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Individual Bankruptcy Questionnaire

Bankruptcy Questionnaire (Individual)

Online Bankruptcy Questionnaire for Individual Filing

"*" indicates required fields

Step 1 of 8

Your Bankruptcy Questionnaire

Thank you for getting started! This questionnaire is divided in to 8 steps...

1) Personal Info
2) Assets
3) Debts
4) Wage Income
5) Self Employed Income
6) Other Income
7) Monthly Expenses
8) Misc.

Your attorney will use the information you provide to draft your bankruptcy petition, schedules, and statements. Prior to filing your case, you will review all of the documents with your attorney. If there are any last minute errors that need to be corrected or changes that need to be made, your attorney will do so prior to filing the documents.

At the end of the questionnaire you will be presented with the option to upload the required documents. If you have already provided these documents to your attorney or will email them separately, please disregard and finalize the questionnaire.

If you have any questions or problems with the questionnaire, please fee free to contact us at 954-484-9987 or send an email to

I. Personal Info

Your Name*
Enter the address of your primary residence.
If you have been at your current residence for less than 3 years, please enter your prior address.
Provide the best phone # for us to reach you.
MM slash DD slash YYYY
Have you been a Florida Resident for more than 2 years?*

Your Marital Status*
Household Size*
Let us know the amount of people living in your home with you. This may include your spouse, children, or elderly dependents.
Prior Bankruptcy Filings*
Have you filed a Bankruptcy case in the last 8 years?

If yes, please check all that apply

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