KEENAN LAW OFFICES, P.C. 510-556-1160
Services
Bankruptcy
>
Chapter 7 Bankruptcy
Chapter 13 Bankruptcy
$1600 Bankruptcy
Estate Planning
>
Revocable Living Trust
Will-Based Estate Plan
Pricing
Bankruptcy
Chapter 7 Bankruptcy
Chapter 13 Bankruptcy
$1600 Bankruptcy
Estate Planning
Revocable Living Trust
Will-Based Estate Plan
Pricing
About Us
Contact
Ch. 13 Eligibility Form
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Do you own a home?
*
Yes
No
Are you married?
*
Yes
No
How many dependents live with you?
*
None
1
2
3
4
5
6
7 or more
Have you filed bankruptcy in the last 8 years?
*
Yes
No
Not sure
Check the boxes to indicate what kind of debt you have.
*
Credit Card
Medical
Personal Loan
Payday Loan
Other
What is the total balance due on those debts?
*
Under $5,000
Between $5,000 and $10,000
Between $10,000 and $20,000
Over $20,000
List the Year, Make, Model, and Mileage of all the cars you own
*
ex: 2006 Ford Explorer with 130,000 miles
List the remaining balance on any car loan you have.
*
Ex: 2006 Ford Explorer - owe $10,000 2012 Ford Mustang - Owe $20,000
If applicable, what is the remaining balance on your mortgage and the fair market value of your home?
*
Ex: I owe $500,000 on my home and it is worth $550,000.
What is your regular monthly mortgage payment?
*
How far behind are you on mortgage payments?
*
What is your average monthly income before taxes?
*
I make $2,000 per month. My spouse makes $1,500 per month.
Submit
If you have any questions or concerns during the process, please feel free to call me at 510-556-1160 or email me at
[email protected]
.
Services
Bankruptcy
>
Chapter 7 Bankruptcy
Chapter 13 Bankruptcy
$1600 Bankruptcy
Estate Planning
>
Revocable Living Trust
Will-Based Estate Plan
Pricing
Bankruptcy
Chapter 7 Bankruptcy
Chapter 13 Bankruptcy
$1600 Bankruptcy
Estate Planning
Revocable Living Trust
Will-Based Estate Plan
Pricing
About Us
Contact