Serrano Law Firm, LLC

Call and Speak to a Person, Not a Machine

Connecticut Personal Injury & Accident Lawyer Blog

860 236-9350  ▪  800 856-6400

690 Flatbush Avenue, West Hartford, CT 06110-1308

27 Holmes Avenue, Waterbury, CT  203 756-6100

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690 Flatbush Avenue West Hartford, CT  06110-1308

860 236-9350             800 856-6400  toll free     860 523-9101  fax

27 Holmes Avenue Downtown Waterbury 203 756-6100

 

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 Go To BANKRUPTCY Home Page 

Bankruptcy Inquiry Form - Joint

Husband's Name

Wife's Name, If Married

Phone Number(s)

Address

E-Mail

How Long Have You Lived in Connecticut

Husband's Gross Weekly Income

(Before Taxes and Other Deductions Are Taken Out)  No Dollar Sign

Wife's Gross Weekly Income

(Before Taxes and Other Deductions Are Taken Out)  No Dollar Sign

How Many Minor Children Do You Both Support  If None, Enter 0

Do Either or Both of You Own Your Home?

Yes

No

If So, Please Answer These Questions:

  Year Purchased  Use 4 digits

  Purchase Price  No Dollar Sign

  Total Mortgage Debt  No Dollar Sign

  Present Home Value  No Dollar Sign

  How Many Months Are You Behind on Your Mortgage

None

1

2

3

4 or More

    Has a Foreclosure Case Been Filed Against Your Home

Yes

No

Not Sure

Do Either of You Own Other Real Estate

Yes

No

If So, Please Answer These Questions:

    How Many Properties

    Are Any Properties In Foreclosure

Yes

No

Not Sure

Have You Both Filed All Your Income Tax Returns For the Last 4 Years

Yes

No

Not Sure

Do Either of You Owe Back Federal Income Taxes

Yes

No

Not Sure

Do Either of You Owe Back State Income Taxes

Yes

No

Not Sure

Are Either of You Under A Court Order to Pay Alimony or Child Support

Yes

No

Not Sure

If So, Are You Behind In Payments

Yes

No

Not Sure

Have Either of You Filed Bankruptcy in the Last 10 Years

Yes

No

Not Sure

If So, Please Answer These Questions for Each Previous Case:

Most Recent Case

Chapter 7

Chapter 13

Both Filed

Husband Filed Alone

Wife Filed Alone

2nd Most Recent Case

Chapter 7

Chapter 13

Both Filed

Husband Filed Alone

Wife Filed Alone

3rd Most Recent Case

Chapter 7

Chapter 13

Both Filed

Husband Filed Alone

Wife Filed Alone

4th Most Recent Case

Chapter 7

Chapter 13

Both Filed

Husband Filed Alone

Wife Filed Alone

Have Either of You Paid Back Any Money to Relatives During the Last 12 Months

Yes

No

Not Sure

Have Either of You Paid Back Any Money to Business Partners During the Last 12 Months

Yes

No

Not Sure

Have Either of You Transferred or Given Away Any Property During the Last 3 Years

Yes

No

Not Sure

Are Either of You Behind On Any Car Loans

Yes

No

Not Sure

Do Either of You Have Any Lawsuits Against Anyone

Yes

No

If So, Please Indicate

Do Either of You Have a Reason to File a Lawsuit Against Anyone

Yes

No

Not Sure

If So, Please Explain  
Have Either of You Been Hurt in a Car or Other Accident in the Last 3 Years

Yes

No

Not Sure

Do Either of You Have Your Own Business

Yes

No

Have Either of You Closed a Business in the Last 6 Years

Yes

No

Not Sure

Is Anyone Suing Either of You

Yes

No

Not Sure

Does Anyone Owe Either of You Money

Yes

No

Not Sure

 Please include the area codes for your phone number(s).

 

Please note that with this form you are only sending us information.

To hire us as your attorney you must sign a contract with us to represent you in this matter.

Thank you for sending us this information.

 

Connecticut Debt Relief By Filing Bankruptcy

Congress has designated the Serrano Law Firm a debt relief agency.

We help people file for debt relief under the Bankruptcy Code.

Spanish Spoken  CT Bankruptcy Abogados New Britain, Meriden

Hablamos Espanol  Abogados Credit Card Debt Relief - Willimantic, Norwich

Go To BANKRUPTCY Home Page

 

Attorney John Serrano - Personal Injury, Social Security Disability, Divorce, Bankruptcy, Immigration, Workers Compensation.  Hartford, Waterbury

Please note that our law firm's website is designed to provide only general legal information.

This information is not intended to be legal advice for your individual situation.

Call us for personal injury, Social Security, divorce, bankruptcy, immigration, workers compensation and criminal cases.

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