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Michigan Attorney Services
Free Consultation / Toll-Free Call Back Form
Some basic information is necessary to discuss your specific situation. Please fill in the basic
information below including the best time to call you.
Your name:
Your e-mail address:
Your phone number:
What kind of debts do you have?
Vehicles
M
ortgage
S
chool Loans
S
mall Business
C
redit Cards
Past due
R
ent
M
edical Bills
O
ther
NO
YES
H
ave you filed for bankruptcy before
?
If yes then enter the year that you previously filed:
N
umber of children or other dependants?
T
otal Income for the following months:
[ insert TOTAL income for EACH MONTH in the boxes above.]
E
nter a message below:
You can also enter more complete information about your fin
ances
by using our
Michigan bankruptcy evaluation form
.