Declaration of Bankruptcy

If you haven’t spoken with someone in our office, but would like to complete an online evaluation of your situation, please fill out the Bankruptcy Evaluation Form below.

If you have already spoken with us, we may have asked you to complete the Bankruptcy Questionnaire. Please download and complete this form and bring it to your appointment.

Bankruptcy Evaluation Form

Submitting your information on this secure online bankruptcy evaluation is the quickest way to get a good idea if bankruptcy might be a good idea for you. It is a good starting point to determine if you qualify.

Completing this form does not commit you to anything.


    Tell us the type of debts you have. Do not include mortgages, car loans, or boat loans here.


    Tell us about your assets.


    Tell us about your income. Fill out sources of income.

    Your Income:

    Spouse's Income (leave blank if no spouse):

    Other Income:

    Contact Information

    Please provide us your basic contact information so we may get in touch with you.


    | NO-COST INITIAL CONSULTATION: 817-335-8880 | Call Today!