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The attorney will create a sign-in account when you hire him. You will then use this page to enter information for the attorney and to track your case. For now, you can browse if you wish.

Your Information (Please Update as Needed)

Personal Information
Debtor's Personal Information

Debtor NameFirstMiddleLastSuffix
Debtor AddressAddress Ln 1Address Ln 2CityZip

Other names used in the past 8 years
Social Security Number (no dashes)
Occupation
Employer Name
Employer AddressAddress Ln 1Address Ln 2CityZip
Length of Time Employed
General Information



Date FromDate ToName(s) usedAddress Ln 1Address Ln 2CityZip
Add

Date FiledWhich DistrictCase Number
Add




What date were you released?


Landlord NameFirstMiddleLastSuffix
Landlord AddressAddress Ln 1Address Ln 2CityZip


What are the names (initials only if minors) of your dependents?
What is their relationship to you?
What are the ages of your dependents?

Assets (2016)
REALESTATE
Other Type
AddressCityStateZipCounty$ Total Value
$ Debtors PortionOther Info

Add
VEHICLES

MakeModelYearMileage
$ Total Value$ Debtors PortionOther Info

Add
PERSONAL
Description and Location$ Value
Add
FINANCIAL
Description and Location$ Value
Add
MONEYOWED
Description and Location$ Value
Add
BUSINESS
Description and Location$ Value
Add
FARMFISH
Description and Location$ Value
Add
OTHER
Description and Location$ Value
Add

Creditors
Credit Report XML
Debtor XMLJoint Debtor XML
Creditors
Creditor NameAddress Ln 1Address Ln 2CityZip$ TotalDebt was For ...$ Monthly$ Past Due
 Start DateAccount #

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Creditors (Notice Only)
Creditors - Notice Only
Noticee NameAddress Ln 1Address Ln 2CityZip
Add

Income
Historical Earned Income
$ Debtor 1

Add
Historical Other Income
Other Income Type$ Debtor 1

Add
Debtor's Average Monthly Income (over the last 6 months)
Gross Income
$ Wages$ Overtime$ Business Income$ Rental Income$ Interest Income$ Pension Income$ Child Support or Alimony Income$ Social Security Income$ Welfare Income$ Unemployment Income$ Other IncomeSpecify Other Income if any
Paycheck Deductions
$ Taxes$ Mandatory Retirement$ Voluntary Retirement$ Retirement Loans$ Insurance$ Domestic Support$ UnionDues$ Other DeductionsSpecify Other Deductions if any
Joint Debtor's Average Monthly Income (over the last 6 months)
Gross Income (Monthly)
$ Wages$ Overtime$ Business Income$ Rental Income$ Interest Income$ Pension Income$ Child Support or Alimony Income$ Social Security Income$ Welfare Income$ Unemployment Income$ Other IncomeSpecify Other Income if any
Paycheck Deductions (Monthly)
$ Taxes$ Mandatory Retirement$ Voluntary Retirement$ Retirement Loans$ Insurance$ Domestic Support$ UnionDues$ Other DeductionsSpecify Other Deductions if any
Total Gross Income:
Total Income Deductions:
Total Net Income:
Contributions by Others
$ ContributionsDescription of Contributions by Others
Anticipated Changes of Circumstances
Describe Any Anticipated Increase or Decrease of Income in the Near Future

Expenses
Please finish entering your creditors first.

Contracts
Contract Party NameAddress Ln 1Address Ln 2CityZip
Contract Description

Add

Codebtors
Please finish entering your creditors first.

Financial History
In the Past 90 Days
What creditors have you paid anything to (don't include if less than $600)?
Who Got Paid (Name, Addr)Date(s)$ Paid$ Balance
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Setoffs against deposits made by any creditor, including a bank?
Creditor Name & AddrDate(s)$ Amount
Add

In the Past 120 Days
What property has been placed in the hands of an assignee or receiver for benefit of creditors?
Assignee Name & AddrDateTerms of Assignment or Settlement
Add

In the Past Year
What "insider" creditors have you paid anything to (don't include if less than $600)?
Who Got Paid (Name, Addr, Relationship)Property GivenDate(s)$ Paid$ Balance
Add

What "insider" creditors have you paid debts for (don't include if less than $600)?
Who Got Paid (Name, Addr, Relationship)Property GivenDate(s)$ Paid$ Balance
Add

What lawsuits were you (or are you) a party to?
Caption and Case NumberNature of ProceedingCourt LocationStatus
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What garnishments or seizures of property have occurred?
CreditorDate(s)Property Seized: Description and Value
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What losses have you sustained (like fire, theft, casualty, or gambling)?
Property Description and ValueCircumstancesDate(s)
Add

What payments have you made for debt counseling or bankruptcy?
Recipient Name & AddrDate$ Amount
Add

Closed bank accounts?
Bank Name and AddressAccount# (last 4)Date & Amount at Closing
Add

Safe deposit boxes?
Bank Name & AddrPeople with AccessContents DescriptionDate of Surrender or Transfer if Any
Add

Storage Unit?
Bank Name & AddrPeople with AccessContents DescriptionDate of Surrender or Transfer if Any
Add

In the Past Two Years
What gifts to persons have you made?
Recipient Name & AddrRelationshipDateProperty Description and Value
Add

What donations to charity have you made?
Recipient Name & AddrRelationshipDateProperty Description and Value
Add

What other sales, transfers, or other transactions have you made, not listed above?
Transferee Name & AddrDateProperty Description and Value Received
Add

In the Past Two Years if You Were in Business for Yourself
(i.e. officer, director, partner, managing executive, sole proprietor, 5% shareholder)

Bookkeepers and accountants
Name and AddressDates Service Rendered
Add

Persons who audited books
Name and AddressDates Service Rendered
Add

Banks, creditors, or others to whom a financial statement was issued
Name and AddressDates Service Rendered
Add

In the Past Four Years if You Were in Business for Yourself
(i.e. officer, director, partner, managing executive, sole proprietor)

Business Information:
Business NameITIN/SSNAddressBusiness NatureBegin-End Dates
Add

Which if any of these businesses are single asset real estate?
NameAddress
Add

Please enter the following information for the last two inventories taken:
Date of InventorySupervisor$ Dollar AmountCustodian Name and Address
Add

In the Past Eight Years
List the name of any spouse you lived with in a community property state (Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin)?
Spouse Name(s)
In the Past Ten Years
What property have you conveyed into a trust that you created?
Trust NameDateProperty Description and Value
Add

At the Present Time
What property do you hold or control that is not your own?
Owner Name and AddressProperty Description and ValueProperty Location
Add

If you are in business for yourself (i.e. officer, director, partner, managing executive, sole proprietor, 5% shareholder), who has possession of the books?
NameAddress
Add


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Service Locations

Although I represent clients throughout Utah, Clients from the following locations will attend their 341 meeting in Provo, my home location.
    Utah County
  • Provo Bankruptcy Attorney
  • Orem Bankruptcy Attorney
  • American Fork Bankruptcy Attorney
  • Lehi Bankruptcy Attorney
  • Alpine Bankruptcy Attorney
  • Springville Bankruptcy Attorney
  • Highland Bankruptcy Attorney
  • Lindon Bankruptcy Attorney
  • Mapleton Bankruptcy Attorney
  • Eagle Mountain Bankruptcy Attorney
  • Saratoga Springs Bankruptcy Attorney
  • Pleasant Grove Bankruptcy Attorney
  • Payson Bankruptcy Attorney
  • Spanish Fork Bankruptcy Attorney
  • Santaquin Bankruptcy Attorney
  • Salem Bankruptcy Attorney
  • Draper Bankruptcy Attorney
  • Wasatch County
  • Heber Bankruptcy Attorney
  • Midway Bankruptcy Attorney
  • Juab County
  • Nephi Bankruptcy Attorney
  • Mona Bankruptcy Attorney
  • Millard County
  • Fillmore Bankruptcy Attorney
  • Delta Bankruptcy Attorney
  • Sanpete County
  • Manti Bankruptcy Attorney
  • Ephraim Bankruptcy Attorney
    Carbon County
  • Price Bankruptcy Attorney
  • Helper Bankruptcy Attorney
  • Emery County
  • Castle Dale Bankruptcy Attorney
  • Emery Bankruptcy Attorney
  • Duchense County
  • Duchense Bankruptcy Attorney
  • Roosevelt Bankruptcy Attorney
  • Uintah County
  • Vernal Bankruptcy Attorney
  • Sevier County
  • Richfield Bankruptcy Attorney
  • Salina Bankruptcy Attorney
  • Grand County
  • Moab Bankruptcy Attorney

We are a Debt Relief Agency

We are a debt relief agency. We help people file for bankruptcy relief under the Bankruptcy Code.

The information on this site is provided for general purposes only and does not constitute legal advice. No attorney-client relationship exists simply by virtue of viewing this page or submitting information using this page. The attorney-client relationship must be established by written agreement with and payment to the attorney himself.

Debt Solution Services