ONLINE BANKRUPTCY CLIENT QUESTIONNAIRE

The quickest way to transmit information to our office is online.  While we are happy to accept a filled-out paper version of our bankruptcy questionnaire, many of our clients find it more convenient to fill-out and submit the bankruptcy questionnaire online.  Our online version is posted below.  Please note that it is broken up into 5 parts.  You must complete all 5 parts but we have broken them up so you can complete and submit them individually and I have also provided a list of documents you may need to complete each section.

The following documents will assist you in filling out Part A:  your last tax return, driver's license.

Everything you have in your possession, from the coffee pot in your home, to the house you live in (and everything in between) is an asset. Even if you still owe money to a creditor, the asset you are paying for is still in your possession and its value must be disclosed when you are filing bankruptcy. Your attorney may be able to help you estimate the value of some property, but in most cases, values can be obtained by you from current mortgage statements, receipts and even bank records.
Except as directed below, list the value of all of your personal property. If you and your spouse have  no property in one or more of the categories, click "No" and move to the next question. The value of property, other than vehicles and real property is the thrift store or used value of that property.  For vehicles please use either Kelly Blue Book or NADA.  For property you must obtain a current market analysis or Fair market value of the home from a licensed realtor.
If the property is being held for the debtor by someone else, state that person’s name and address under “Description and Value”.

You may need your pay stub, W-2, your household bills and/or budget to fill out Part C.

The Statement of Financial Affairs provides the court and trustee with information about financial transactions you may have been involved in over a certain period of time.  These transactions include payments to creditors, foreclosures, transfers, losses, gifts and suits you may have been involved in.  make sure you read each question carefully before providing information.  You may need your last 2 tax returns, W-2s, and information about any lawsuits or judgments filed against you.

Creditors.

THE FOLLOWING INFORMATION IS VERY IMPORTANT!

You are to list EACH and EVERY person or company that you owe money to and all of the information below:

1. Account number
2. Creditor’s Name (Make sure are company names are spelled out. Do not abbreviate)
3. Complete mailing address (Make sure the street address is readable and any abbreviations are spelled out. Make sure the city, state and zip code are included for all addresses.)
4. The year of the debt
5. What the debt is for
6. The amount of the debt
7. Whether you want to repay the debt or not (only if it is secured by collateral).


YOU MUST LIST ABSOLUTELY EVERY CREDITOR THAT YOU OWE MONEY TO!
FAILURE TO LIST A CREDITOR COULD RESULT IN THEM NOT BEING DISCHARGED IN YOUR BANKRUPTCY!


This office does not check this questionnaire to see that you have listed all of your creditors from the invoices and documents you provide to us. Documents are requested for the sole purpose of reference in the event we are unable to clearly read your handwriting. IT IS YOUR RESPONSIBILITY TO LIST EACH AND EVERY CREDITOR THAT YOU OWE. We strongly suggest that you carefully review your credit report and list all creditors showing a balance due.


YOU MUST REAFFIRM, SURRENDER, OR REDEEM PROPERTY SECURING A DEBT WITHIN 30 DAYS AFTER YOUR HEARING OR THE CREDITOR CAN REPOSSESS WITHOUT NOTICE TO YOU.
IMPORTANT NOTICE: YOU SHOULD NOT BE USING YOUR CREDIT CARDS OR INCURRING DEBT WITH THE INTENTION OF FILING BANKRUPTCY AGAINST THE DEBT – THIS IS CONSIDERED TO BE FRAUDULENT BEHAVIOR AND THE DEBT MAY NOT BE DISCHARGEABLE.

For this form you may need your credit report, bills and collections notices.  Please the information for all original creditors and collection agencies available to you.  If you owe a tax authority (like the IRS or Taxation & Revenue), or child support to an ex or child support agency, you must list them as well.