Small Business Bankruptcy Questionnaire

Small business owners seeking bankruptcy relief can fill out our bankruptcy questionnaire to receive a FREE consultation.

Company Bankruptcy Questionnaire

1General Information

2General Questions

3Financials & Means Test

Financial Information & Monthly Budget
Monthly Expenses
Average Monthly Expenses to Operate the Business

Just an informed guess will be fine for discussion purposes here.
Monthly Income
Does the Company have any income from rentals?*
- Yes
- No
If so, how much is the monthly income after paying secured debts?
Does the Company have any income from existing contracts?*
- Yes
- No
If so, how much is the monthly income from existing contracts?
Total average of monthly Income from operation of the business

Includes rental, contact and any other income. this is just an informed guess will be fine for discussion purposes here.
Additional issues:
Does the Company owe back taxes?*
- Yes
- No
Amount of back taxes owed.
Year(s) tax debt due:
FABULOUS JOB, BUT BEFORE YOU TAKE A WELL DESERVED BREAK, PLEASE READ THE INFORMATION BELOW AND SIGN (checkbox) WHERE INDICATED.

I REALLY APPRECIATE YOUR COMMITMENT TO PROVIDING ACCURATE INFORMATION WHICH WILL ALLOW ME TO GIVE YOU LEGAL ADVICE TAILORED TO YOUR UNIQUE SITUATION. I LOOK FORWARD TO TALKING WITH YOU. IF YOU DO NOT HEAR FROM US WITHIN 24 HOURS OS SENDING YOUR FORM PLEASE CALL. YOU ARE VERY IMPORTANT TO US AND WE DO NOT WANT YOU TO FEEL UNNECESSARY STRESS JUST BECA-- USE YOU ARE WAITING TO HEAR FROM US. WE ARE REALLY HERE TO HELP YOU.
Check the box below and submit your form.*
- I Confirm I have read and understand the above legal notices
If the form does not submit when you press the button then you need to scroll through the form looking for red paragraphs that need answers. Otherwise, you will receive a notification that it was successfully submitted.
Phone
This field is for validation purposes and should be left unchanged.

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Diane L. Drain | Arizona Bankruptcy Lawyer

Small Business Bankruptcy Questionnaire

Company Bankruptcy Questionnaire

General Information

Step 1 of 3

GENERAL INFORMATION FOR A BUSINESS

Information about you:

General Information

Thanks, you're doing great so far!

General Questions

Step 2 of 3

THE FOLLOWING ARE GENERAL QUESTIONS REGARDING YOUR COMPANY'S CURRENT SITUATION. THIS DISCUSSION IS NOT INTENDED TO ADDRESS YOUR PERSONAL LIABILITY FOR ANY DEBTS. YOU ARE WELCOME TO FILL OUT THE PERSONAL BANKRUPTCY FORM FOR THAT DISCUSSION.

THE FOLLOWING QUESTIONS RELATE TO CERTAIN ISSUES THAT DETERMINE WHETHER OR NOT IT IS APPROPRIATE TO FILE A BANKRUPTCY AND, IF SO, WHEN TO FILE.

CREDIT CARDS, BANKS AND OTHER DEBTS:

HOME, LAND AND VEHICLES

VEHICLE INFORMATION

ASSETS, INCLUDING BUSINESSES:

MISCELLANEOUS

IMPORTANT: IF ANY OF THE FOLLOWING SITUATIONS APPLY TO YOU THEN WE WILL NEED TO DISCUSS THE CONSQUENCES OF FILING FOR BANKRUPTCY.

Thanks, only one more section to go!

Financial Information & Monthly Budget

Monthly Expenses

Monthly Income

Additional issues:

FABULOUS JOB, BUT BEFORE YOU TAKE A WELL DESERVED BREAK, PLEASE READ THE INFORMATION BELOW AND SIGN (checkbox) WHERE INDICATED.

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