Kingcade & Garcia, Attorneys at Law, specializing in bankruptcy and foreclosure law in Miami, Ft. Lauderdale and the Florida Keys

Specializing in Bankruptcy Law in Miami, Ft. Lauderdale & the Florida Keys
Confidential Information Sheet	Attorney Profile \| Bankruptcy Education \| Contact

Please fill out the following information, and we can help you decide whether filing for bankruptcy appears to be the right course for you. We can also let you know approximately how much a bankruptcy will cost. This is not a complete interview, and any recommendation is preliminary. We cannot make a recommendation prior to meeting with you and discussing your matter in detail.

You may also download this form in an Adobe Acrobat .PDF file, and mail/fax to our office. Click here for the download. You must have the free "Acrobat Reader" to open the file. Follow this link to download the reader.

You may also print out and fax this form to us at (305) 285-9542

Your Name
Phone Number
Email Address
Please tell us about your debt
HOW MUCH TOTAL DEBT DO YOU HAVE IN THE FOLLOWING AREAS:
Credit Cards
Lawsuits
Foreclosure
Repossession
Taxes
Student Loans
Medical Bills
Other Debt - (Explain)

Have you incurred any new debt in the last 90 days? If so, what kind and how much?
What is your annual income?
What is your spouse's annual income?
WHAT PROPERTY/ASSETS DO YOU OWN?
House or other real estate current market value
Mortgages on real estate
Are you behind on mortgage payments? If so, how many months and dollar amount?
Type and value of autos in your possession
Outstanding debt on autos above
Describe any valuable personal property, including jewelry, collectibles and antiques
Retirement accounts or Cash Value Insurance
Total cash in bank accounts
Total value of stocks/bonds, etc.
Any special considerations or issues?
How would you like us to contact you?
Enter your contact phone number including area code
When is the best time to call?
Enter your email address

If you prefer, you may download this form in an Adobe Acrobat .PDF file, and mail/fax to our office. Click here for the download. You must have the free "Acrobat Reader" to open the file. Follow this link to download the reader.
You may print this page out and fax to us at (305) 285-9542