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Ready to file your Nevada Bankruptcy?

Complete this brief form and we'll contact you right away (during business hours) to schedule your appointment for a free consultation with bankruptcy attorney
James Smith.

Or call us now at 702-680-1780

WHAT TYPE OF BANKRUPTCY DO YOU WISH TO FILE?

I need to file this bankruptcy IMMEDIATELY - please call me right away! *

Yes

Chapter 7

Chapter 13

I'm not sure

ORDER CODE (if applicable to you)

INFORMATION ON BANKRUPTCY PETITIONER

First Name *

Last Name *

Street Address *

Address Line 2

City *

NEVADA

Zip/Postal Code *

Phone Number *

Email Address *

Have you resided in Nevada for at least six months? *

INFORMATION ON SECOND BANKRUPTCY PETITIONER (If husband and wife file jointly)

First Name

Last Name

Is address of second bankruptcy Petitioner the same as the first Petitioner's?

Yes

If you replied "no" to the above question, enter the address of second bankruptcy Petitioner below:

Street Address

Address Line 2

City

State/Province/Region

Zip/Postal Code

Phone Number

Country

Email Address

Have you resided in Nevada for at least six months?

SHORT LIST OF DEBTS

Approximate amount owed on credit cards: *

Approximate amount owed on your vehicle(s) if you own any:

Approximate Amount of debts other than credit card(s), vehicle(s), and house: *

SHORT LIST OF ASSETS

Approximate value of your house(s) (if you own one or more):

Approximate value of your business (if you own a business and wish to file a Chapter 13)

Approximate value of any vehicle(s) you own:

Total value of any assets you own other than the ones listed above:

INCOME

Approximate average monthly salary over the past six months?

SPOUSE: aprroximate average monthly salary over the past six months?

PAYMENT ARRANGEMENTS

Which type of bankruptcy do you think you qualify for: *

Chapter 7: $999 plus court filing fees (currently $335) and $50 copy fee.

Chapter 13: $3999 plus court filing fees (currently $335) and $75 copy fee. Pay only $1400 of the attorney fee up front. Filing fee and copy fees payable before filing. Remainder of attorney fee is paid in the repayment plan.

I don't know

How do you wish to pay for your bankruptcy:

In full so I can file right away

$399 and I can tell my creditors to call Conexa and not call me! I will keep making payments until I have paid the total cost of the bankruptcy.

I am aware that I CANNOT use my own credit card to pay for this bankruptcy. I am aware that I must either pay cash or use someone else's credit card. *

Yes

ORDER CODE (if applicable to you):

Please bring the following to your bankruptcy appointment:

Credit Counseling certificate: www.personalfinanceeducation.com. You can request that the certificate be emailed directly to us. You will have our email address once you've submitted this form. It takes approximately two hours to take this online course, as per the requirements of the U.S. Bankruptcy Trustee. You may use a different provider; we direct you to this one because they are reputable, approved by the Bankruptcy Court, and the price is very reasonable.
6 months of wage/salary/unemployment information
4 years of tax returns
6 months of bank statements for savings, checking, money market, and any other bank accounts you have.

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NOTE: If you are not redirected to a "Thank You" page after you click "SUBMIT" below, it's because some required information is missing from the form. Please scroll back up and look for items highlighted in red and complete them. Then click on "SUBMIT" again and the form will go through.

FOR OFFICE STAFF ONLY: APPOINTMENT DATE AND TIME

NOTES: