Before you complete this form, please read our Bankruptcy Disclaimer on our Legal Disclaimers page. If you have any questions or concerns, please call our office at 828-258-3368.  Once you've done that, please provide as much of the requested information as possible and click the submit button. Mr. Hillier's office will be in contact shortly.

828-258-3368

ONLINE BANKRUPTCY EVALUATION

This is a graphic image of GHMA LAW's Logo Icon

Bankruptcy Specialist

David R. Hillier

Tell us how to contact you.

Enter your name and contact information in this section of the questionnaire.
Enter your first and last name. This is a required field.
If you are considering filing bankruptcy jointly with your spouse, enter your spouse's first and last name in this field.
Enter your street address in this field.
Enter the city, state, and zip code for your street address in this field.
Enter your telephone number in this field. This field is required.
Enter your email address in this field. This field is required.

Things Your Lawyer Should Consider.

Tell us why you are considering bankruptcy in this section.
Enter information about why you are considering bankruptcy in this field.

Tell us about your vehicle assets.

Please tell us about your cars, trucks, boats, and trailer assets. This section is repeatable. You can add as many vehicles as you need to using the "Add Another Vehicle" button at the bottom of this section.
Enter the year of manufacture of this vehicle in this field.
Enter the make of this vehicle in this field.
Enter the model of this vehicle in this field.
Enter this vehicle's odometer reading in this field.
Enter the estimated value of this vehicle in this field.
Enter the amount owed on this vehicle in this field.
Add A Vehicle Remove This Entry

Tell us about your real estate assets.

Please tell us about your real property assets. This section is repeatable. You can add as many real estate properties as you need to using the "Add Another Property" button at the bottom of this section.
Enter the value of this real estate property in this field.
Enter the amount you owe against this
Add A Property Remove This Entry

Personal Property

Tell us about your personal property assets. This section is repeatable. You can add as many items of personal property as you need to using the "Add Another Item" button at the bottom of this section.
Add An Item Remove this Entry

Creditors

Add A Creditor Remove This Entry
 

Describe Your Monthly Budget

Monthly budget, including average household expenses.

 

Tell Us About Your Employer(s)

Beginning with your primary employer, please provide the information requested. If you have a secondary employer, or if your spouse is employed, please use the "Add Employer" button.

Pay

Add An Employer Remove This Entry

Before you complete this form, please read our Bankruptcy Disclaimer on our Legal Disclaimers page. If you have any questions or concerns, please call our office at 828-258-3368.  Once you've done that, please provide as much of the requested information as possible and click the submit button. Mr. Hillier's office will be in contact shortly.

This is a graphic image of GHMA LAW's Logo Icon

Bankruptcy Specialist

David R. Hillier

828-258-3368

ONLINE BANKRUPTCY EVALUATION

Tell us how to contact you.

Enter your name and contact information in this section of the questionnaire.
Enter your first and last name. This is a required field.
If you are considering filing bankruptcy jointly with your spouse, enter your spouse's first and last name in this field.
Enter your street address in this field.
Enter the city, state, and zip code for your street address in this field.
Enter your telephone number in this field. This field is required.
Enter your email address in this field. This field is required.

Things Your Lawyer Should Consider.

Tell us why you are considering bankruptcy in this section.
Enter information about why you are considering bankruptcy in this field.

Tell us about your vehicle assets.

Please tell us about your cars, trucks, boats, and trailer assets. This section is repeatable. You can add as many vehicles as you need to using the "Add Another Vehicle" button at the bottom of this section.
Enter the year of manufacture of this vehicle in this field.
Enter the make of this vehicle in this field.
Enter the model of this vehicle in this field.
Enter this vehicle's odometer reading in this field.
Enter the estimated value of this vehicle in this field.
Enter the amount owed on this vehicle in this field.
Add A Vehicle Remove This Entry

Tell us about your real estate assets.

Please tell us about your real property assets. This section is repeatable. You can add as many real estate properties as you need to using the "Add Another Property" button at the bottom of this section.
Enter the value of this real estate property in this field.
Enter the amount you owe against this
Add A Property Remove This Entry

Personal Property

Tell us about your personal property assets. This section is repeatable. You can add as many items of personal property as you need to using the "Add Another Item" button at the bottom of this section.
Add An Item Remove this Entry

Creditors

Add A Creditor Remove This Entry
 

Describe Your Monthly Budget

Monthly budget, including average household expenses.

 

Tell Us About Your Employer(s)

Beginning with your primary employer, please provide the information requested. If you have a secondary employer, or if your spouse is employed, please use the "Add Employer" button.

Pay

Add An Employer Remove This Entry