Bform - Tejes Law, PLLC - Orlando Based Bankruptcy and Estate Planning Law Firm

Bform-2

Personal Information
Real Estate
Vehicles
Personal Property
Monthly Expenses

Personal Information

First Name

Last Name

Phone Number:

Real Estate

Do you own, rent or live with someone else?

Property Type

What kind of property is your first property?

Property 1 address:

Property 1 value:

Property 1 monthly payment:

Property 1 HOA payment (if applicable):

Property Type

What kind of property is your second property?

Property 2 address:

Property 2 value:

Property 2 monthly payment:

Property 1 HOA payment (if applicable):

Do you own any other real estate?

Vehicles

Vehicle One:

Vehicle 1: Year/Make/Model:

Vehicle 1: Mileage

Vehicle 1: Monthly Payment:

Vehicle 1: Amount Owed:

Vehicle Two:

Vehicle 2: Year/Make/Model:

Vehicle 2: Mileage

Vehicle 2: Monthly Payment:

Vehicle 2: Amount Owed:

Other vehicles:

Personal Property

Please list the value of your assets below. If a listed assets does not apply to you please list n/a or $0.00.

Bank Accounts:

Primary Bank Account(s):

Name of primary bank:

Number of accounts with your primary bank:

What types of account(s) do you have at your primary bank?

How much money do you have in your primary account(s)?

Secondary Bank Account(s):

Name of secondary bank:

Number of accounts with your secondary bank:

What types of account(s) do you have at your secondary bank?

How much money do you have in your secondary account(s)?

Other Bank Accounts:

Furniture:

Table & Chairs:

Buffet or Hutch:

Piano:

Television Stand:

End Tables:

Coffee Table:

Couch/Sofa:

Lamps:

Entertainment Center:

Bedroom Set(s):

Patio Furniture:

Barbecue Grill:

Electronics:

Television:

Blu Ray Player, DVD Player:

Computer(s):

Video Game System:

Sound System(s):

Other (please describe below):

Clothes & Jewelry:

Clothes:

Watch(es):

Bracelet(s):

Necklace(s):

Earrings:

Other Jewelry:

Collections & Collectibles:

Guns:

Knives:

Tools:

Coins or Coin Collections:

Stamp Collections:

Exercise Equipment:

Bicycle(s):

Golf Clubs:

Hunting Equipment:

Other Sports or Hobby Equipment:

Miscellaneous:

Pets (dogs, cats, etc.):

Livestock:

Fish/Fish Tank:

Lawnmower:

Edger, blower, etc.:

Timeshare:

Other:

Monthly Expenses

Please list your monthly expenses below. If you do not have a listed expense please list $0.00.

Mortgage or rent:

Includes Taxes & Insurance?

Does the the home mortgage include taxes and insurance?

Home maintenance, repair & upkeep:

Homeowners association (HOA) dues:

Electricity & heating:

Water & sewer:

Home phone, cell phone, etc.:

Food and Grocery

Childcare Education

Clothing, laundry, and dry cleaning:

Personal care products & services:

Medical & dental expenses:

Transportation (include gas, maintenance, etc. but not payments):

Entertainment:

Charitable contributions & religious donations:

Life Insurance (not deducted from paychecks):

Health Insurance (not deducted from paychecks):

Vehicle Insurance:

Car payment for vehicle 1:

Car payment for vehicle 2:

Other installment payments:

Payments of alimony, maintenance & support:

Other expenses:

Bankruptcy Questionnaire

Personal Information

Real Estate

Vehicles

Personal Property

Bank Accounts:

Monthly Expenses

Call Us Now For A Free Consult!
(407) 734-5166

Quick Links

Bankruptcy Questionnaire

Personal Information

Real Estate

Vehicles

Personal Property

Bank Accounts:

Monthly Expenses

Call Us Now For A Free Consult! (407) 734-5166

Quick Links

Call Us Now For A Free Consult!
(407) 734-5166