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COMPLETE before a consultation or fee quote


Prior Bankruptcy?
Examples are: Foreclosure, Car Repossession, Law Suits, Too much Debt, Debt Collection, etc.
Your First and Last Name
Your First and Last Name
Primary Contact Phone
Primary Contact Phone
Secondary Contact Phone if any
Secondary Contact Phone if any
Name the County and indicate how many months and years you have lived in this County.
Are you *
Spouse's Name
Spouse's Name
Whether you're filing Jointly or have a Non-Filing spouse, you Spouse's name is required.
Spouse/Partner's Contact Phone
Spouse/Partner's Contact Phone
Do you and your spouse live in separate households?
Household Information
Income Information
Are you a sole proprietor, shareholder, partner or investor in any business(s)?
Please enter Estimated Amounts for following...
Do you Receive Unemployment?
Receive Social Security?
Pay Child Support?
Receive Child Support?
Have another income? Examples: rentals, oil/gas royalties, gifts, etc.
Have you made a distribution(s) from a 401K or IRA in the last 7 months?
Do you have interest in a Trust?
Real Estate
Do you have a Mortgage?
If Yes, are you Current on Payments?
If Not Current, Can you catch up Arrears within a Month or so?
Do you own Rental Property?
Do you own Land/Lot(s) or have any other interest(s) in Land?
Do you Rent where you live?
Vehicles, Boats, Trailers, etc
Are you current on Vehicle Payments?
Banking Information
Retirement Account(s)
Other (if yes, please describe)
Are your Debts primarily
Is any Loan secured by Household items?
We serve SAN ANTONIO, AUSTIN & WACO DIVISION and surrounding communities within the Western District of Texas. (Counties of Atascosa, Bandera, Bastrop, Bell, Bexar, Blanco, Bosque, Burleson, Burnet, Caldwell, Comal, Coryell, Dimmit, Edwards, Falls, Freestone, Frio, Gillespie, Gonzales, Guadalupe, Hamilton, Hays, Hidalgo, Hill, Karnes, Kendall, Kenney, Kerr, Kimble, Lampasas, Lee, Leon, Limestone, Llano, Mason, Maverick, McCulloch, McLennan, Medina, Milam, Real, Robertson, San Saba, Somervell, Terrell, Travis, Uvalde, Val Verde, Washington, Wilson, Williamson, and Zavala.