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Bankruptcy Filing Initial Questionnaire

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What is your zip code?
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When did you move into your state? Put your birthday if you have always lived there.
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What is your marital and filing status?
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How many people are in your household (including yourself)?
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You answered there is only one (1) person in your household, but you are married. Please confirm the number of people in your household.
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How many of your dependants (excluding a spouse) are over 18 years old?
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How often do you receive a paycheck?
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How much do you receive in your paycheck BEFORE taxes?
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How would you pay for the bankruptcy?
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How often does your SPOUSE receive a paycheck?
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How much does your SPOUSE receive in their paycheck BEFORE taxes?
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Estimated monthly overtime income
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Which of the following best represents your approximate annual overtime income?
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Do you receive income from any other sources, e.g. business, retirement, alimony, child supports, etc.?
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Other monthly income
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Which of the following best represents your approximate annual other income?
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Accurate Income is Important

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Is your household annual income approximately $0
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Please click the back button below to update your income.

Have you been discharged from any bankruptcy in the past 6-8 years?
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What chapter did you file?
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What year did you receive discharge (not dismissal)?
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Approximately how much unsecured debt such as medical, credit card and personal loans do you have? Please do not include auto or student loans.
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Do you have any codebtors? (If you are filing a joint case, do not list either spouse as a codebtor.)
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Who are you co-debtors? Please check all that apply.
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Is your spouse filing a joint case with you?
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If you are filing a joint case with a spouse, do not list either spouse as a co-debtor. Based on this information, do you have any codebtors?
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Do you own equity in any high value assets such as a vacation home, boat, RV, etc?
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How much equity do you own in these high value assets?
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How much is the asset worth?
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Automobile Expenses:

How many vehicles do you own or lease? Please include your spouse's vehicle(s) if they are filing with you.
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Automobile 1

Monthly automobile payment:
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What is the Year, Make, and Model of this vehicle?
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Approximately what is the interest rate of this vehicle?
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Is this vehicle titled in your name?
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If applicable, how many months are your behind on your automobile as of this month?
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Do you want to keep this asset?
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Automobile 2

Monthly 2nd automobile payment:
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What is the Year, Make, and Model of this vehicle?
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Approximately what is the interest rate of this vehicle?
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Is this vehicle titled in your name?
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If applicable, how many months are your behind on your 2nd automobile as of this month?
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Do you want to keep this asset?
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Living Expenses:

What is your current living situation?
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Has your landlord obtained an eviction judgement against you?
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Do you own or have possession of any real property or personal property that needs immediate attention?
This refers to owning real estate or personal items requiring urgent care or maintenance.
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Within 1 year before you filed for bankruptcy, did you make any payments or transfer any property on account of a debt that benefited an insider?
Include payments on debts guaranteed or cosigned by an insider.
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Within 90 days before you filed for bankruptcy, did any creditor, including a bank or financial institution, set off any amounts from your accounts or refuse to make a payment because you owed a debt?
"Set-off" means a creditor may subtract what they owe the debtor from what the debtor owes them. For example, if a debtor owes a creditor $500 and the creditor owes the debtor $200, the creditor can set off the $200, so the debtor only owes $300.
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Within 10 years before you filed for bankruptcy, did you transfer any property to a self-settled trust or similar device of which you are a beneficiary?
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Do you hold or control any property that someone else owns? Include any property you borrowed from, are storing for, or hold in trust for someone.
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Has any governmental unit notified you that you may be liable or potentially liable under or in violation of an environmental law?
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Have you notified any governmental unit of any release of hazardous material?
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Have you been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders.
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Fresh Start Finance uploads the information you provide into the applicable bankruptcy forms in a very simple and intuitive way. Do you understand and agree that Fresh Start Finance is not liable if there are mistakes on your forms?
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Please note that you cannot move forward with the software if you would hold Fresh Start liable for mistakes on the bankruptcy forms per selecting "No" above.

Fresh Start Finance is not a law firm nor is it a bankruptcy petition preparer, so our representatives cannot provide legal advice or fill out the forms for you. Do you understand and agree?
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Please note that Fresh Start Finance offers a way to simply fill out the bankruptcy forms, and we do not fill out the forms for you nor are we a law firm, so we cannot move forward if you disagree with the question above.

Are you able to pay the $338 via cash or cashiers check to the court for the filing fee?
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How confident are you that you will file bankruptcy without an attorney?
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What's most helpful for you?
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First Name
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Last Name
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Email address
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Phone Number
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