210 River St. # 11 Hackensack, N.J. 07601
(201) 489-7900

Bankruptcy. A fresh start.

Free Evaluation

Submitting this information is to permit the Law Firm to contact the submitting person, that no attorney-client relationship is established, and the law firm will contact you as soon as possible.




Why are you considering bankruptcy? (select all that apply)

  •  Garnishment
  •  Creditor Harassment
  •  Repossession
  •  Foreclosure
  •  Lawsuits
  •  Illness/Disability
  •  License Suspension
  •  Divorce
  •  Loss of Income
  •  Other:

Estimated debt: $

What bills do you have? (select all that apply)

  •  Credit Cards / Store Cards
  •  Personal Loans
  •  Child Support
  •  Student Loans
  •  Auto Loans
  •  Income Taxes
  •  Payday Loans
  •  Medical Bills
  •  Other:

Estimate Total Monthly Expenses: $

  • Do you own any real estate?
  • - If Yes, are you behind in these payments?
  • Do you own an automobile?
  • - If Yes, are you behind in these payments?
  • -Do you have any additional assets worth more than $1000.00?
  • - If Yes, please describe:
  •  Yes No
  •  Yes No
  •  Yes No
  •  Yes No
  •  Yes No

What types of income do you have? (select all that apply)

  •  Employed, Full-time
  •  Employed, Part-time
  •  Social Security
  •  Child Support
  •  Pension/Retirement
  •  Child Support/Maintenance
  •  No Income
  •  Other:

Estimate Total Monthly Income: $