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Sam P Tang
Minh T Tran
Charlie P Shane
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(800) 854-6967
Bankruptcy Evaluation
Understand Your Rights
FREE BANKRUPTCY EVALUATION
BANKRUPTCY INFO
CHAPTER 7
CHAPTER 13
DEBT SETTLEMENT
PROPERTIES I CAN KEEP
STOPPING FORECLOSURE
Free Initial Consultation
Set-up a consultation with one of our Washington State Licensed attorneys
Know Your Rights!
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Info@ArrowLawGroup.com
Case Evaluation
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Phone
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Case Information
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Bankcruptcy Evaluation Form
What is Your Name?
(required)
Enter Phone Number
Enter Email
Enter mailing Address
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Select any of the following that CURRENTLY applies
Select all that applies
Garnishment
Foreclosure
Repossesion
Law Suit
I dont know
Other:
Have you or your spose ever filed for bankruptcy
(required)
Yes
No
Not Sure
What is your marital status?
(required)
Single
Divorced
Seperated
Domestic Partnership
Married
Widowed
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How would you classify the majority of your debts?
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Business
Personal/Consumer
Unknown
Do you own any real estate?
(required)
Real estate means land and property that attaches to the land.
Yes
No
Other:
Are you current on all of your mortgages?
Choose no if you are behind on any of your mortgages.
Yes
No
Currently in loan modification
I don't know
I don't own real estate
Other:
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How many people live in your household?
Please include yourself and all children.
1
2
3
4
5
6
7
8
9
10+
What is your household income?
(required)
Please include yourself and all children.
$0-$10,000
$10,001-$20,000
$20,001-$30,000
$30,001-$40,000
$40,001-$50,000
$50,001-$60,000
$60,001-$70,000
$70,001-$80,000
$80,001-$90,000
$90,001-$100,000
$100,000+
what was your total reported gross income on your tax return from the previous year?
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Are you and your spouse employed?
Select all that applies
I am
My Spuouse is
Self-employed
I dont know
Are you or your spouse receiving Social Security income?
Yes
No
Do you have any of these debts:
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Taxes
Student Loans
Government Fines
Child support
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Do you or your spouse own a car?
My Spouse Only
I Own A Car
We Both Have One Car Each
We Have More Than Two Cars
Neither of Us Own A Car
May we contact you to discuss debt relief options?
(required)
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Phone
Email
Text Message
Mail
Additional Information
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