Get Started

First Step: Make an appointment for a FREE Consultation (916) 641-1000.
Second Step: Complete the form below and submit it to us so we will have it for your appointment.
If you prefer you can download the form, print it, fill it out and bring with you to your appointment.
Completing the form will help us to get a better idea where you stand and what action should be taken.

Only Fields Marked with * Are Required


Vehicles
Do you own any vehicles? Yes No

Are you behind on any payments? Yes No


Credit Debt
Do you have any credit card debt? Yes No



Mortgage/Property
Do you own a home? Yes No
Are you behind on payments? Yes No
Do you have any judgement liens on your home? Yes No


Have you owned any real property in the past 10 years? Yes No


Legal
Have you ever filed for bankruptcy before? Yes No



Do you have any judgments pending? Yes No


Do you owe any back child support or alimony? Yes No



Taxes/Loans
Do you owe the IRS? Yes No


Do you owe the Franchise Tax Board? Yes No


Do you have any student loans? Yes No


Do you have any other loans besides those listed already? Yes No



Income

Monthly take home income


Additional Information

Is there any other information you think we should know? Please explain briefly:

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