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  • Home
  • About Us
    • Law Firm Profile
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    • Directions
      • Denver Metro Office
      • Grand Junction Office
    • Client Testimonials
    • Our Guarantee
  • Bankruptcy Info
    • What is Bankruptcy?
    • Bankruptcy Locations
      • Bankruptcy Attorneys Denver
      • Bankruptcy Attorneys Boulder
      • Lakewood Bankruptcy Attorneys
      • Arvada Bankruptcy Attorneys
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    • Chapter 13 Benefits
    • Why a Lawyer?
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    • Current Clients
  • Creditor Violations
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    • Garnishments
  • Personal Injury
    • Vehicle Injury
      • Auto Accident Attorneys
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      • Bus Accident Law Firm
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      • Wrongful Death
      • Dog Bite
      • Legal Mal Practice
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BANKRUPTCY QUESTIONNAIRE

Directions: Please try to answer as many questions as possible so that the lawyers at Weselis & Suchoparek, LLC can adequately assess all your bankruptcy options over your free consultation. If you are unsure of an answer, use your best estimate. All information disclosed is entirely confidential and secure. Upon completion, you can easily submit this completed form back to our office via the web submission button on the last page. Upon receipt of the completed questionnaire, one of our Colorado attorneys will promptly call you for a free consultation.


Personal Information

Do you have an email address? *
Do you have Spouse ? *
Address *
Does spouse have an email address? *

Background Information

Have you lived in Colorado for over 2 Years?
Have you ever filed Bankruptcy before?
Does anyone else live with you in your home?
Do any of them regularly contribute to the support of your household?
Do you expect to receive any inheritance or anything of value in the future?
Are you currently holding any property that belongs to another person?
Do you have a Safety Deposit Box?
Is anyone currently suing you?
Are you currently suing anyone for any reason?
Are you: *

Financial History

Does anyone owe you money?
Do you have a Life Insurance Policy?
Have you owned any businesses or business stock in the last 6 years?
Do you own any Patents, Copyrights, Licences, or Franchises?
Did you transfer or sell any stock within the last six years?
Did you pay any ONE creditor more than $600 within the last 90 days?
Did you pay more than $600 to ONE family member within the last year?
Have you ever had anything repossessed?
Have you ever had your wages garnished?
Have you lied on any of your credit card applications?
Are you currently expecting a tax refund?
Are you current on your State and Federal income tax filings?
Do you owe / pay child support?
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Did You Ever:

Account Information

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Do you currently have more than $100 in actual cash?
Have you closed any Checking, Savings, or CD accounts in the last 12 Months?
Do You Have A:

Housing Information

Do you currently:
Have you ever owned a:
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Approx Year Purchased
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USD
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Approx Current Value
Is this mortgage in foreclosure or behind in payments?
Do You Want to Keep this Property?
Did anyone ever put your name on a real property deed?
Did you ever co-sign a mortgage or loan for anyone?

Vehicle Information

Do you:
USD
Is this vehicle paid off?
Is this loan current?
Did someone else co-sign?
Do you want to Keep this Vehicle?
Do You have additional Vehicles?

Your Income Information

Please List your total gross (before tax) income over the last six months from wages, salary, tips, bonuses, overtime, etc. If you are married also list the figures for your spouse.
Your Monthly Income
Spouse's Monthly Income
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List all other income for the last six months
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Additional Employment Information

Are you currently employed?
USD
USD
USD

Additional Income or Spouse's Income

Do you or your spouse hold another job that is not listed above?
USD
USD
USD

Debt Information

USD
USD
USD

Other Information

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