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The following form provides us with information needed to schedule your bankruptcy appointment.  It is important that we are able to obtain a list of your major creditors so we can make sure that we do not have a conflict of interest that would prevent us from representing you.  We will contact you to schedule the appointment and to go over any questions you may have.  

GENERAL INFORMATION
 
Name:
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Mailing address:
Telephone Number:
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Cell Number:
Email address:
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Describe Issue or Problem You Need Addressed:

               
                   
                   
                   
 
                   
 
               
 
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