Free Bankruptcy Evaluation from Oregon Bankruptcy Attorneys

Oregon Bankruptcy: 7 or 13?

When you fill out this Bankruptcy Evaluation from Oregon Bankruptcy Attorneys, it will give me some basic information about your financial situation. This will allow me to give you some suggestions about getting your financial life back on track. I will call you within 48 hours to discuss your situation.
- Dale Smith, Oregon Fresh Start.

Evaluation Form for Oregon Bankruptcy

Personal Information

Please enter your contact information (* required)

	*First Name
	*Last Name
	*Email Address
	*Phone Number
	*Best Time to Call

Have you filed bankruptcy in the last 8 years?

Yes No

Bills

What type of bills do you have? (check all that apply)

Credit Cards	Home Mortgage	Auto Loans
Medical Bills	Student Loans	Judgments
Income Taxes	Court Fines	Personal Loans

Do you own or are you buying a home?

Yes No

Are you behind on payments on your home?

Yes No

Do you own a car?

Yes No

Income

	What is the total amount of your monthly household income from working before deducting any withholdings?
	How many people live in your household?
	Describe all other monthly income received by all members of your household.

Has your total monthly household income decreased by more than 10% in the last 6 months?

Yes No

How did you hear about Oregon Fresh Start?*

Google Family/Friend Referral Bankruptcyaction.com Yahoo MSN Other Search Engine The Nickel Other