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Checklist for Intake Appointment

ITEMS NEEDED FOR THE INTAKE APPOINTMENT

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  • Copies of state and federal tax returns filed for 2010 and 2011 including W2's and 1099's
  • All pay stubs received in the last seven months for every job you and your spouse may have been employed at (even if filing individually). If you do not retain copies, please obtain an itemized printout or confirmation from your employer in advance
  • If you are self-employed or own your own business, gross income and expense information for this year and the preceding two years related to the business
  • Monetary amount you received in Social Security, rental income, retirement income, child support or from any other source for this year, 2011, and 2010
  • Most recent bill from each source including those you may prefer to keep. Do not include bills you pay off every month, such as utility or phone bills unless you are behind
  • Any court, lawsuit or garnishment papers received in the last two years
  • Three preceding months of checking and savings account statements
  • Previous addresses you have lived at for the last 36 months (three years) from today (make a list including the month and year you lived at each address)
  • Most recent tax assessment bill for all real estate you own showing what it is valued at as well as a copy of any recent appraisal you may possess
  • Amount you currently have in any retirement, stocks, bonds, or other financial accounts
  • For any whole or term life insurance policies you own, proof of insured, beneficiary and current cash value for each; check with your insurance agent if necessary
  • Name and address of all persons you are obligated to pay child support or alimony to as well as the amount of any arrearage you may owe
  • All loan documents including a list of all collateral pledged for the loan. For any debts secured by a car or home, we will need the current payoff information on the loan
  • If you have paid back any debts or loans to a family member or relative in the last 12 months, provide the name of the person(s) and the date / amount of the repayment(s)
  • If you have transferred any property (real estate, vehicles, furniture, etc.) in the last two years, provide details as to what was sold, to whom, when and how much was received
  • If you paid money to any churches or charities in the last 12 months, list the name, address, and amount you have paid during that time frame
  • Copies of all titles to vehicles, boats, mobile homes, or trailers as well as any recorded mortgages on real estate in your possession
  • If you have divorced in the last six years, a copy of any marital settlement agreement or divorce judgment showing the apportionment of any assets or liabilities
  • An itemized list of your current estimated monthly expenses (click here for an itemized expense sheet to fill out in advance of your appointment)

www.bankruptcy-clinic.com

Please feel free to call us if you have any questions at (618):
549-1100 (Carbondale), 993-1300 (Marion), 315-6600 (Mt. Vernon)

Carbondale Office
Phone: 618-549-1100
Toll Free: 888-522-6578
Fax: 618-549-0141


Mailing Address:
Bankruptcy Clinic, P.C.
811 W. Main Street
Carbondale, IL 62901
Map and Directions

Marion Office
Phone: 618-993-1300
Toll Free: 888-522-6578
Fax: 618-993-0713


Mailing Address:
Bankruptcy Clinic, P.C.
206 W. DeYoung Street
Marion, IL 62959
Map and Directions

Mt. Vernon Office
Phone: 618-315-6600
Toll Free: 877-621-2894
Fax: 618-315-6603


Mailing Address:
Bankruptcy Clinic, P.C.
2006 Broadway
Mt. Vernon, IL 62864
Map and Directions