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Michigan Attorney Services
Free Consultation / Toll-Free Call Back Form
Some basic information is necessary to discuss your situation. Rest assured that your information is
confidential and will not be given to telemarketers.
You can also enter more complete information about your financial affairs by
using our
Michigan bankruptcy evaluation form
.
Your name:
1.
2.
Phone number / Email:
select a time
9:00 - 11:00 AM
11:00 - 1:00 PM
1:00 - 3:00 PM
3:00 - 5:00 PM
5:00 - 7:00 PM
3.
Best time to contact you M-F:
4.
What kind of debts do you have?
Vehicles
Mortgage
School Loans
Small Business
Credit Cards
Rent
Medical Bills
Other
select Y / N
NO
YES
5.
Have you filed bankruptcy before?
6.
If "yes," then enter the year that you previously filed:
7.
Number of children?
8.
Total Income for the following months:
[insert TOTAL income for EACH MONTH in the boxes above.]
9.
Enter a message below:
(Optional)