Alexander V. Pinter - Attorney At Law

ALEXANDER V. PINTER ATTORNEY AT LAW

30 Years Experience

Chapter 7 Fresh Start
Chapter 13

Debt Consolidation Reduce All Of Your Bills To ONE LOW Monthly Payment

BANKRUPTCY · DEBT RELIEF

FINANCIAL EVALUATION FORM

Please complete the form below and submit it to us. After viewing this form, we will suggest which chapter appears to be the most beneficial to you, by utilizing the facts below. There is no charge for this service. Thank you for visiting our website. We look forward to serving you in the future.

Name:
Address:
City:
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Zip Code:
Daytime Phone:
E-mail:

Have you ever filed any type of bankruptcy before?	YES	NO
Are you presently being threatened with foreclosure or repossession?	YES	NO
Are you being threatened with repossession of property?	YES	NO
Have you already been served with a lawsuit?	YES	NO
Are you presently subject to a garnishment?	YES	NO
Has your automobile recently been repossessed?	YES	NO

What is your monthly income after deductions?
What is your estimated total monthly housing expense?
What is your estimated total monthly living expenses?
What is the estimated balance of your home loan (if applicable)?
What is the estimated monthly mortgage payments you are behind in (if applicable)?
What is the estimated balance due to pay it off in full you automobile (if applicable)?
What is the estimated outstanding unpaid taxes to the IRS or any state (if applicable)?
What is the estimated of your outstanding student loans (if applicable)?
What is the estimated amount of unpaid alimony (if applicable)?
What is the estimated unpaid court ordered fines or restitution (if applicable)?
What is the estimated amount of loan and credit card debt (if applicable)?
What is the estimate of how much you are behind in your monthly payments?
Any questions or concerns?

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Practice Limited to Representation In United States Bankruptcy Court
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706.323.8581
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ALEXANDER V. PINTER ATTORNEY AT LAW
Phone: 706.323.8581 Fax: 706.323.3177
720 Broadway Columbus, GA 31901
(Historic District - Downtown Columbus)

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