Initial Consultation Worksheet Personal InformationReal PropertyVehiclesOther AssetsDebtsBudget Miscellaneous Referrals How did you hear about us? * Please SelectAttorny | CPAFriend | FamilyInternetAmerican Bankruptcy InstituteState Bar of TexasOther How did you hear about us? Name or Source of Referral Personal or Business Bankruptcy Are you considering a Personal Bankruptcy or a Business Bankruptcy? * Personal Bankruptcy Business Bankruptcy Both Are you Married? Yes No Will you be filing jointly with your spouse? * Yes No Uncertain Client Information First Name * Last Name * Address Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Mobile Phone * Home Phone Work Phone Personal Email Address * Work Email Address Spouse Information Spouse First Name Spouse Last Name Do you and your spouse have the same address? Yes No Spouse Address Spouse Address Spouse Address Spouse Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Spouse Mobile Phone Spouse Home Phone Spouse Work Phone Spouse Personal Email Address Spouse Work Email Address Business Information Business Name (Legal) Business Name (dba) Business Address Business Address Business Address Business Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Business Type Please SelectCorporationLimited Liability CompanyLimited PartnershipGeneral PartnershipSole Proprietorship Federal Tax ID Number Business Description Prior Bankruptcy Filings Yes No Please List All Prior Bankruptcy Cases Below Debtor Name Chapter Date FIled Case No. Court District plus1 Add Case minus1 Remove Case Next [Real Property]
