Print, complete and bring with you to your interview.

1. Call for an appointment. This is necessary so you do not have to wait because we have an existing appointment or are closed for lunch or errands.

2. Take this completed and executed information sheet and your fees with you when you go to the appointment. The consultation fee is $50. Note above: we do not take personal checks.

3. After we have spoken and decided on a filing, The attorney or secretary will give you additional forms to fill out and make another appointment to have them returned and reviewed. If you do not fill them out completely, we cannot complete your petition. Multiple appointments to get it right may result in additional cost to you.

4. Go ahead and sign up for the informational course (with Family Service, Inc., 864 7704, if you wish). This has to be completed before you can file.

5. Get together your last three years’ tax returns and be ready to give them to us on the day that you file. These have to be given to us before you can file.

6. Follow the directions on the forms and the further directions of the attorney. We will prepare the petition and you will have another appointment to review thoroughly and sign. At or shortly after that time, we will electronically file your petition. Approximately a week later, you will receive notice of a First Meeting of Creditors, at which the bankruptcy trustee and interested creditors can ask questions about your filing. We will be at the first meeting and can offer direction in all of these steps in the process.

7. Answer the following questions thoroughly:


I have carefully read and understand all of the foregoing and understand my obligation to list all of my debts and assets in the written information furnished to my attorney.
Yes   
No   
I believe I have property which may be nonexempt, as follows:
I may have more than $35,000.00 equity in real estate per debtor.
Yes   
No   
Don't know   
I may have more than $3,500 equity in an automobile.
Yes   
No   
Don't know   
I may have household items valued over $5,000 per debtor.
Yes   
No   
Don't know   
I have any other substantial asset, including money in accounts.
Yes   
No   
Don't know   
I have implements, professional books, or tools of the trade valued over $2,000.00.
Yes   
No   
Don't know   
I may have cash value in a life insurance policy.
I am entitled to a tax refund for the last year.
Yes   
No   
Don't know   
I have additional questions about any of the above information and need to speak to the attorney about them.
Yes   
No   
I have consulted with another attorney regarding filing bankruptcy.
Yes   
No   
I understand all information regarding fees and accept the above as a fee agreement between myself and the attorney. I understand that attorney’s fees paid today are nonrefundable.
Yes   
No   
(If Ch. 13) I understand that all important financial changes during the Plan are subject to reporting requirements.
Yes   
No   
I understand that I must discuss all future intentions to rely on credit with the attorney.
Yes   
No   
I have not made any payment or transfer of money or anything of value, outside of ordinary payments to creditors, within the last four years.
True   
False   
I have not given money or anything of value to any family member or friend within the past two years (including a spouse if I am married and filing singly).
True   
False   
I have had a recent insurance, personal injury, or Workers Compensation settlement or expect one in the future.
True   
False   
I understand that the new bankruptcy “reform” law requires that I have completed various things before filing, and have reviewed those requirements, understand them, and can and will comply with them.
True   
False   
I can supply tax returns for the last three years.
True   
False   
I can arrange on my own for the pre-bankruptcy counseling.
True   
False   
I have read the materials at www.kakassy.com.
True   
False   
I (we) have read and understand the above; specifically consent to the terms regarding fees and understand them; and understand that our signatures indicate our wish that you proceed with the processing of our case.
I (we) have read and understand the above; specifically consent to the terms regarding fees and understand them; and understand that our signatures indicate our wish that you proceed with the processing of our case.
Your signature at the bottom of this document CONSTITUTES A FEE AGREEMENT. It will note your understanding and your consent to these terms, should you decide to retain us.

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