Cameron Bankruptcy Law

Cameron Law Free Consultation Form #1

We have three forms that neet to be filled out. It will take 5-10 minutes. It is important you fill them out so we have something to talk about in your free consultation. The figures do not need to be exact, but rough estimates.

If a question does not apply, please write "N/A" unless a date, then leave blank!

If you have any questions call Kerry at: (919) 627-7748

Name

Phone

Birthday

What is your marital status?

If filing jointly, my spouse's name is:

I plan on possibly filing:

With my spouse

by myself

I do not know

The number of people living with me, including myself is:

List your TAX dependents living with you, and their ages:

This is how much I pay & receive in alimony, palimony, & child support on a monthly basis:

Are you having an emergency? List the one that best applies.

When have you previously filed bankruptcy? Please list type of bankruptcy and date for all.

If you filed Chapter 13 in the last 2 years, how have your circumstances improved?

I had a vehicle repoed in the last 20 days on this date:

My real estate WILL be entered into foreclosure on this date:

I have HAD my court date for foreclosure on this date: