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Mr. Meyer, thank you so very much for helping us through a very critical time in our lives. Please, do not hesitate to call on us as we would be very happy to tell anyone and everyone how much...(more)
NACBA?National Association of Consumer Bankruptcy Attorneys
We are here to help you through the difficult time of bankrupcty.  Please fill out our short form below so we can contact you to get the process started. 

Full Name
Email

Address
Phone:
Cell
Types of Bills
credit card
car repossession(s)
judgment(s)
tax debt
signature loan/ line of credit
medical
Amount Owed
Under $5,000
$5,000 - $10,000
$10,000 - $15,000
$15,000 - $20,000
$20,000 - $30,000
$30,000 - $40,000
$40,000 - $50,000
Over $50,000
Approximate value of home
Approx balance for all mortgages combined
Are you up to date on your mortage payments?
Yes
No
Vehicle 1
Year/Make/Model
Approximate Value
Approximate Balance
Monthly Payment
Are your payments up to date?
Yes
No
Vehicle 2
Year/Make/Model
Approximate Value
Approximate Balance
Monthly Payment
Are your payments up to date?
Yes
No
Enter any other property of significant value. (For example, if you own a boat, list it here.)
Are you employed?
Yes
No
Self-employed
How often do you get paid?
every week
every 2 weeks
twice a month
monthly
Net pay per paycheck (after taxes, medical and other deductions)
What other types of income do you have?
(Check all that apply)
Disability
Social Security
Pension
Rental Property
Part-time Job
Child Support
Unemployment
Worker's Compensation
Spouse (optional)
How often do you get paid?
every week
every 2 weeks
twice a month
monthly
Net pay per paycheck
(after taxes, medical and other deductions)
Have you filed a previous bankruptcy in the past 8 years?
Yes
No
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Gilbert: 1425 W. Elliot Rd. Ste 105, Gilbert, AZ 85233 • Ofc: 480-518-0154 • Fax: 480-284-5579
Phoenix: 1212 E. Osborn Rd., Phoenix, AZ 85014 • Ofc: 602-258-9899
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