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CLIENT INFORMATION SHEET
FOR BANKRUPTCY PROCEEDINGS
Please complete the following information, reviewing your entries for accuracy .
In order to prevent abuse of our online data entry service,
you must provide valid information in order to receive the LINK to our data entry screen
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NAME
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First Name
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Initial
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Last Name
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ADDRESS
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Street Address
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City and State
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Zip Code
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TELEPHONE (Home)
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TELEPHONE (Work) #:
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FAX #
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CELL or PAGER #
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If none, please enter “None” in box above
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If none, please enter “None” in box above
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E-MAIL
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DOCUMENTS
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Preparation of Petition, Notice of Available Chapters, Statement of Related Cases, Schedules A through J, Summary of Schedules, Statement of Financial Affairs, Statement of Intention (for Chapter 7 cases),
Statement of Assistance, Disclosure of Compensation and Master Mailing List
NOTE: Chapter 13 Reorganizations include typing (not calculation) of Plan of Reorganization.
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CASE TITLE
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DOCUMENT PREPARATION FEES
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Chapter 7 Personal Bankruptcy - $200.00
Chapter 7 Business and Personal Bankruptcy - $200.00
Chapter 13 Reorganization- $200.00
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SOCIAL SECURITY NUMBERS OF DEBTORS:
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Name:
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SS#:
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Name:
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SS#:
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Before you submit your information, we would appreciate you taking the time to let us
know how you initially heard about our services.
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