21895 Pegg Road # Fax Lexington Park, MD 20653

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1 Date: Lorraine Thomas agrees to prepare all necessary forms and paperwork surrounding the Chapter 7 Bankruptcy Petition. Lorraine (Thomas) is not a lawyer and did not provide any legal advice concerning the Chapter 7 Bankruptcy process. All information given to Lorraine (Thomas) is true and complete to the best of my knowledge. agrees to pay Lorraine (Thomas) a nonrefundable fee of $ (please add $5.00 to the fee if you choose to have your petition mailed to you via U. S. Mail) to complete the Chapter 7 Preparation paperwork is to be made in cash or by money order or debit or credit card. (Checks not accepted) The client is responsible for filing fees that are due at the time the petition is filed with the bankruptcy court. ($335.00) For additional information regarding these classes please contact Total amount paid to Lorraine (Thomas) is $ Lorraine Thomas Date Client Client Date Date ****If the petition preparer does not receive the paperwork back within 90 days from the signing of the contract the agreement is considered null and void. The process will start from the beginning, meaning the client will be required to pay another $ nonrefundable deposit to restart the process. The client s bankruptcy petition will only be kept in the system until the Discharge Letter is received at that time the clients information will be deleted from the system. For additional copies the client should request a copy directly from the bankruptcy court. PLEASE NOTE!!!!!! FOR CLIENTS OUTSIDE OF THE STATE OF MARYLAND THE FEE IS $ THIS COVERS THE MAILING OF THE PETITION TO YOU. 1

2 THE FEES FOR MARRIED COUPLES FILING CHAPTER 7 IS $ CLIENT DATA SHEET Name: (Please Print) Other Name Used During Past 6 Years: Complete Mailing Address: How long have you lived at this address? Employer Name: Address: Home# ( ) Cell# ( ) Position/Title Date of Employment: County of Residence Social Security Number: Spouse Name Other Name Used During Past 6 Years: 2

3 Complete Mailing Address: How long have you lived at this address? Employer Address: Home# ( ) Position/Title Cell# ( ) Date of Employment: County of Residence Social Security Number: Prior Address (If within 2 Years) Include dates from prior address Prior Address (If within 2 Years) Include dates from prior address From: To: 3

4 DO YOU OWN? (Please Print) Automobile(s) ( )Yes ( )No Make/Model/Year Value $ Bal Owed Real Estate ( )Yes ( ) No Location Value $ Existing Life Insurance Policy that you can borrow against? ( )Yes ( )No List Are you being garnished?( )Yes ( )No If so, provide all information concerning the garnishment on the creditors list Are you involved in a lawsuit? ( )Yes ( )No If yes, provide all necessary information on creditors list Have you ever filed bankruptcy? ( )Yes ( )No If yes, when? & list case number. Has any of your property been repossessed? ( )Yes ( )No If yes, what was repossessed? And When? Current Marital Status If divorced, when? DEPENDENTS, AGE & RELATIONSHIP 4

5 Name of Creditor Creditor s Address Acct Number Date When Debt Occurred Acct Balance FEEL FREE TO MAKE ADDITONAL COPIES IF NEEDED 5

6 For legal advice regarding your chapter 7 petition, please consult an attorney, Lorraine (Thomas) is not an attorney and cannot offer any kind of legal advice. All clients are responsible for completing the Pre-bankruptcy session/class and a Post-bankruptcy session/class these classes can be taken on the computer. The cost for the first class is $14.95 and the second class is $9.95 Classes are a requirement of the bankruptcy court due to changes made to the bankruptcy laws as of 10/2005. If you can find a cheaper company that offers these classes at a cheaper rate feel free to use them instead. Classes can only be taken online and each class takes approx. 45 minutes to an hour to complete. At the end of each class print out the certificate as proof that you completed the class and forward the certificate to the court. (Keep a copy of each certificate and a copy of your petition for your records. The classes can be taken at 6

7 Credit Bureau Reports Automated request line for copies of all three credit reports. (Free annual reports) or Go to the following website: Free Annual Credit Report.com and you can print them off immediately for free if you have not already received a copy of your reports for the current year. If you have, there is a fee of approx. $5.00 for each report. Transunion PO Box 2000 Chester, PA Equifax PO Box Atlanta, GA Experian PO Box 9701 Allen, TX

Date: Petitioner. Date Petitioner. Lorraine Thomas

Date: Petitioner. Date   Petitioner. Lorraine Thomas Date: agrees to prepare all necessary forms and paperwork surrounding the Chapter 7 Bankruptcy Petition. Lorraine (Thomas) is not an attorney and did not provide legal advice concerning the Chapter 7 Bankruptcy

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