Hablamos Espanol
   
The Law Offices Of Stephen B. Kass  
212-843-0050   |   718-302-4000    
 
Contact Us







 

Contact Us
7 Penn Plaza
Ste. 830
New York, NY 10001
Tel: (212) 843-0050

225 Broadway
Ste. 711
New York, NY 10007

Tel: (212) 843-0050
Fax: (212) 571-0640
Efax: (212) 202-7681

111 Livingston St.
Suite 1110
Brooklyn, NY 11201
Tel: (718) 302-4000

 

 

 

1) INFORMATION:

First Name:
Last Name:
Address:
City:
State:
Zip Code:
E-Mail: (required)
Business Phone:
Home Phone:
Cell Phone:

2) NATURE OF FINANCIAL DIFFICULTY:

3) TYPE OF LEGAL SERVICES SOUGHT:

Bankruptcy Case:
Chapter 7
Chapter 13
Chapter 11
Negotiation With Creditor(s)
I.R.S. Representation
Other Specify:

4) DEBTS:

Type of Debt Amount # of
Creditors		 Status
Credit Cards
Medical Bills
Car Loan/Car Lease
Mortgage
Taxes
Other:

5) ASSETS:

Type of Asset Description Fair
Market
Value		 Ownership
and/or Liens
House (Appraisal)
Car (Name, Model, Mileage)
Bank Account
Liquidation Value of Furniture
Investments
Retirement Account
Other Property Having Value

6) INCOME / EXPENSES MONTHLY:

Average Monthly Net Income
Average Monthly Expenses

7) MORE INFORMATION REGARDING TYPE OF DEBT:

A) Mortgage Arrears:

Amount

# Month

Monthly payment

B) Credit Cards: Yes No
Any Joint Holder?
Able to Pay at Time?
Any Cash Advances?
Any Luxury Items?
        
 
C) Taxes: Yes No  
Is it an Income Tax?
Is Tax Over Three Years Old?
Has Taxing Authority Assessed Within 240 Days?
Any Liens?
 

 
 

8) How Did You Hear About Us?:

Google Search
Yahoo Search
Yahoo Yellow Pages
MSN Search
Verizon Superpages.com
Switchboard.com
AOL Search
Lycos Search
Other

 

Copyright ©2004 SB Kass.  All rights reserved.  Design by BERRICO.com