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Do you own, or are you buying Real Estate?
 
   

Do you own an automobile?

  
 


Please list which debts you currently owe: (check all that apply)

 

Credit Cards / Store Cards

  

Repossession

 

Medical Bills

  

Broken Lease

 

 

Personal Loans

 

Furniture / Jewelry / Electronics

 

 

Payday Loans

  

Student Loans

 
 

Child Support

  

Income Taxes

  
 

NSF/ Bounced Checks

  

Parking Tickets

  
 

Overpayment of Government Debt

  

None of the above

  

 

Employment / Income: (check all that apply)

  

 

Employed, Full Time

  

Child Support / Maintenance

 

Employed, Part Time

  

Other Income

 

 

Social Security

  

No Income

 

 

Pension / Retirment

 

Other

  


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The information provided herein will be kept confidential. By submitting an on-line evaluation request you are
NOT establishing an attorney client relationship. Leeders & Associates, Ltd. will not represent any applicant nor will we attend
any court hearings without first being retained.


For a free consultation, call 312-427-7400 today to speak with an experienced Chicago bankruptcy attorney at Leeders & Associates, Ltd. for a free consultation.

Office Locations:
Loop: 20 E. Jackson Blvd., Ste. 850 Chicago, IL 60604
South Side: 10001 S. Western Ave. Chicago, IL 60643
O'Hare: 8770 W. Bryn Mawr, 13th Fl Chicago, IL 60631
SW Suburbs: 3333 Warrenville Road Ste. 200 Lisle, IL 60532
NW Suburbs: 2025 S. Arlington Heights Rd. Ste. 113 Arlington Heights, IL 60005
Northern Suburbs: 228 N. Genesee, Ste. 205 Waukegan IL 60085
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