Free Consultation

Call (503)810-0471 for immediate assistance or fill out the form below so I can advise you on your options during a free in-person consultation.

Only your name and email address are required, however, the more information you give me, the more accurate and thorough my advice will be.







Why are you considering Bankruptcy? (check all that apply)
Garnishment
Creditor Harassment
Repossession
Forecloser
Lawsuit
Illness / Disability
License Suspension

Divorce
Job Loss
Other:


Do you own or rent your home?

What are your debts?(estimates are okay)
Credit Cards: $
Medical: $
Personal Loans: $
Student Loans: $
Old Repossessions: $
Car Loans: $
Home Mortgage: $
Equity Loans: $
Other: $


What are your income and assests?(estimates are okay)
Income (monthly)
Wages (before taxes): $
Social Security: $
Retirement: $
Investment Income: $
Court Ordered Support: $
Other: $
Asset Value
Car: $
Home: $
Investment Properties: $
Other Investements: $
Other: $


Have you ever filed for bankruptcy? Yes No

Including you, how many are in your immediate family?

Questions or concerns, if any: