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Bankruptcy Case Evaluation

Your Name (required)

Your Email (required)

Your Phone Number (required)

State of Residence (Law Firm only accepts Arizona & California clients)

City of Residence

What type of bankruptcy are you interested in?

Have you or your spouse ever filed bankruptcy before?

What type of debt do you have?
 Credit Card Debt ------- Amount: $
 Auto Loan/Lease ------- Amount: $
 Mortgage Debt ---------- Amount: $
 Student Loans ---------- Amount: $
 Domestic Support ----- Amount: $
 Tax Debt/Liens --------- Amount: $
 Medical Debts ---------- Amount: $
 Personal Loans -------- Amount: $

Are you currently involved in any of the following?
 Foreclosure Proceeding Law Suit Wage Garnishment Bank Levy

Would you like to reorganize of eliminate your debt?

Are you currently employed?

Describe your situation:

We are a debt relief agency and we help people file for Bankruptcy protection under the Bankruptcy code.  This is an advertisement and communication pursuant to state bar rules.  In addition, by submitting this form you have NOT retained our firm to represent you.  Only us agreeing to represent you, and you signing a retainer and paying applicable fees will result in us being retained to be your attorney and to represent you in your legal matter.  This email is not confidential, please do not send confidential information over email.  A member of our firm will call you, as soon as we are available, to discuss your form submission.  Thank you for considering The Law Offices of Steven C. Vondran, P.C.  Copyright 2011 – All Rights Reserved.