Are there any creditors here in this case today?
Required
Is there a creditor here?
Required
Do you have a Social Security ID with you today? If not, do you have a Social Security card at home you could bring in?
Required
Do you have a W-2 on you?
Required
Can you state your full name and address for the record please?
Required
Did you have a chance to read the information sheet prepared by the Office of the U.S. Trustee front and back?
Required
Did you have an opportunity to read your bankruptcy schedules--petition, schedules, statement of financial affairs, and related documents carefully before you signed them?
Required
Is all the information contained in the petition and schedules true and correct? Are there any errors or omissions you wish to bring to my attention?
Required
Did you get help preparing your bankruptcy documents? If so, who helped you? Did you review those documents carefully after they were prepared? Did you pay any money to assist you in that preparation?
Required
Have you listed all your assets?
Required
Did you list all your creditors?
Required
Is the information in those documents true and accurate as o the date you filed this case?
Required
Have you filed all your tax returns that are due? If missing, when do you anticipate you are going to be able to file your missed tax return(s)?
Required
Have you received your tax refund, or do you expect to?
Required
Do you own any real estate? If yes, is that the only real estate you have owned in the last 5 years?
Required
Do you own any vehicles? If yes, is that vehicle financed and are you current on the payments?
Required
Is the car fully insured?
Required
Do you own or have an interest in any other vehicles?
Required
Do you owe any domestic support obligations such as child support or spousal support? If so, have you filled out the domestic support obligations form completely?
Required
Do you own any boats, motors, or camp trailers?
Required
Do you own any collections, antiques, or valuable jewelry?
Required
Do you own any stocks, bonds, or investment accounts?
Required
Do you have an IRA? If yes, when was that IRA funded?
Required
Does anyone owe you any money?
Required
Do you have any claims or lawsuits filed against anyone, such as personal injury or employment claims?
Required
Are you the beneficiary of any trust, estate, or life insurance policy?
Required
Was anyone garnishing your bank account or wages within 90 days of your bankruptcy?
Required
Have you paid any money to friends or family members (other than for nominal holiday gifts) in the last two years?
Required
Did you pay any one creditor more than $600 within 90 days of your bankruptcy?
Required
Have you been a party to a divorce or separation proceeding within the last four years? If yes, does your ex-spouse owe you any money or property? Was there a property settlement as part of your divorce, or did you each just take your own stuff and go your separate ways?
Required
Have you owned or operated your own business in the last six years? If yes, do you have any remaining accounts receivable, inventory, or other assets from that business?
Required
Have you given away, sold, or transferred any assets in the last four years other than for normal holiday gifts?
Required
What is the reason for your bankruptcy filing?
Required
Have you ever filed for bankruptcy before? If yes, when did you file and did you receive a discharge? Any other bankruptcy filings?
Required
Other than your personal items such as clothing and furnishings, have we discussed all of your assets today?
Required
Do you have the "x" bank account(s)?
Required
Did you bring a pay stub with you today? If not, can you or your counsel get the pay stub to me by email or fax?
Required
Email address
Required
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