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Home
Personal Bankruptcy
- Chapter 7 Bankruptcy
- Chapter 13 Bankruptcy
Business Bankruptcy
- Chapter 11 Bankruptcy
- Chapter 7 Business Bankruptcy
Debt Relief Resources
Articles
Testimonials
- Testimonials Espanol
Contact

Fonfrias Law Group, LLC

Richard G. Fonfrias
125 South Wacker Drive, Suite 300, Chicago, IL 60606
P: 312.969.0730 F: 312.624.7954

Name

Date of Birth

SSN

Phone 1

Phone 2

Address

Email

Employer

Monthly Income

Position / Job Title

Length of Employment

Please Select One

I want to File Bankruptcy Immediately I do not want to File Bankruptcy

Spouse's Name

Date of Birth

SSN

Phone 2

Phone 1

Email

What's Your Biggest Legal Concern at This Time?

Dependents Living in Your Home

Yes No

How Many Children Live in Your Home

Does Anyone Else Live With You?

Cashflow

Positive Negative

Do You or Your Family Members Have Any Serious Medical Problems?

Yes No

If so, What is the Nature of the Problems?

Priory Bankruptcy?

Have you repaid any loans to friends or relatives in the past year?

Yes No

In the past 6 months, have you charged over $750 at one time or taken cash advances?

Yes No

If yes, on which card(s)?

List any Secured Credit Lines (Sears, Zales, Ward’s, Layman’s, etc)

About how many different people or companies do you owe money to?

Approximate total amount of Debt on all credit cards $

Do you own any real estate?

Yes No

Please list debts secured by property (property you are making payments on such as a house, car, boat, etc)

Property #1 Description

FMV

Balanced Owed

Mo. Payment

Primary Residence?

Yes No

Property #2 Description

FMV

Balanced Owed

Mo. Payment

Primary Residence?

Yes No

Is There a Co-Signer of Your Debts?

Yes No

If Yes, What Debts?

Do you owe any taxes?

Yes No

If yes, who do you owe?

Amount owed:

Tax Years:

Do you owe any Student Loans?

Yes No

If so, are they government guaranteed?

Yes No

Do you have any other type of Debt not listed above?

Yes No

If yes:

Whom do you owe?

Amount owed

Type of Debt

Do you expect any lawsuit recovery?

What valuable assets (houses, cars, retirement accounts, stocks, etc) do you own outright?

Are you named as Beneficiary of a will?

Yes No

Anything Other Important Details?

FONFRIAS LAW GROUP, LLC
Chicago’s Financial Rescue & Bankruptcy Lawyer

(312) 969-0730 | richprivatemail@protonmail.com
125 South Wacker Drive – Suite 300, Chicago, Illinois 60606