anybody.
Doan Law Group
California's Largest Family of Attorneys

www.doanlawgroup.com

888-DOAN-LAW
888-362-6529
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Doan Law Group - Free Evaluation