Date: Petitioner. Date Petitioner. Lorraine Thomas

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1 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 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 $ plus postage to be determined. (If you choose to have your petition sent via U S Mail). There may also be an additional fee of $25.00 if the preparation of the petition requires additional time and work. Payment is acceptable by cash, money order, debit or credit card. (Checks not accepted) The client is responsible for filing fees that are due at the time of filing, unless the court has given their permission for other arrangements. That fee is $ The client must also complete a PRE and POST Bankruptcy Class that can be taken online at the cost for the PRE class is $14.95 and the cost for the POST class is $9.99. It is important that the client makes copies of ALL documents for their records. (Especially the petition.) If you would ever need an additional copy of your petition for whatever the reason, the court charges a fee of approximately $ However, I will have an electronic copy of your petition and for a lesser fee of $25.00 I will provide you with an additional copy of your petition should you need one. Make copies of the following: 1. The petition 2. The both certificates given by Debtors CC 3. All documentation requested by the court Petitioner Petitioner Date Date Date 1

2 PLEASE NOTE!!!!!! For legal advice regarding your chapter 7 petition, please consult an attorney, Lorraine (Thomas) is not an attorney. 2

3 PETITIONER S DATA SHEET (Please Print) If filing a joint petition please include all necessary information pertaining to your spouse!! The fee for a joint petition is $ Name: 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 How long have you been with employer: County of Residence Spouse Name Social Security Number: Other Name Used During Past 6 Years: 3

4 Complete Mailing Address: How long have you lived at this address? Employer Address: Home# ( ) Position/Title Cell# ( ) How long have you been with employer: 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 4

5 DO YOU OWN? (Please Print) Automobile(s) ( )Yes ( )No Make/Model/Year Value $ Amount owed $ Real Estate ( )Yes ( ) No Location Value $ Amount owed $ 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 so 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: AGES & RELATIONSHIP (ex: son 6yrs, daughter 5yrs, etc) or 2 sons ages 5,6 daughters ages 5,6 5

6 Name of Creditor Creditor s Address COMPLETE ADDRESS INCLUDING ZIP CODE Acct Number Date When Debt Occurred Acct Balance FEEL FREE TO MAKE COPIES 6

7 Credit Bureau Reports Automated request line for copies of all three credit reports. (Free annual reports) If you have not received a copy of your credit reports within the current year, you are entitled to free copies. Visit: to obtain your free copies. Transunion PO Box 2000 Chester, PA Equifax PO Box Atlanta, GA Experian PO Box 2002 Allen, TX