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Anthony W. Chauncey, Esq.
Rose D. Chauncey, Esq.
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Home
About Us
Attorney Profile
Anthony W. Chauncey, Esq.
Rose D. Chauncey, Esq.
Firm Overview
Testimonials
Client Testimonials
Lawyer Endorsements
Bankruptcy
Bankruptcy Overview
Pre-Appointment Form
Criminal Defense
Probate, Will And Estates
Probate, Wills, And Estates Overview
Intake Form
All Practice Areas
Family Law
Personal Injury
DUI Defense
Level Of Blood Alcohol Content (BAC)
Understanding Florida DUI Law
DUI Charges In Florida
FAQs On DUI Charges In Florida
Mortgage Foreclosure Defense
Guardianship
Traffic Citations
Record Seal/Expungement
Deficiency Judgment Proceedings
FAQS
Bankruptcy FAQs
Criminal Defense FAQs
Family Law FAQs
Mortgage Foreclosure FAQs
Traffic Ticket FAQs
Criminal Defense Videos
Personal Injury Videos
Family Law Videos
Probate Videos
Foreclosure Videos
Bankruptcy Videos
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Home
About Us
Attorney Profile
Anthony W. Chauncey, Esq.
Rose D. Chauncey, Esq.
Firm Overview
Testimonials
Client Testimonials
Lawyer Endorsements
Bankruptcy
Bankruptcy Overview
Pre-Appointment Form
Criminal Defense
Probate, Will And Estates
Probate, Wills, And Estates Overview
Intake Form
All Practice Areas
Family Law
Personal Injury
DUI Defense
Level Of Blood Alcohol Content (BAC)
Understanding Florida DUI Law
DUI Charges In Florida
FAQs On DUI Charges In Florida
Mortgage Foreclosure Defense
Guardianship
Traffic Citations
Record Seal/Expungement
Deficiency Judgment Proceedings
FAQS
Bankruptcy FAQs
Criminal Defense FAQs
Family Law FAQs
Mortgage Foreclosure FAQs
Traffic Ticket FAQs
Criminal Defense Videos
Personal Injury Videos
Family Law Videos
Probate Videos
Foreclosure Videos
Bankruptcy Videos
Contact Us
Home
About Us
Attorney Profile
Anthony W. Chauncey, Esq.
Rose D. Chauncey, Esq.
Firm Overview
Testimonials
Client Testimonials
Lawyer Endorsements
Bankruptcy
Bankruptcy Overview
Pre-Appointment Form
Criminal Defense
Probate, Will And Estates
Probate, Wills, And Estates Overview
Intake Form
All Practice Areas
Family Law
Personal Injury
DUI Defense
Level Of Blood Alcohol Content (BAC)
Understanding Florida DUI Law
DUI Charges In Florida
FAQs On DUI Charges In Florida
Mortgage Foreclosure Defense
Guardianship
Traffic Citations
Record Seal/Expungement
Deficiency Judgment Proceedings
FAQS
Bankruptcy FAQs
Criminal Defense FAQs
Family Law FAQs
Mortgage Foreclosure FAQs
Traffic Ticket FAQs
Criminal Defense Videos
Personal Injury Videos
Family Law Videos
Probate Videos
Foreclosure Videos
Bankruptcy Videos
Contact Us
Appointment Interview -Bankruptcy
Step 1: Pre-Appointment Interview - Bankruptcy
Date:
Name (include suffix):
Address:
County:
Home Phone:
Cell Phone:
Email Address:
Social Security No. (Last 4):
Date Of Birth:
Age:
If Employed:
Employer:
Position:
Length of Employment w/ above Employer:
Pay Period:
Gross Pay:
Take-Home Pay:
If Unemployed, do you receive:
Social Security $
Disability Benefits $
Pension $
Unemployment Compensation $
Other
Marital Status
Married
Single
If Married, Spouse’s Name:
Spouse’s Address:
Social Security No. (Last 4):
Spouse’s Date of Birth:
Age:
If Spouse is Employed:
Employer:
Position:
Length of Employment w/ above Employer:
Pay Period:
Gross Pay:
Take-Home Pay:
If Spouse is Unemployed:
Social Security $
Disability Benefits $
Pension $
Unemployment Compensation $
Other
Are you currently being sued by anyone?
Have you ever filed Bankruptcy before?
Debts are Primarily:
Consumer (Credit cards, personal loans, medical bills, etc.)
Business Debts (business loans, business lawsuits, credit cards, etc.)
Motor Vehicles: (For each one):
Lienholder (who they make Payments to):
Payoff Amount:
Estimated Value:
Monthly Payment Amount:
Home (all liens):
Lienholder (Who has a lien, mortgage, etc.):
Payoff Amount:
Estimated Value:
Monthly Payment Amount:
Estimated Total Amount of Credit Card Debt:
IRS Taxes Owed:
Bank Account Information (for all accounts):
Name Of Bank:
Type of Account (checking, savings, money market, etc.):
Is it a joint account with anyone else?
Account No. (Last 4):
Average Balance:
How will you be paying for your Banker (AF & Filing)?
Office Appt. Scheduled?
Yes, Date & Time:
No, reason:
Additional Information:
SUBMIT
