Cameron Bankruptcy Law

Cameron Law Consultation Form Form 2 - POSSESSIONS

This is the second of three forms that need 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.

I need all this information to give you the best consultation possible!

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

Kerry is available 10 am - 10 pm, 7 days a week.

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

Name

Phone

Job Title

INCOME: How much do you and your spouse make in the last six months gross - BEFORE taxes, including bonuses, gifts, child support, alimony, & withdrawals from life insurance & retirement? (If you have a business, also add all profit before taxes.) ALL INCOME!

SELF-EMPLOYED: Have you been self-employed in the last year? If so, please explain.

BUSINESS OWNERS: What Kind of Business Do You Own?

OWN BUSINESS: Have you OWNED a business in the last 2 years? If so, what assets does your business have, and what are they worth?

FUTURE WINDFALL: Do you expect a future windfall of money, or anything of value in the next year? This includes inheritance, GIFTS, lottery, lawsuits, withdrawals from retirement accounts, and any unusual money OR PROPERTY coming in. Please explain.

PAST WINDFALL: Have you had a windfall of money, or anything of value in the past SIX months? This includes inheritance, GIFTS, lottery, lawsuits, withdrawals from retirement accounts, and any unusual money OR PROPERTY coming in. Please explain.

SUING: 1) List amounts and dates of suing, being sued, and whether you have been sued in the last 2 years, including currently. 2) List the amounts & explain every potential lawsuit.

RETIREMENT/LIFE INSURANCE ACCOUNT WITHDRAWALS - Have you withdrawn ANY money from a retirement account or life insurance policy in the last two years? What type, when, & how much?

HOME TYPE: Do you rent your home, own your home, or have a mortgage for a home you are currently living in?

Address

County in NC

DEED: Are both you and your spouse on the DEED (not the necessarily the Mortgage)? This is important!

HOME: If you OWN or are BUYING the home you are living in: 1) What is your home worth on Zillow.com? 2) What is your home's Payoff? 3) How much is your monthly payment? 4) How much is your HOA? 5) How much are you behind on your mortgage & HOA?

HOME PURCHASE: If you OWN or are BUYING the home you are living in: 1) What is the approximate date you purchased your home? 2) How much did you put down? 3) Where did you get the money?

OTHER REAL ESTATE: 1) Are you buying or own any other real estate you are not living in? 2) Please give all the particulars.

VEHICLES: List the following for each vehicle that you are buying or own, NOT leasing: 1) License Plate # 2) State 3) Vin # 4) Mileage 5) Payoff 6) Monthly payment 7) Name(s) of owners 8) $ behind? 9) Keep or let go

VEHICLE PAYMENTS: Do you have any car payments over $650/month? If so, how much are they?

LET GO: Have you sold, traded-in, given away, or junked anything worth $1,000 or more in the last 4 years?

ACQUIRED POSSESSIONS: Have you acquired anything worth $1,000 or more in the last 4 years? Please list all and their current value.

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