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West Palm Beach & Port St. Lucie Bankruptcy > West Palm Beach Bankruptcy Lawyer > Bankruptcy Questionnaire

Bankruptcy Questionnaire

Contact Information

First Name:

Last Name:

Phone Number:

Email:

What You Owe: Please State Amount

IRS Debt:

Credit Card Debt:

Medical Debt:

Repossession:

Other:

Please check all that apply:

Are you obligated to pay child support pursuant to a Domestic Support Obligation agreement or order?

You: Yes No

Spouse: Yes No

Have you filed bankruptcy before?

You: Yes No

Spouse: Yes No

Are you suing anyone in any Court on any matter?

You: Yes No

Spouse: Yes No

Have you transferred, sold or gifted any property to a third party in the past two years?

You: Yes No

Spouse: Yes No

Have you repaid any loans to individuals within the past year?

You: Yes No

Spouse: Yes No

Have you settled any claims wherein you received money in the last year?

You: Yes No

Spouse: Yes No

Have you lived in Florida continuously for the last two (2) years?

You: Yes No

Spouse: Yes No

Does anyone owe you money for any reason?

You: Yes No

Spouse: Yes No

Are you a beneficiary of any will, trust or estate?

You: Yes No

Spouse: Yes No

Have you made any payments totaling more than $600 to any unsecured creditor during the last 90 days?

You: Yes No

Spouse: Yes No

Have you used any credit cards in the last 90 days?

You: Yes No

Spouse: Yes No

Things You Own

Vehicle 1

Vehicle Type:

Approximate Value:

Amount Owed:

Vehicle 2

Vehicle Type:

Approximate Value:

Amount Owed:

Vehicle 3

Vehicle Type:

Approximate Value:

Amount Owed:

Property 1

Real Property Type:

Approximate Value:

Amount Owed:

Property 2

Real Property Type:

Approximate Value:

Amount Owed:

Property 3

Real Property Type:

Approximate Value:

Amount Owed:

Approximate balance of all bank accounts or other financial accounts:

Note: Do not include IRA or other retirement accounts.

Balance:

Additional Info

Provide additional information you believe may be relevant:

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To Whom it
may concern

I have had the good fortune of working with Edward Port, Esq. as I navigated through the complex, humilitating & bewildering process of filing for personal bankruptcy....

— Posted by Leon Williams

Highly Recommend Port Law

Found this law firm thru a referral and now I recommend them any chance I can. Four thousand characters is not enough room for me to praise Port Law Firm. Edward Port and his entire staff, especially David, Rose and Ian, showed compassion and respect thru a very difficult time. Be prepared to ...

- Posted by Mel

Great Communicator

My initial Consult with Mr. Port was very informative. He gave me advice and information based on his experiences that helped me understand the entire process.

- Posted by Edward

Fabulous

Would recommend to everyone and anyone. very easy to talk to, down to earth and talks to you just like another friend of yours. He is very knowledgeable. He answers any and all of your questions truthfully and correctly. Did our joint bankruptcy and told just exactally what to expect and how long it how take. We felt very confident with him ...

- Posted by Patti

Excellent Review for Attorney Edward Neil Port

I would "highly recommend" Attorney Edward Neil Port through my own personal experience. Mr. Port and his Assistant Ian guided me through the most "terrifying" time of my life - Bankruptcy! They were professional, intelligent, organized and communicated with me ...

- Posted by Cynthia

Wonderful Kind man
and his staff

I hired Mr. Port almost 7 years ago and he explained everything my wife and I needed know about a bankruptcy and how it worked. He filed a chapter 13 for us, and after 5 years our debt was cleared. Thank you so much for your help. I have already told many friends and family about your services...

— Posted by Joe and Edie

Great service

He was kind and understanding during my time of need. Payment plan very flexible and helpful...

— Posted by Sandra

My husband and I were going through a financial crisis. A close friend recommended that we call Mr. Edward Port for a consultation. We were both anxious at the initial meeting and within 10 minutes I knew we were in the right hands. Mr. Port patiently took us through all the steps we would have to take in order to complete our bankruptcy...

— Posted by Janet Cohen

He was kind and caring. He understood how hard it was for me to file. He was great...

— Posted by Carol Weinstein

Mr Port helped me through a very difficult time in my life. And I am very thankful for him being there for me...

— Posted by Michael Lerner

Attorney Port and staff have been very professional and helpful. I would definitely recommend them...

— Posted by Allison Orr

Meet Attorney
Edward N. Port, Esq.

Edward N. Port graduated from the University of Miami in 1990 with a BBA in Real Estate/Finance and graduated Cum Laude from Thomas M. Cooley Law School in 1993. He represented major creditors such as Ford Motor Credit, GMAC and Autonation for a few years before deciding it was time to represent the people. Since then, he has dedicated his career to helping people get out of debt in ways that would be most beneficial to them.

Request Your Free Consultation

Fill out the quick form below to have our office contact you and schedule your free consultation. During your free case evaluation, we will get to know you and the types of debt you carry, along with other important information which will help us determine how we may best help you. This confidential consultation is an important first step in becoming debt-free and staying that way. Start today!

Bankruptcy Questionnaire

Contact Information

What You Owe: Please State Amount

Please check all that apply:

Things You Own

Vehicle 1

Vehicle 2

Vehicle 3

Property 1

Property 2

Property 3

Approximate balance of all bank accounts or other financial accounts:

Additional Info

Gain valuable insight to help you master your financial situation

To Whom itmay concern

Highly Recommend Port Law

Great Communicator

Fabulous

Excellent Review for Attorney Edward Neil Port

Wonderful Kind man and his staff

Great service

Meet Attorney Edward N. Port, Esq.

Request Your Free Consultation

To Whom it
may concern

Wonderful Kind man
and his staff

Meet Attorney
Edward N. Port, Esq.