• Nevada Bankruptcy Lawyer

Client Intake Form

Don’t accept your current financial situation. If you are struggling, take charge. Start with a call to our office.

Contact us for a free consultation and we’ll be happy to discuss your situation and provide any advice needed. We strive to create the best individualized strategy for our clients, no matter what their needs may be.

    Are you employed?
    YesNo

    If yes, How much do you estimate that you gross per month at your job? (Gross, Per Month)
    Less than $2000$2000-$3000$3000-$4000$5000-$6000Over $6000

    Marital Status
    MarriedNever MarriedDivorcedWidowed

    If married, is your spouse employed?
    YesNo

    If yes, how much does he/she make at his/her job? (Gross, Per Month)
    less than $2000$2000-$3000$3000-$4000$5000-$6000over $6000

    Do you or your spouse have other income from any other source? (Multiple Choice)
    UnemploymentChild SupportRetirementSocial SecurityDisabilityother

    If yes, how much? (Gross, Per Month)
    less than $1000$1000- $2000$2000-$3000$3000-$4000$5000-$6000over $6000

    Do you owe the IRS, or will you owe for any currently unfiled tax returns?
    YesNo

    Do you have a mortgage payment or a car payment?
    YesNo

    If yes, are you more than 30 days behind on either payment?
    YesNo

    Are you being sued by a creditor or anyone else, or have you been sued and lost (if there is already an existing judgment against you)?
    YesNo

    Approximately how many credit cards/unsecured loans do you have?
    1-1011-2021-4041-50

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    Over 5000+ Bankruptcy Clients

    Office Location

    Las Vegas

    Office

    7473 Lake Mead Boulevard Suite #100
    Las Vegas, Nevada 89128

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    Reno

    Office

    300 E 2nd Ste 1510
    Reno, Nevada 89501

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    Free Consultation

    Confidential bankruptcy and debt relief guidance. Speak directly with an experienced Nevada bankruptcy attorney.

    (702) 728-2553 info@newdaybankruptcylaw.com

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    The information is not intended to be rendering legal, tax, or other professional advice. As such, it should not be used as a substitute for consultation with professional insolvency, tax, legal or other competent advisers. New Day Bankruptcy is not responsible for any errors or omissions, or for the results obtained from use of this information.

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      Are you employed?
      YesNo

      If yes, How much do you estimate that you gross per month at your job? (Gross, Per Month)
      Less than $2000$2000-$3000$3000-$4000$5000-$6000Over $6000

      Marital Status
      MarriedNever MarriedDivorcedWidowed

      If married, is your spouse employed?
      YesNo

      If yes, how much does he/she make at his/her job? (Gross, Per Month)
      less than $2000$2000-$3000$3000-$4000$5000-$6000over $6000

      Do you or your spouse have other income from any other source? (Multiple Choice)
      UnemploymentChild SupportRetirementSocial SecurityDisabilityother

      If yes, how much? (Gross, Per Month)
      less than $1000$1000- $2000$2000-$3000$3000-$4000$5000-$6000over $6000

      Do you owe the IRS, or will you owe for any currently unfiled tax returns?
      YesNo

      Do you have a mortgage payment or a car payment?
      YesNo

      If yes, are you more than 30 days behind on either payment?
      YesNo

      Are you being sued by a creditor or anyone else, or have you been sued and lost (if there is already an existing judgment against you)?
      YesNo

      Approximately how many credit cards/unsecured loans do you have?
      1-1011-2021-4041-50