Bankruptcy Questionnaire

Use of this bankruptcy evaluation questionnaire is free, but it is subject to the terms and conditions contained in our Legal Disclaimers page relative to the use and information found on this website. Please ensure you are apprised of all the facts relative to providing your personal and private information to our law firm by reading the Disclaimer before you fill out this form. If you have any question or concern about use of this questionnaire, please call our Asheville office at (828) 255-9881.

About You

Please tell us about yourself and your spouse, if applicable

Your Contact Information


About Your Assets

Please tell us about the things you own

Your Automobiles, Boats, & Trailers (Vehicles)

Your Real Estate

(type, acreage, etc.)

Your Other Assets

About Your Debts

Please tell us about your debts and monthly expenses


Your Budget

About Your Income and Taxes

Please tell us about employment and income

About Your Employment and Employer(s)

About Your Taxes

General Information

Please tell us about your recent transactions

Other General Information

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