Medford Office:
1737 North Ocean Avenue
Medford, New York 11763
Shirley Office:
691 Montauk Highway
Shirley, New York 11967
West Babylon:
974 Sunrise Highway
West Babylon, New York 11704
Nassau County Office:
2545 Hempstead Turnpike, Ste.304
East Meadow, New York 11554
Miller Place:
565 Route 25A
Miller Place, New York 11764
Bankruptcy Overview
Chapter 7 Bankruptcy
Chapter 13 Bankruptcy
Foreclosure Defense
Loan Modifications
Creditor Harassment
Wage Garnishments
Common Bankruptcy Questions
Is Filing Bankruptcy Right For Me?
Eliminate Your Bills
Consolidate Your Bills
Debt Consolidation v. Debt Settlement
Why Hire a Bankruptcy Attorney?
Areas We Serve
Free Bankruptcy Evaluation Form
Please answer as many of the following questions as you can.
Full Name
Address
Phone
Email Address
Best time to contact you?
What type of bills do you have?
(Check all that apply)
Credit Cards
Medical Bills
Judgments
Student Loans
Tax Debts
Government Fines
Personal Loans
Number of bills
Amount Owed:
Under $5,000
$5,000 - $10,000
$10,000 - $15,000
$15,000 - $20,000
$20,000 - $30,000
$30,000 - $40,000
$40,000 - $50,000
Over $50,000
Approximate value of home:
$
Approximate balance on mortgage:
$
Monthly mortgage payment:
$
Are you up to date on your mortgage payments?
Yes
No
Are there any other mortgages on this property?
Yes
No
Vehicle 1
Year/Make/Model:
Approximate Value:
$
Approximate Balance:
$
Monthly Payment:
$
Are your payments up to date?
Yes
No
Vehicle 2
Year/Make/Model:
Approximate Value:
$
Approximate Balance:
$
Monthly Payment:
$
Are your payments up to date?
Yes
No
Enter any other property of significant value.
(For example, if you own a boat, list it here.)
You
Are you employed?
Yes
No
How often do you get paid?
every week
every 2 weeks
twice a month
monthly
Net Pay:
(after taxes, medical and other deductions)
$
What other types of income do you have?
(Check all that apply)
Disability
Social Security
Pension
Rental Property
Part-time Job
Child Support
Unemployment
Worker's Compensation
Spouse
(optional)
How often do you get paid?
every week
every 2 weeks
twice a month
monthly
Net Pay:
(after taxes, medical and other deductions)
$
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We are a qualified debt relief agency. This is Attorney Advertising. The information on this New York Bankruptcy Attorneys / Law Firm website is for general information purposes only. Nothing on this or associated pages, documents, comments, answers, emails, or other communications should be taken as legal advice for any individual case or situation. This information on this website is not intended to create, and receipt or viewing of this information does not constitute, an attorney-client relationship.
Address: 1737 N. Ocean Ave | Medford, Long Island | New York | Telephone: (888) 229-0413