General Information
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Address
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I am a resident of Colorado and have been a Colorado resident since:
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I have minor children at home with me.
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My debts consist mostly of:
Business Debts
Consumer Debts
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Unsecured Debt
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My credit card debt totals:
$
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My medical related debt totals:
$
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My tax debt totals:
$
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My student loan debt totals:
$
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I pay child support debt of $ per month
and the arrearage totals:
$
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My debt as a result of divorce totals:
$
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My other unsecured debt totals:
$
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My total unsecured debt is:
$
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Secured Debt
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I rent
own a home at the following address:
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My monthly payment on my mortgage(s) total $ and the total mortgage debt owed is:
$
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(My home has a fair market value of:
$
)
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I am current
in arrears
in foreclosure on home payments.
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(I own vehicle(s)
with a total fair market value of:
$ )
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My vehicle(s) debt totals:
$
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My other secured debt totals:
$
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My total secured debt is:
$
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Assets
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Excluding my home and my vehicles, I have assets totaling:
$
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which consist of the following main categories:
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Income
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My annual income for the last calendar year, including spousal income, was:
$
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My total monthly income before deductions, (after business expenses if a business), including monthly spousal income is:
$
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Disclaimer: Please be aware that no attorney –client relationship exists with our office until a written fee agreement has been executed.
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Security Code *
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* Indicates Required Fields
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