Wampler, Souder & Sessing, L.L.C.
Maryland Bankruptcy Attorneys

With Offices In:
Rockville, Frederick, and Upper Marlboro, Maryland
bankruptcy attorney in Rockville & Frederick, Maryland, concentrating in consumer, chapter 7 and chapter 13 bankruptcybankruptcy attorney in Rockville & Frederick, Maryland, concentrating in consumer, chapter 7 and chapter 13 bankruptcybankruptcy attorney in Rockville & Frederick, Maryland, concentrating in consumer, chapter 7 and chapter 13 bankruptcy
 

HOW MUCH WILL MY BANKRUPTCY COST?

Please provide the information below, and we will be able to give you a price range based on your situation. 

Clients who tell us that they heard about us on this web page will receive a $100 discount on fees. 

Payment plans are available.

If you prefer, you may download this form in an Adobe Acrobat .PDF file, and mail/fax to our office.  Click here for the download.  You must have the free "Acrobat Reader" to open the file.  Follow this link to download the reader.

You may print this page out and fax to us at 301-881-8896 .

Your Name
Phone Number
Email Address
Please tell us about your debt

HOW MUCH TOTAL DEBT DO YOU HAVE IN THESE AREAS:

          Credit Cards
          Lawsuits
          Foreclosure
          Repossession
          Taxes
          Student Loans  
          Medical Bills

          Other Debt - (Explain)

Have you incurred any new debt in the last 90 days?  If so, what kind and how much?
What is your annual income?
What is your spouse's annual income?
WHAT PROPERTY/ASSETS DO YOU OWN?
House or other real estate current market value
Mortgages on real estate
Are you behind on mortgage payments?  If so, how many months and dollar amount?
Type and value of autos in your possession
Outstanding debt on autos above
Describe any valuable personal property, including jewelry, collectibles and antiques
Retirement accounts or Cash Value Insurance
Total cash in bank accounts
Total value of stocks/bonds, etc.
Any special considerations or issues?
How would you like us to contact you?
Enter your contact phone number including area code
When is the best time to call?
Enter your email address

If you prefer, you may download this form in an Adobe Acrobat .PDF file, and mail/fax to our office.  Click here for the download.  You must have the free "Acrobat Reader" to open the file.  Follow this link to download the reader.-

You may print this page out and fax to us at 301-881-8896 .

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