LOS ANGELES OFFICE:
11268 Washington Boulevard
Suite 203
Culver City, California 90230-4647


Telephone: 310-391-2400
Toll Free: 800-307-DEBT (3328)
Fax: 310-391-2462
Email: Peter@PeterMLively.com

 

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At The Law Offices of Peter M. Lively, you will find experienced, professional, and informed attorneys who can provide practical advice for solving difficult problems.
 

The strategies we use to assist our clients include:

  • Counseling to avoid bankruptcy
  • Avoiding bankruptcy through workouts
  • Bankruptcy without Asset Liquidation

New Client Questionnaire

  Personal Information:  
       
  Name  
  Email address:  
  Home Phone:  
  Work Phone:  
  FAX:  
     
 
     
  Foreclosure Information:
     
  Property #1:  
     
  Property Location:
  Estimated Market Value:  
       
  Lender w/first td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/2nd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/3rd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  If no more properties, please skip down to the Auto section. Otherwise, enter the information for any additional properties below:
       
 
       
  Property #2:  
     
  Property Location:
  Estimated Market Value:  
       
  Lender w/first td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/2nd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/3rd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
 
       
  Property #3:  
     
  Property Location:
  Estimated Market Value:  
       
  Lender w/first td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/2nd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/3rd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
 
       
  Property #4:  
     
  Property Location:
  Estimated Market Value:  
       
  Lender w/first td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/2nd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
  Lender w/3rd td:  
  Loan Amount:  
  Payment Amount:  
  Total Arrears:  
       
 
 
       
  Car Loans / Leases
       
  Vehicle #1    
  Year  
  Make  
  Model  
  Mileage  
  Payment Amount:  
  Payee:  
       
  Vehicle #2    
  Year  
  Make  
  Model  
  Mileage  
  Payment Amount:  
  Payee:  
       
 
 
       
  Unsecured Credit Information:
       
  Credit Card Debt:  
  IRS/State Taxes:  
  Medical/Dental:  
  Other  
  Total Unsercured Debt:  
       
 
 
       
  Financial Ability:
       
  Client's Income:  
  Spouses Income:  
  Other Income:    
  Rent:  
  2nd Job:  
  Family Loans/Gifts:  
       
 
 
       
  Dependents:    
  Please list your dependents and their ages/sex here  
       
 
 
       
  Prior Bankruptcy Info:
  Chapter:  
  Case Number:  
  Attorney:  
  Attorney's Phone:  
       
 
 
       
  Assets and Exemptions Information:
  Life Insurance:  
  IRA Accounts:  
  Auto:  
  Checking Balance:  
  Savings Balance:  
  Stocks and Bonds:  
       
       
      

 

Last modified on Monday, 24 February 2014 16:52