This form is intended for creditors who have a divorce, or issues related to child support, alimony/maintenance or property settlement.
Please complete the applicable portions of this form. The more thorough job you do now the faster we can help.
Your Name:
_________________________________________________________________
Your Address:
_______________________________________________________________
State &
County where you live
_________________________________________________
Phone Number: ___________________ (office)
____________________ (home)
Fax Number: ______________________
E-mail address: _________________________
If you are a new client - who referred you to our office: _______________________________
Full Name of
the Debtor(s)
______________________________________________________________
Bankruptcy Case Number: __________________________ Has the debtor filed other bankruptcies? ( ) yes ( ) no
Check the
appropriate box if any of the following were pending a the
time the bankruptcy was filed:
___ a trustee's sale (fill out top information and
numbers 1, 2 and 3)
___ judicial foreclosure (fill out entire form, except
number 4.)
___ forcible entry and detainer
___ repossession
___ garnishment
___ back child support or alimony or have a divorce pending
(fill out the top portion of this form and number 4)
If you know,
what you need our firm to do?
___ a motion for relief from the automatic stay
___ a proof of claim
___ objection to Plan of Reorganization
___ objection to discharge
___ general review of bankruptcy issues
___ attend creditor's meeting (341(a))
___ Other -
_____________________________________________________________________
If you are owed child support,
alimony or have a divorce pending:
Provide this office with a copy of the following:
Divorce decree, property settlement and child support orders.
Demands for payment.
Itemize different amounts owed to you at the time the bankruptcy was filed.
Are you owed child support? 5 yes 5 no If so, how much per month $__________
Are you owed back child support? 5 yes 5 no If so, how much $__________
Are you owed alimony/maintenance? 5 yes 5 no If so, how much per month $__________
Are you owed back alimony/maintenance? 5 yes 5 no If so, how much $__________
Are you owed property
settlement? 5
yes 5
no If so, how what and how much:
$____________________________________________________________________________
Are you owed back
property settlement? 5
yes 5
no If so, for what and how much:
$____________________________________________________________________________
Are you owed any other
debts?
5 yes
5
no
If so, for what and how much:
$____________________________________________________________________________
After we receive this information we will prepare documents. We cannot start the process until we have received this information and a retainer. The more thorough you are in filling out this information the faster the process can be started.
If this is a motion for relief there will be a 5 day demand letter sent to the Debtor and Debtor's attorney.
VERY IMPORTANT NOTES:
IT IS EXTREMELY IMPORTANT THAT YOU DO NOT TALK TO THE DEBTOR or THEIR ATTORNEY.
IS IS ALSO EXTREMELY IMPORTANT THAT YOU DO NOT ACCEPT ANY MONIES FROM THE DEBTOR WITHOUT FIRST TALKING TO THIS OFFICE.
IF YOU ARE A LENDER ON REAL PROPERTY MAKE SURE TO TALK TO ME ABOUT KEEPING ALL PAYMENTS TO SENIOR LIEN-HOLDERS CURRENT - THIS MAY OR MAY NOT BE A GOOD IDEA.
MAKE SURE THAT YOU KEEP TRACK OF ALL MONIES YOU SPEND. IF YOU EXPECT TO RECEIVE A REFUND OF THESE MONIES YOU MUST INCLUDE THEM IN THE FIGURES YOU PROVIDE US IN THIS FORM OR A LATER AMENDMENT.