Your First Name * The information in this section is required Middle Name (if applicable) * Your Last Name * Email * Phone * Marital Status * Are you Legally Married? (required) Yes No Income * Describe previous bankruptcy if applicable: Previous BK Date * Previous BK Location * Previous BK Attorney * 4Yrs Tax Returns * Have you filed your tax returns for the last 4 years? (required) Yes No Home Owner * Do you own your home? (required) Yes No Assets Vehicles * Do you own any Cars, Trucks, Motorcycles, Boats, Campers, or recreational vehicles (4-wheelers, Jetskis) Yes No Inheritance * Do you think you might inherit any money or are you expecting to receive any lump sums any time soon? Yes No Business Owner * Do you or have you owned a business in the last 4 years? Yes No Marijuana Industry * Is any of the household income come from the marijuana industry? Yes No Bothering You What types of bills are bothering you? (check all that apply) Tax Debt Late Mortgage Payments Vehicle Loan(s) Credit Cards Medical Bills Income Taxes Child Support Alimony Bounced Checks Cash Advances Business Debt Student Loans Other Additional Information Website Math question * 4 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.