QUICK CONTACT

Birmingham Bankruptcy Evaluation

Personal Information

  
* = required

First Name: *

Last Name: *

Email: *

Address: *

City: *

State: *

Zip: *

Phone: *

Specify day/time for a return call: *


Bills

What type of bills do you have? Check all that apply:

Credit Cards Medical Bills
Tax Debts Student Loans

Total amount of bills: *

Under $5,000
$5,000 - $15,000
$15,000 - $20,000
$20,000 - $30,000
$30,000 - $50,000
$50,000 - $75,000
Over $75,000


Property

Approx. home value:

1st Mortgage Balance:

2nd Mortgage Balance:

Are you up to date on your mortgage payments?:

Yes
No

Are there any other mortgages on this property?:

Yes
No


Vehicles

Vehicle 1

Year:

Make:

Model:

Value:

Balance:

Monthly Payment:

Are your payments up-to-date?:

Yes
No

Vehicle 2

Year:

Make:

Model:

Value:

Balance:

Monthly Payment:

Are your payments up-to-date?:

Yes
No



Income

You

How often do you get paid?:

Every Week
Every 2 Weeks
Twice a Month
Monthly

Gross Pay:

Spouse

How often do you get paid?:

Every Week
Every 2 Weeks
Twice a Month
Monthly

Gross Pay:



Other Income

What other types of income do you have Check all that apply?:

Disability Part-time Job
Social Security Child Support
Pension Unemployment
Rental Property Worker's Comp

Monthly Amount:




home  |  firm profile  |  practice areas  |  articles  |  faqs  |  blog  |  contact us  |  resources  |  evaluation  |  sitemap  |  Log in
Greenway Law LLC. All rights reserved. The following language is required pursuant to Rule 7.2, Alabama Rules of Professional Conduct. No representation is made that the quality of legal services to be performed is greater than the quality of legal services performed by other lawyers. This web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship.
310 Richard Arrington Jr. Blvd. N., Suite 400, Birmingham, AL 35203 - 205-324-4000.

Website Design and SEO provided by the Search Engine Optimization firm The Search Engine Guys.