If you are in need of legal counsel please contact us 951-268-1341 for an immediate consultation. Our qualified attorneys are ready to assist you with immediate advice and guidance. All initial consultations are free and will remain completely confidential.

Please fill out the form below and our qualified bankruptcy attorney will contact you within 24 hours.

Your Name (required)

Address (required)

City(required)

Zip(required)

Phone (required)

Your Email (required)

Occupation

Total Monthly Gross Income

Debt Amount (e.g. $15,000 credit card; $2,500 medical bills):

Do you own or rent?

 Own Rent

If you own, how much is your outstanding mortgage?

Approximate current value of home

Other than a home, if you have any other assets, please list them along with any

Outstanding amounts owed on those assets (e.g. $500 savings account; $15,000 car with
$10,000 outstanding loan)

AFTER SUBMISSION, AN ATTORNEY WILL CONTACT YOU TO DISCUSS BANKRUPTCY AND YOUR INDIVIDUAL SITUATION IN FURTHER DETAIL.

Disclaimer: Please be advised that the completion of this Client Intake Form does not form at attorney-client relationship and is merely for evaluation purposes. A retainer agreement must be signed before the firm will represent you. You can always contact us at 951-219-9814 to make and appointment.