Bankruptcy Web Evaluation

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General Information

General Informaion

Name *

Primary Phone #:

(
)

Alternate Phone #:

(
)

Email: *

Address

Street Address

Address continued

City

State

Zip

Page 1 of 6

Assets

Assets: Property

Furniture ($ Amount)

Assets: Bank, Financial Accounts, IRA’s, 401 Ks, Pension Plans:

	Institution	Type of Account	Account Balance

Assets: Other

Does anyone owe you money?
Yes
No

How much?

Please explain:

Do you have an interest in a Corporation, Business, Partnership…?
Yes
No

Please Explain:

Assets: Automobiles

Do you own a car?
Yes
No

	Year	Make	Model	Mileage
					Add another car

Assets: Real Estate

Do you have any interest in Real Estate Property or have you had any interest in Real Estate Property in the last 6 years?
Yes
No

Street Address

Address continued

City

State

Zip

	Value	Date Purchased	Date sold or foreclosed

	1st Mortgage	2nd Mortgage	Arrears

Type of Ownership

Consideration Received (Amount of cash received at closing)

Assets: Additional Questions

Are you suing anyone or do you have the right to sue anyone?
Yes
No

Please explain:

Do you have entitlement to tax refunds?
Yes
No

Page 2 of 6

Expenses

Rent or Mortgage

Other Insurance

Electricity / Heating

Taxes not withheld

Water & Sewer

Garage

Telephone / Cell

Auto payments

Cable / Internet

Student loans

Home maintenance

Toiletries

Food

Alimony / Support

Diapers

Clothing

Business Expenses

Laundry / Dry Clean

Medical & Dental

Transportation

Child Care

Recreation

Hair cuts

Home Owners or Renters Insurance

Life Insurance

Health Insurance

Page 5 of 6

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Chapter 11 Bankruptcy

Chapter 11 Bankruptcy is designed for Businesses that have a current and future profitable business that is worth saving and needs to reduce and restructure past debt obligations. We file Business Bankruptcy cases in the greater tri state area. We are counsel to other attorneys, CPA's, doctors, investment bankers, engineers as well as other professionals and high net worth individuals.

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Tax Court Litigation

We file and litigate Tax Court cases in New York. Tax Court filings are needed if the IRS is proposing the assess taxes after the completion of an audit. Given that our firm has New York Tax Attorneys and one of members is also a CPA with a Masters in Tax Law, we successfully research and litigate most cases until conclusion. We also work with your existing accountants to prepare the evidence for the case.

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Tax Discharge & Bankruptcy

We are one of the few firms in New York that deals with Tax Debt through Bankruptcy Court filings and are in daily contact with the IRS, NYS, the United Stated Attorneys and Attorney Generals on tax matters. We also have regular contact with IRS Special Procedures agents in Brooklyn, Asst. Attorney Generals in NYC, IRS local counsel in NYC, NYS Counsel in NYC, Long Island and in Albany, NY.

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Bankruptcy Web Evaluation

General Information

Assets

Debt: What are we dealing with?

Income

Expenses

Miscellaneous

Chapter 11 Bankruptcy

Tax Court Litigation

Tax Discharge & Bankruptcy

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