Legal Forms

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Leonard & Moore PLLC
274 Merrimon Ave
Asheville, NC 28801

Fax #: (828) 252-6469
Email: leonardmoorelaw@gmail.com

FRESH START. NEW BEGINNINGS. FINANCIAL FREEDOM


 


 





















































































  • Local Friend/Relative not Living With You (Emergency Contact)































































































  • Any monies paid to this office, whether filing fees or other, are non-refundable




  • INFORMATION NECESSARY FOR CHAPTER FILING

  • Please bring a current paycheck stub to your appointment.


























  • Average Monthly Cost if Living (Estimate)












  • Utilities

  • Insurance (not deducted from wages or included in home mortgage payments)

  • Taxes (not deducted from wages or included in home mortgage payments)

  • Rev.: 9/98, 8/00, 10/05, 1/07, 12/08, 7/09

  • List Creditors and Debts















































































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  • Lease to own contact or rent of property

  • Rev. 1/01, 08/03, 10/05, 1/07, 12/08, 6/09, 7/09

  • LIST SECURED DEBTS AND JUDGMENTS (lawsuit)
    (Financed or purchase of furniture, appliances, electronics, jewelry, 4-wheelers, etc.)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.

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  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




  • LIST UNSECURED DEBTS
    (credit card, medical, personal loans and taxes)
    PUT A STAR BY CREDITORS, if any, from whom you have borrowed or charged, including balance transfers, $600.00 or more in the last 90 days.




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