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Dale F. Hardeman
BankruptcyAttorney
Personally Prepares
All Documents
(click on photo)
Stop...
Foreclosures
Repossessions
Evictions
Collection Calls
Lawsuits
Tax Liens
Sleepless Nights
Chapter 7
starting from $900
plus
$299 Filing Fee
includes client interview, property & debt search,
credit bureau report, preparation &
filing of Chapter 7 papers. Representation includes the First Meeting of
Creditors Hearing.
PAYMENT
OPTIONS
Cash, Check or
Credit Card


Fees may be paid with a Visa or MasterCard of
someone other than the debtor

Questions?
Call 24 Hours
949-753-2854
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Do
You Qualify for Bankruptcy?
To receive a free qualifying evaluation, please
complete the Income & Expense Worksheet below, and cut-and-paste into an email,
or fax it to the number below. Additional information may be
required, however, before a final determination is made.

INCOME SUMMARY (COMBINE HUSBAND & WIFE, IF
APPLICABLE)
What Is Your Monthly Income Before Deductions Are Taken Out? $________
Deduct monthly amount for:
Federal Income Taxes: $________
State Income Taxes:
$________
FICA:
$________
State Disability
Ins.: $________
Union
Dues:
$________
Medical
Insurance: $________
Pension
Plan:
$________
401-k
Plan:
$________
Other:
$________
Total Withholding: $_________
Net
Wages:
$_________
Other Income Sources:
Business
Income:
$________
Property
Income:
$________
Stocks,
Bonds:
$________
Annuity:
$________
Social Security (SS)
$________
Supplemental (SSI):
$________
Total Other
Income:
$__________
Total Net Income: $__________
Add the above
EXPENSES:
Monthly Mortgage or Rent: $________
Property
Taxes:
$________
Utilities:
Electric
$_______
Gas:
$_______
Water:
$_______
Phone $_______
Cell Phone $_______
Rubbish $_______
Cable TV $_______
Total
Utilities:
$_________
Home Repairs:
$_________
Food (Home & Eat Out): $_________
Clothing
$_________
Laundry
$_________
Medical &
Dental
$_________
(not taken from check)
Transportation (Gas, etc.) $________
Recreation, Clubs,
etc. $_________
Student Loans:
$ ________
Pet Supplies/Meds:
$ ________
Attorney's Fees for Other $ _________
Civil or Criminal Matter
Charities: $_________
Insurance:
Home
$_________
Life
$_________
Health
$_________
Auto
$_________
Other
$_________
Taxes (IRS Liens,
etc.) $_________
Installment Payments:
Auto
$_________
Household
Goods
$_________
Fines,
Restitution
$_________
Alimony/Child Support:
$_________
Other Monthly Expenses:
Personal
Loans:
$_________
Miscellaneous:
$_________
Total Monthly Expenses: $_______
Total Income After
$________
Expenses:
UNPAID BALANCES:
1. Credit Cards:
$ __________
2. Auto Loan(s):
$ __________
3. Student Loans:
$ __________
4. Taxes (IRS, ETC):
$ __________
5. Repo'd Car Balance(s):
$ __________
6. Medical Bills:
$ __________
7. Unsecured Personal Loans:
$ __________
Total Unpaid Balances:
$___________
COPY-AND-PASTE & EMAIL TO:
Hardeman1@Cox.net
OR...
FAX TO DALE HARDEMAN FOR FREE EVALUATION
949-753-2854
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