The Dragons Den Business School Business Plan and Strategy for The Real Estate Investment Entrepreneur

Size: px
Start display at page:

Download "The Dragons Den Business School Business Plan and Strategy for The Real Estate Investment Entrepreneur"

Transcription

1 The Dragons Den Business School Business Plan and Strategy for The Real Estate Investment Entrepreneur NAME: DATE: The FIVE (5) Questions To Getting Started: 1. What specific and measurable result would you like for yourself inside the realm (or game) of real estate? Remember, be very specific and definitive. 2. What does it mean emotionally to accomplish this result... i. What does it mean to you? ii. What does it mean to your partner? iii. What does it mean to your family, and/or community? 3. What are your probable and almost certain challenges, set backs or reasons to wait until... that you can identify? Consider any one or all of The Eight Great Waits such as not having... (1) Enough Money, (2) Enough Knowledge, (3) Time, (4) The Right Mindset, (5) Family Onside, (6) Right Partner, (7) Right Opportunity, (8) Right Market 4. What do you expect you will require to purge these challenges? Name all the: i. Resources ii. Assistance iii. Support 5. What is your deadline for accomplishing this result? Articulate a timeframe that you can see yourself achieving even a small part of your desired outcome defined in your answer to Q #1.

2 2 PERSONAL FINANCIAL LANDSCAPE Name!!!!!! D/O/B!!!! S.I.N. #! Street Address!! City!! Province!!! Postal Code Occupation!!! Currently Employed With!!! #of Years Financial Information As at (Day/Month/Year) this is my Personal Financial Landscape A. Current Assets (list and describe assets)!!!! Cash (daily savings accounts, chequing accounts)!!!!! $ Investments (Schedule A)!!!!!!! $ Life Insurance cash surrender value!!!!!! $ Automobiles (including cars, motorcycles, boats, snowmobiles) Automobile #1: Make: Year:!! Automobile #2: Make: Year:!! Automobile #3: Make: Year:!! Automobile #4: Make: Year:!! $ $ $ $ Cash Equivalents (CSB s, T-Bills, GIC s, Term Deposits)!!!! $ Real Estate Retirement Plans Your RRSP!!!!!!!!! $ Spousal RRSP!!!!!!!! $ Your Employment Pension Plans!!!!!! $ Spousal Employment Pension Plans!!!!! $ Other!!!!!!!!!! $

3 Other Assets (Household goods, etc.) Art!!!!!!!!!! $ Jewelry!!!!!!!!! $ Antiques!!!!!!!!! $ Collectables!!!!!!!!! $ Other!!!!!!!!!! $ TOTAL ASSETS!!!!!!!! $ (A) B. Liabilities (list all credit cards, open lines of credit, and other liabilities including alimony, and child support)!!!!!! Balance Owing!! Monthly Payment Bank Loans!!!!! $!! $ Mortgage on Real Estate owned (See Schedule B attached)!!! $!! $ Monthly Rent Payment!!!!!!! $ Credit Cards (Itemized) #1! $!! $ #2! $!! $ #3! $!! $ #4! $!! $ Money Borrowed from Life Insurance! $!! $ Margin Accounts!!!! $!! $ Current Income Taxes Owing!! $!! $ Other Obligations (Itemized)!!!! #1! $!! $ #2! $!! $ #3! $!! $ #4! $!! $ Total Monthly Payments!!! $ TOTAL LIABILITIES (B)!!! $ (B) NET WORTH (A-B)!!! $ (A-B)

4 C. Income Sources Income coming from alimony, child support, or separate maintenance does not have to be stated unless you want it considered part of your financial landscape!!!!!!! Monthly!! Annually Your Gross Monthly Salary!!! $! $ Your Spouse s Gross Monthly Salary!! $! $ Bonuses, Commissions, Dividends!! $! $ Prepaid Expenses (e.g. insurance, rent, etc.)!! $! $ Net Monthly Rental Income (from Schedule B)! $! $ Other Income (Itemized) #1!!!!! $ #2!!!!! $ #3!!!!! $ #4!!!!! $ TOTAL INCOME!!!!!!!! $ (C) D. Expenses (Additional Personal Obligations) Household Operating Expenses!!!!!! Telephone!!!!!!!!! $ Heat, gas, and electricity!!!!!!! $ Water and garbage!!!!!!!! $ Home Insurance!!!!!!!! $ Repairs and Maintenance!!!!!!! $ Total Household Operating Expenses!!!!! $ Personal Expenses Insurance(s)!!!!!!!!! $ Clothing, cleaning, laundry!!!!!!! $ Food (at home, away from home)!!!!!! $ Medical. Dental!!!!!!!! $ Day Care!!!!!!!!! $ Education!!!!!!!!! $ Gifts, Donations, and Dues!!!!!! $ Recreation and Travel!!!!!!! $ Newspapers, magazines, books!!!!!! $ Auto: maintenance, gas, parking!!!!!! $ Spending money, fun dough: allowances!!!! $ Total Personal Expenses!!!!!!! $ TOTAL EXPENSES!!!!!!! $ (D) NET CASH FLOW (C-D)!!!!! $ (C-D)

5 Schedule A: Stocks, Bonds, Mutual Funds and Other Investments Description!!!! Market Value!!!! Pledged As Collateral? #1! $!! Yes or No! #2! $!! Yes or No! #3! $!! Yes or No! #4! $!! Yes or No! #6! $!! Yes or No! #7! $!! Yes or No! #8! $!! Yes or No! #9! $!! Yes or No! #10! $!! Yes or No! TOTAL!!!! $

6 Schedule B: Real Estate Owned Defined level of ownership you have in real estate Property #1 Property Address (Primary Residence)!!! Legal Description Street!!!!! City!!! Province Type of Property!!! Present Market Value!! Amount of mortgage liens!!!!!!!! 1st!! 2nd Monthly Taxes, Insurance, Maintenance and Miscellaneous!! Net Monthly Rental Income $!!!!!!!! $ Name of Mortgage Holder(s)! First Mortgage!!! Second Mortgage Percentage Ownership %!! Month/Year Acquired!! Purchase Price $ Property #2 Property Address!!!!! Legal Description Street!!!!! City!!! Province Type of Property!!! Present Market Value!! Amount of mortgage liens!!!!!!!! 1st!! 2nd Monthly Taxes, Insurance, Maintenance and Miscellaneous!! Net Monthly Rental Income $!!!!!!!! $ Name of Mortgage Holder(s)! First Mortgage!!! Second Mortgage Percentage Ownership %!! Month/Year Acquired!! Purchase Price $

7 Property #3 Property Address!!!!! Legal Description Street!!!!! City!!! Province Type of Property!!! Present Market Value!! Amount of mortgage liens!!!!!!!! 1st!! 2nd Monthly Taxes, Insurance, Maintenance and Miscellaneous!! Net Monthly Rental Income $!!!!!!!! $ Name of Mortgage Holder(s)! First Mortgage!!! Second Mortgage Percentage Ownership %!! Month/Year Acquired!! Purchase Price $ Property #4 Property Address!!!!! Legal Description Street!!!!! City!!! Province Type of Property!!! Present Market Value!! Amount of mortgage liens!!!!!!!! 1st!! 2nd Monthly Taxes, Insurance, Maintenance and Miscellaneous!! Net Monthly Rental Income $!!!!!!!! $ Name of Mortgage Holder(s)! First Mortgage!!! Second Mortgage Percentage Ownership %!! Month/Year Acquired!! Purchase Price $

8 The Dragons Den Business School Business Plan and Strategy for The Real Estate Investment Entrepreneur 12 Weeks, Three Phases to Launching Your Business Phase 1: Design Phase Complete BEFORE Summer Complete BEFORE Summer Complete BEFORE Deadline Product / Service Roadmap 1st week of April 1st week of May 1st week of Sept Market Sizing 2nd week of April 2nd week of May 2nd week of Sept Business Case 3rd week of April 3rd week of May 3rd week of Sept Field Test 4th week of April 4th week of May 4th week of Sept Phase 2: Operations Phase Operating Model 1st week of May 1st week of June 1st week of Oct Startup Team 2nd week of May 2nd week of June 2nd week of Oct Entity Creation 3rd week of May 3rd week of June 3rd week of Oct Financial Model 4th week of May 4th week of June 4th week of Oct Phase 3: Launch Phase Branding and Intellectual Property 1st week of June 1st week of July 1st week of Nov First Customers 2nd week of June 2nd week of July 2nd week of Nov Investor Documentation 3rd week of June 3rd week of July 3rd week of Nov Launch Event 4th week of June 4th week of July 4th week of Nov

9 The Dragons Den Business School Business Plan and Strategy for The Real Estate Investment Entrepreneur The 20 Checkpoints for a Complete Business Plan & Strategy Part 1: The Business Plan Checklist Pitching To Investors Elevator Pitch Executive Summary Investor Presentation Business Plan Blueprint Part 2: How To Build a Business Plan What Is Your Vision for Your Real Estate Investment Business? What Is Your BIG Point of Differentiation? Market Differentiation How Big Is Your Market? Market Defined Who Is Your Competition? Competitive Analysis How Do You Plan To Make Money? Business Model How Will You Get Customers? Sales and Marketing Strategy Part 3: The Investor Courting Process The Investor Courting Process How to Find an Investor Do You Have a Clear Real Estate Investment Business Concept? How Much Capital Will You Need Are Your Assumptions Accurate Part 4: Management Structure and Organization 17 Who Will Execute Your Plan? Management and Organization Part 5: How To Create the Financial Plan 18 How Will You Fund Your Plan? Part 6: How To Operationalize Your Plan Operationalize Your Plan Raising Capital Documents

Financial Data Entry Sheet for Net Worth Statement

Financial Data Entry Sheet for Net Worth Statement Financial Data Entry Sheet for Net Worth Statement Your name: Spouse s name: I. FAMILY DATA Your birth date: Spouse s birth date: Spouse s place of birth: Spouse s Social Security number: Date married:

More information

CURRENT INCOME: PART 1

CURRENT INCOME: PART 1 CURRENT INCOME: PART 1 This section deals with your household income. If you are married, information MUST be provided for both spouses, even if only one person is filing. Please provide the husband s

More information

Financial Disclosure Statement of Plaintiff Defendant

Financial Disclosure Statement of Plaintiff Defendant TYPE or PRINT in ink STATE OF MICHIGAN, 44th CIRCUIT COURT Note: File with FOC only! For Official Use Enter the name of the plaintiff. Plaintiff: First name Middle name Last name Enter the name of the

More information

and Financial Disclosure Statement of:

and Financial Disclosure Statement of: PRINT in BLACK ink Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use Enter the name of the petitioner. If joint petitioners, enter the

More information

Form 72J APPENDIX OF FORMS FORM 72J FINANCIAL STATEMENT (FORM 72J) (Court, Court File Number, Style of Proceeding) FINANCIAL STATEMENT (FORM 72J)

Form 72J APPENDIX OF FORMS FORM 72J FINANCIAL STATEMENT (FORM 72J) (Court, Court File Number, Style of Proceeding) FINANCIAL STATEMENT (FORM 72J) APPENDIX OF FORMS FORM 72J FINANCIAL STATEMENT (FORM 72J) (Court, Court File Number, Style of Proceeding) FINANCIAL STATEMENT (FORM 72J) Financial statement of: I hereby make oath (or solemn affirmation)

More information

FINANCIAL STATEMENT (Long Form)

FINANCIAL STATEMENT (Long Form) Division Commonwealth of Massachusetts The Trial Court Probate and Family Court Department FINANCIAL STATEMENT (Long Form) INSTRUCTIONS: If your income is less than 75,000.00 annually, you must complete

More information

STATE OF MAINE. v. PLAINTIFF S DEFENDANT S FINANCIAL STATEMENT [M.R. CIV P. 80 (c)], Defendant

STATE OF MAINE. v. PLAINTIFF S DEFENDANT S FINANCIAL STATEMENT [M.R. CIV P. 80 (c)], Defendant STATE OF MAINE SUPERIOR COURT county, ss. CV- DISTRICT COURT DIVISION OF LOCATION DOCKET NO., Plaintiff v. PLAINTIFF S DEFENDANT S FINANCIAL STATEMENT [M.R. CIV P. 80 (c)], Defendant INSTRUCTIONS This

More information

Name Social Security#: Spouse: Social Security#: Address: City/State: Zip: Alternate mailing address: Home Phone: ( ) Work Phone: ( ) Cell: ( )

Name Social Security#: Spouse: Social Security#: Address: City/State: Zip: Alternate mailing address: Home Phone: ( ) Work Phone: ( ) Cell: ( ) DEBTOR QUESTIONNAIRE You may print this out and bring it with you to the appointment. Please Answer these questions to the best of your information and belief. Short and general answers are sufficient.

More information

SUPREME COURT OF YUKON FINANCIAL STATEMENT. FINANCIAL STATEMENT OF (Plaintiff/Defendant) I,, of the of,

SUPREME COURT OF YUKON FINANCIAL STATEMENT. FINANCIAL STATEMENT OF (Plaintiff/Defendant) I,, of the of, Form 94 (Rule 63A (1) ) S.C. NO: SUPREME COURT OF YUKON Between: Plaintiff and Defendant FINANCIAL STATEMENT FINANCIAL STATEMENT OF _ (Plaintiff/Defendant) I,, of the of, in Yukon, SWEAR (or AFFIRM) THAT:

More information

Evaluating Jobs Based on Wage

Evaluating Jobs Based on Wage Evaluating Jobs Based on Wage Objectives In this lesson you will: learn how to evaluate a job based on wages learn about income, expenses, and net cash flow calculate your acceptable wage range based on

More information

FINANCIAL. 1. My information. Name of the person completing this Form (First Middle Last): Date this Form was completed (YYYY/MM/DD):

FINANCIAL. 1. My information. Name of the person completing this Form (First Middle Last): Date this Form was completed (YYYY/MM/DD): FINANCIAL INFORMATION Form I 1. My information Name of the person completing this Form (First Middle Last): Date this Form was completed : My financial circumstances My total annual income (before tax

More information

Bankruptcy Worksheet Brian W. Peters

Bankruptcy Worksheet Brian W. Peters Brian W. Peters 100 West 12th Street Tel. (563) 588-0547 P. O. Box 703 Fax (563) 588-1981 Soc. Sec. # Your Name: Date of Birth: Please list any other names (nicknames, maiden name, prior married name)

More information

# 17 ASSETS: Severance Pay, RRSP and RIF 8-2 # 18 NET WORTH CALCULATION 8-4 # 19 MONTHLY RETIREMENT INCOME 8-6 # 20 MONTHLY RETIREMENT EXPENSES 8-7

# 17 ASSETS: Severance Pay, RRSP and RIF 8-2 # 18 NET WORTH CALCULATION 8-4 # 19 MONTHLY RETIREMENT INCOME 8-6 # 20 MONTHLY RETIREMENT EXPENSES 8-7 What re you doing after work? Finance D, 8-1 Finance D WORKSHEETS HANDOUTS # 17 ASSETS: Severance Pay, RRSP and RIF 8-2 # 18 NET WORTH CALCULATION 8-4 # 19 MONTHLY RETIREMENT INCOME 8-6 # 20 MONTHLY RETIREMENT

More information

What are the Financial Implications of a Job Loss?

What are the Financial Implications of a Job Loss? What are the Financial Implications of a Job Loss? INSIDE Tax Sheltering Severance Payments Determining Eligible Retiring Allowance Limits Transferring Eligible Retiring Allowances to an RRSP Using Your

More information

MyCaseInfo. Client Questionnaire

MyCaseInfo. Client Questionnaire Client Questionnaire Questions denoted with a * will only show if you stated that you are married or have a common-law marriage. Also, if you have a marriage status of married or common-law, questions

More information

NEWARK-FREMONT LEGAL CENTER BANKRUPTCY WORKSHEET

NEWARK-FREMONT LEGAL CENTER BANKRUPTCY WORKSHEET NEWARK-FREMONT LEGAL CENTER BANKRUPTCY WORKSHEET Complete the form below and then call our office for an appointment. 794-LAWS Please Print Clearly! DEBTOR JOINT DEBTOR Full Name Street Address Mailing

More information

Schedule J: Your Expenses 12/13

Schedule J: Your Expenses 12/13 Fill in this information to identify your case: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District of (State) Case number _ (If known) Check if this is an amended filing

More information

BANKRUPTCY CLIENT QUESTIONAIRRE. Telephone Number HOME:( ) WORK:( ) CELL: ( ) SOCIAL SECURITY NUMBER: - - CITY: STATE: ZIP: COUNTY:

BANKRUPTCY CLIENT QUESTIONAIRRE. Telephone Number HOME:( ) WORK:( ) CELL: ( ) SOCIAL SECURITY NUMBER: - - CITY: STATE: ZIP: COUNTY: For Office Use Only Payment Information 7 0R 13 Rcpt # $ FF + AF + CR= BANKRUPTCY CLIENT QUESTIONAIRRE NAME: First Middle Last Other names: BIRTHDATE: Email: Telephone Number HOME:( ) WORK:( ) CELL: (

More information

o A copy of your most recent whole life insurance statement, HSA account statement and/or any other financial account.

o A copy of your most recent whole life insurance statement, HSA account statement and/or any other financial account. Jill Collins, P.C. What to Bring Checklist o For each piece of Real Estate you are purchasing or in which you have an interest: your most recent mortgage statement(s). o For each Vehicle, Boat, Jet Ski,

More information

INITIAL FINANCIAL PLAN AMENDED FINANCIAL PLAN #

INITIAL FINANCIAL PLAN AMENDED FINANCIAL PLAN # STATE OF SOUTH CAROLINA COUNTY OF IN THE PROBATE COURT CASE NUMBER: -GC- - IN THE MATTER OF:, a protected person. FINANCIAL PLAN OF CONSERVATOR INITIAL FINANCIAL PLAN AMENDED FINANCIAL PLAN # 1. What steps

More information

FINANCIAL STATEMENT (Long Form)

FINANCIAL STATEMENT (Long Form) INSTRUCTIONS: If your income is less than 75,000.00 annually, you must complete the SHORT FORM financial statement, unless otherwise ordered by the court. I. Plaintiff/Petitioner PERSONAL INFORMATION vs.

More information

In the District Court of County, Utah. Court Address

In the District Court of County, Utah. Court Address My Name This is a private record. Address City, State, Zip Phone Email I am the In the District Court of County, Utah Court Address Financial Declaration v. Case Number Judge Commissioner Instructions:

More information

PRIMARY APPLICATION ACT 91 MORTGAGE ASSISTANCE

PRIMARY APPLICATION ACT 91 MORTGAGE ASSISTANCE PRIMARY APPLICATION ACT 91 MORTGAGE ASSISTANCE Applicant (Last) (First) Social Security Number Co-Applicant (Last) (First) Social Security Number Primary Address Property being foreclosed on (if different

More information

CLIENT INTAKE FORM I. CLIENT INFORMATION. Maiden Name: Date of Birth: Place of Birth:

CLIENT INTAKE FORM I. CLIENT INFORMATION. Maiden Name: Date of Birth: Place of Birth: CLIENT INTAKE FORM I. CLIENT INFORMATION Name: SS#: Home Address: Home Phone: Cell Phone: Work Phone: Maiden Name: Date of Birth: Place of Birth: E-mail Address: Driver s License #: If you want correspondence

More information

CLIENT QUESTIONNAIRE

CLIENT QUESTIONNAIRE Spencer Carr Attorney at Law Emily Carr Attorney at Law Quentin Carr Attorney at Law James H. Cox Of Counsel CLIENT QUESTIONNAIRE Thank you for calling THE CARR LAW GROUP for legal assistance relating

More information

Commonwealth of Massachusetts

Commonwealth of Massachusetts Plaintiff / Petitioner Division Commonwealth of Massachusetts The Trial Court Probate and Family Court Department FINANCIAL STATEMENT (LONG FORM) v. Defendant / Petitioner INSTRUCTIONS: This financial

More information

PACIFIC GRACE TAX & ACCOUNTING

PACIFIC GRACE TAX & ACCOUNTING PACIFIC GRACE TAX & ACCOUNTING 31925 SR 20 Oak Harbor, WA 98277 (360) 675-6838 Fax (360) 679-6673 Kathy s E-Mail - kathy@pacificgracetax.com Ronnie s E-Mail - ronnie@pacificgracetax.com Mandy s E-Mail

More information

Client Questionnaire For Non-Business Debtor. Section 1 Basic Information

Client Questionnaire For Non-Business Debtor. Section 1 Basic Information Client Questionnaire For Non-Business Debtor Section 1 Basic Information Part A. Name and Address Name: Last First Middle Telephone Number Home: Work: Cell: Other: Fax: Email: Social Security Number: -

More information

LAW OFFICE OF KRISTY A. HERNANDEZ NEW CLIENT BANKRUPTCY INFORMATION PACKET

LAW OFFICE OF KRISTY A. HERNANDEZ NEW CLIENT BANKRUPTCY INFORMATION PACKET LAW OFFICE OF KRISTY A. HERNANDEZ NEW CLIENT BANKRUPTCY INFORMATION PACKET Putting together a bankruptcy case is a detailed process requiring information about the property you own and the debts you have.

More information

Form 13.1: Financial Statement (Property and Support Claims) sworn/affirmed

Form 13.1: Financial Statement (Property and Support Claims) sworn/affirmed ONTARIO Court File Number at (Name of court) (Court office address) Form 13.1: Financial Statement (Property and sworn/affirmed Applicant(s) Full legal name & address for service street & number, municipality,

More information

Business Loan Fund of Mesa County, Inc Legacy Way Grand Junction, CO (FAX)

Business Loan Fund of Mesa County, Inc Legacy Way Grand Junction, CO (FAX) Business Loan Fund of Mesa County, Inc. 2591 Legacy Way Grand Junction, CO 81503 970 243-5242 970 241-0771(FAX) www.gjincubator.org BUSINESS LOAN APPLICATION (Proprietor, partners, officers, directors

More information

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT - DIVORCE. Date of Separation:

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT - DIVORCE. Date of Separation: IN THE SUPERIOR COURT OF COUNTY Plaintiff, vs. Defendant. Civil Action No. DOMESTIC RELATIONS FINANCIAL AFFIDAVIT - DIVORCE 1. AFFIANT'S NAME: Spouse s Name: Age: Age: Date of Marriage: Date of Separation:

More information

Client Questionnaire For Non-Business Debtor Section 1 - Basic Information

Client Questionnaire For Non-Business Debtor Section 1 - Basic Information Client Questionnaire For Non-Business Debtor Section 1 - Basic Information Part A. Name and Address Name: Last First Middle Telephone Number Home: Work: Have you used any other names in the past six years?

More information

SUZEORMAN.COM. Exercise: My Monthly Expenses. Instructions:

SUZEORMAN.COM. Exercise: My Monthly Expenses. Instructions: Exercise: My Monthly Expenses Instructions: 1. Go through your records and receipts for the last complete calendar year. This includes all checks, all credit-card charges, and all ATM withdrawals and cash

More information

Form 13.1: Financial Statement (Property and Support Claims) sworn/affirmed

Form 13.1: Financial Statement (Property and Support Claims) sworn/affirmed ONTARIO Court File Number at (Name of court) (Court office address) Form 13.1: Financial Statement (Property and sworn/affirmed Applicant(s) Full legal name & address for service street & number, municipality,

More information

Commonwealth of Massachusetts The Trial Court Probate and Family Court Department. FINANCIAL STATEMENT (LONG FORM) v.

Commonwealth of Massachusetts The Trial Court Probate and Family Court Department. FINANCIAL STATEMENT (LONG FORM) v. Plaintiff / Petitioner I. PERSONAL INFORMATION Division Commonwealth of Massachusetts The Trial Court Probate and Family Court Department FINANCIAL STATEMENT (LONG FORM) v. Docket No. Defendant / Petitioner

More information

INSTRUCTIONS PART I: INCOME

INSTRUCTIONS PART I: INCOME at ONTARIO Superior Court of Justice Family Court Branch (Name of court) (Court office address) Court File Number Form 13.1: Financial Statement (Property and sworn/affirmed Applicant(s) Full legal name

More information

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT IN THE SUPERIOR COURT OF CLAYTON COUNTY STATE OF GEORGIA vs. Plaintiff,,, Defendant. Civil Action Case Number DOMESTIC RELATIONS FINANCIAL AFFIDAVIT (1) Your Name: Your Age: Spouse s Name: Spouse s Age:

More information

City of El Centro REVOLVING LOAN FUND (RLF)

City of El Centro REVOLVING LOAN FUND (RLF) City of El Centro REVOLVING LOAN FUND (RLF) FACT SHEET PROGRAM: ELIGIBILITY: Program has been established to assist commercial and industrial growth by providing gap financing to businesses that will create

More information

Your retirement planning checklist

Your retirement planning checklist Your retirement planning checklist Use this checklist to help you get started with your retirement plans. 5+ years before retirement Most financial advisors estimate that you will need 60% to 80% of your

More information

Checklist 2017 Personal Income Tax Return

Checklist 2017 Personal Income Tax Return Checklist 2017 Personal Income Tax Return Please fill out the form below and return it to our office along with your tax information and documents. Documents can be sent through email or fax, or alternatively

More information

COUNTY SUPERIOR COURT STATE OF GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

COUNTY SUPERIOR COURT STATE OF GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT COUNTY SUPERIOR COURT STATE OF GEORGIA vs. Plaintiff, Defendant.,, Civil Action Case Number DOMESTIC RELATIONS FINANCIAL AFFIDAVIT (1) Your Name: Your Age: Spouse s Name: Spouse s Age: Date of Marriage:

More information

Dear Client, FEBRUARY 3, 2016

Dear Client, FEBRUARY 3, 2016 1210 Sheppard Avenue East, Suite 308, Box 18, Toronto, Ontario M2K 1E3 (416) 492-1881 fax: (416) 492-1926 e-mail: accountants@kurin.ca www.kurin.ca Dear Client, FEBRUARY 3, 2016 Once again it is time to

More information

DISCLOSURE STATEMENT (Pursuant to Rule )

DISCLOSURE STATEMENT (Pursuant to Rule ) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - DOMESTIC RELATIONS DIVISION IN RE The Marriage Custody Parentage Support of: [ ] Petitioner / [ ] Counter-Respondent, -vs- [ ] Respondent

More information

Form 13: Financial Statement (Support Claims) sworn/affirmed

Form 13: Financial Statement (Support Claims) sworn/affirmed ONTARIO Court File Number at (Name of Court) Court office address Form : Financial Statement sworn/affirmed Applicant(s) Full legal name & address for service street & number, municipality, postal code,

More information

INSTRUCTIONS PART 1: INCOME

INSTRUCTIONS PART 1: INCOME at ONTARIO Superior Court of Justice Family Court Branch (Name of Court) Court office address Court File Number Form : Financial Statement sworn/affirmed Applicant(s) Full legal name & address for service

More information

BANKRUPTCY QUESTIONNAIRE

BANKRUPTCY QUESTIONNAIRE BANKRUPTCY QUESTIONNAIRE Questionnaire to be completed by CVLS volunteer. Do not conduct interview if Schedule I and J and Creditors Information Sheet have not previously been completed by the client.

More information

INTAKE FORM FOR DIVORCE CASE WITHOUT CHILDREN

INTAKE FORM FOR DIVORCE CASE WITHOUT CHILDREN DATE: INTAKE FORM FOR DIVORCE CASE WITHOUT CHILDREN The information requested in this form is all required by the court and/or the Kansas Department of Vital Statistics. Please answer all questions as

More information

Form F8 (Rule 5 1 and 7 1 (8), 10) and (11) )

Form F8 (Rule 5 1 and 7 1 (8), 10) and (11) ) Form F8 (Rule 5 1 and 7 1 (8), 10) and (11) ) In the Supreme Court of British Columbia This is the...[1st/2nd/3rd/etc.]... affidavit of...[name]... in this case and was made on...[dd/mmm/yyyy]... Court

More information

SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF X Plaintiff,

SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF X Plaintiff, SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ---------------------------------------------------------------------X Plaintiff, - against - STATEMENT OF NET WORTH DATED: Index No. Date Action Commenced:

More information

Document Organizer FINANCIAL LITERACY PERSONAL INFORMATION. INCOME (include T3s, T4s, T4As, T5s, T600s, and invoices) Name: D M Y.

Document Organizer FINANCIAL LITERACY PERSONAL INFORMATION. INCOME (include T3s, T4s, T4As, T5s, T600s, and invoices) Name: D M Y. Name: FINANCIAL LITERACY PERSONAL INFORMATION Social Insurance Number Date of Birth D M Y Name Name of Spouse/Partner Name of Dependants 1. 2. 3. 4. Address Apt. # Street Province City Postal Code Telephone:

More information

SUN-KAP ENTERPRISES,LLC TAX AND FINANCIAL PLANNING 1260 Huntington Dr., Suite 205 South Pasadena, CA Phone Fax

SUN-KAP ENTERPRISES,LLC TAX AND FINANCIAL PLANNING 1260 Huntington Dr., Suite 205 South Pasadena, CA Phone Fax SUN-KAP ENTERPRISES,LLC TAX AND FINANCIAL PLANNING 1260 Huntington Dr., Suite 205 South Pasadena, CA 91030 Phone 323-254-2729 Fax 323-254-2739 NOTE: REMEMBER TO BRING ALL OF YOUR W-2, 1099, 1098, K-1 AND

More information

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT IN THE SUPERIOR COURT OF COUNTY STATE OF GEORGIA vs. Plaintiff, CIVIL ACTION FILE NO. Defendant. DOMESTIC RELATIONS FINANCIAL AFFIDAVIT You are required to make to the Court, under oath, a FULL DISCLOSURE

More information

Evans & Woulfe Accounting, Inc.

Evans & Woulfe Accounting, Inc. Your Income: Wages on W-2 forms and Form 1095A (Health Insurance Marketplace Statement) and proof of Health Insurance coverage or applicable 1095B or 1095C. Interest Income Statements on Form 1099-INT

More information

FAMILY LAW FINANCIAL AFFIDAVIT

FAMILY LAW FINANCIAL AFFIDAVIT IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA, Petitioner, Case No.: Division: and, Respondent. FAMILY LAW FINANCIAL AFFIDAVIT ($50,000 or more Individual Gross Annual Income)

More information

JOYNER, KIRKHAM, KEEL & ROBERTSON, P.C INDIVIDUAL TAX ORGANIZER

JOYNER, KIRKHAM, KEEL & ROBERTSON, P.C INDIVIDUAL TAX ORGANIZER Please provide a copy of your 2013 federal and state tax returns, and complete pages 1 through 3. Other pages: complete only those sections that apply to you. Your Name SS# Occupation Birth Date Spouse

More information

TRUST RESPECT CUSTOMIZED

TRUST RESPECT CUSTOMIZED Survey for Trainee Phone numbers(s) Date: / /20 TRUST RESPECT CUSTOMIZED 3 Reasons Why We Are Here: 1. Referral Base 2. Earn your business as clients 3. Expanding & Need Help Current Careers? What Do You

More information

Myers Tsiofas Norheim LLP CHARTERED ACCOUNTANTS

Myers Tsiofas Norheim LLP CHARTERED ACCOUNTANTS 2011 PERSONAL INCOME TAX RETURN CHECKLIST TAXPAYER S FULL NAME: SOCIAL INSURANCE NUMBER DATE OF BIRTH (MM/DD/YY): IMPORTANT NOTICE: This checklist is intended to assist you in assembling information necessary

More information

IN THE SUPERIOR COURT OF CHEROKEE COUNTY STATE OF GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

IN THE SUPERIOR COURT OF CHEROKEE COUNTY STATE OF GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT IN THE SUPERIOR COURT OF CHEROKEE COUNTY STATE OF GEORGIA, ) ) Plaintiff, ) ) CIVIL ACTION FILE NO. vs. ) ), ) ) Defendant. ) DOMESTIC RELATIONS FINANCIAL AFFIDAVIT 1. AFFIANT S NAME Age Spouse s Name

More information

Failure to accurately complete the form may result in denial of your request.

Failure to accurately complete the form may result in denial of your request. The San Fernando Valley Bar Association Mandatory Fee Arbitration Committee accepts client petitions for arbitration of disputes involving attorney fees without regard to a petitioner s ability to pay.

More information

SUPERIOR COURT OF ARIZONA MOHAVE COUNTY

SUPERIOR COURT OF ARIZONA MOHAVE COUNTY FOR CLERK S USE ONLY Name of Person Filing: Mailing Address: City, State, Zip Code: Daytime Phone Number: Evening Phone Number: ATLAS Number (if applicable): Attorney Bar Number (if applicable): Representing:

More information

FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM)

FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM) IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA, Petitioner, Case No.: Division: and, Respondent. FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM) ($50,000 or more Individual Gross Annual

More information

IN THE SUPERIOR COURT OF HOUSTON COUNTY, GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT OF PLAINTIFF. 1. AFFIANT S NAME: Age.

IN THE SUPERIOR COURT OF HOUSTON COUNTY, GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT OF PLAINTIFF. 1. AFFIANT S NAME: Age. IN THE SUPERIOR COURT OF HOUSTON COUNTY, GEORGIA, Plaintiff vs. Civil Action No., Defendant DOMESTIC RELATIONS FINANCIAL AFFIDAVIT OF PLAINTIFF 1. AFFIANT S NAME: Age Spouse s Name: Age Date of Marriage:

More information

Section 1 - Personal Information Section 2 - Property Section 3 - Debts Section 4 - Expired Leases and Contracts...

Section 1 - Personal Information Section 2 - Property Section 3 - Debts Section 4 - Expired Leases and Contracts... B A N K R U P T C Y Q U E S T I O N N A I R E INDEX Section 1 - Personal Information.............................. 2-3 Section 2 - Property........................................ 4-6 Section 3 - Debts............................................

More information

IN THE SUPERIOR COURT OF FLOYD COUNTY, STATE OF GEORGIA

IN THE SUPERIOR COURT OF FLOYD COUNTY, STATE OF GEORGIA IN THE SUPERIOR COURT OF FLOYD COUNTY, STATE OF GEORGIA _, ) Plaintiff / Petitioner, ) ) CIVIL ACTION FILE v. ) ) No., ) Defendant / Respondent. ) ) DOMESTIC RELATIONS FINANCIAL AFFIDAVIT 1. AFFIANT S

More information

APPLICATION FOR FINANCIAL ASSISTANCE / SCHOOL YEAR

APPLICATION FOR FINANCIAL ASSISTANCE / SCHOOL YEAR APPLICATION FOR FINANCIAL ASSISTANCE 2016-2017 / 5776-5777 SCHOOL YEAR MECHINA HIGH SCHOOL and the CENTER FOR THE ADVANCEMENT OF JEWISH EDUCATION APPLICATION FOR FINANCIAL ASSISTANCE 2016-2017 / 5776-5777

More information

In the Superior Court of County, Georgia. In re (Child(ren)): ) ) ), Petitioner ) ) vs. ) Civil Action No. ), Respondent ) )

In the Superior Court of County, Georgia. In re (Child(ren)): ) ) ), Petitioner ) ) vs. ) Civil Action No. ), Respondent ) ) In the Superior Court of County, Georgia In re (Child(ren:, Petitioner vs. Civil Action No., Respondent DOMESTIC RELATIONS FINANCIAL AFFIDAVIT 1. AFFIANT S NAME (your name: Age Opposing Party s Name: _

More information

Motion for Modification of Child Support Order

Motion for Modification of Child Support Order Petitioner vs Respondent Case Number Motion for Modification of Child Support Order Failure to provide the Petitioner s, Respondent s, and Attorney s complete information WILL delay the filing of this

More information

Debtor # 1 Name Your Home address: First Middle Last

Debtor # 1 Name Your Home address: First Middle Last Please answer each and every question. CLIENT INFORMATION SHEET FOR CHAPTER 7 or 13 Date: Marital Status: Debtor # 1 Name Your Home address: First Middle Last City St. Zip Mailing address if different:

More information

IN THE SUPERIOR COURT OF STATE OF GEORGIA., Plaintiff, v., CIVIL ACTION Defendant. FILE NO. DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

IN THE SUPERIOR COURT OF STATE OF GEORGIA., Plaintiff, v., CIVIL ACTION Defendant. FILE NO. DOMESTIC RELATIONS FINANCIAL AFFIDAVIT IN THE SUPERIOR COURT OF STATE OF GEORGIA COUNTY, Plaintiff, v., CIVIL ACTION Defendant. FILE NO. DOMESTIC RELATIONS FINANCIAL AFFIDAVIT 1. AFFIANT S NAME: Ag e Spouse s Name: Ag e Date of Marriage: Date

More information

LOCH, ELSENBAUMER, NEWTON & CO. A PROFESSIONAL CORPORATION

LOCH, ELSENBAUMER, NEWTON & CO. A PROFESSIONAL CORPORATION LOCH, ELSENBAUMER, NEWTON & CO. A PROFESSIONAL CORPORATION ACCOUNTANTS AND CONSULTANTS INDIVIDUAL INCOME TAX ORGANIZER 2014 Taxpayer Name: Spouse's Name: Day Time Phone Number: Cell Phone Number: Email

More information

THE BANKRUPTCY CLINIC

THE BANKRUPTCY CLINIC THE BANKRUPTCY CLINIC 1-800-680-6614 PLEASE DETACH THIS PAGE AND KEEP FOR YOUR RECORDS Our office is at 727 North Waco, Suite 565 in Wichita. In Kansas, the bankruptcy courts are located in Wichita, Topeka

More information

Part 1: Retirement Income Estimation Worksheet:

Part 1: Retirement Income Estimation Worksheet: Retirement Cash Flow Worksheet and Budget Date: Name: Part 1: Retirement Income Estimation Worksheet: Annual Income $ CPI Indexed? Continued Employment of Spouse... (Until Age: ) Part Time Employment...

More information

INITIAL INTERVIEW QUESTIONNAIRE (BANKRUPTCY)

INITIAL INTERVIEW QUESTIONNAIRE (BANKRUPTCY) DATE: MACHI & ASSOCIATES, P.C. 1521 N. Cooper, Suite 550 990 N. Walnut Creek, Suite 2016 Arlington, Texas 76011 Mansfield, Texas 76063 Local 817-335-8880 Metro 972-445-5387 Toll Free 866-DEBTDRS (866-332-8377)

More information

ALL INFORMATION MUST BE FILLED OUT IF NOT APPLICABLE, PLEASE NOTE N/A DO NOT LEAVE ANY INFORMATION BLANK. First Name Full Middle Name Last Name Suffix

ALL INFORMATION MUST BE FILLED OUT IF NOT APPLICABLE, PLEASE NOTE N/A DO NOT LEAVE ANY INFORMATION BLANK. First Name Full Middle Name Last Name Suffix ALL INFORMATION MUST BE FILLED OUT IF NOT APPLICABLE, PLEASE NOTE N/A DO NOT LEAVE ANY INFORMATION BLANK First Name Full Middle Name Last Name Suffix Spouse First Name Full Middle Name Last Name Maiden

More information

2016 Personal Tax Questionnaire

2016 Personal Tax Questionnaire To help us prepare your tax returns, please complete this fillable PDF as required and return it to us with your tax information. Please call us at: (905) 829-3701 for an appointment. A. Personal and Family

More information

Request to Modify Payment Plan

Request to Modify Payment Plan Request to Modify Payment Plan Chester County Adult Probation & Parole Department Instructions: Please complete pages 1-6 Complete page 7 if you are self-employed Make sure your name is at the bottom of

More information

2017 Personal Tax Questionnaire

2017 Personal Tax Questionnaire To help us prepare your tax returns, please complete this fillable PDF as required and return it to us with your tax information. Please call us at: (905) 829-3701 for an appointment. A. Personal and Family

More information

Court of Queen s Bench

Court of Queen s Bench Respond Change Spousal Support Court of Queen s Bench Responding to Application To Change Spousal Support Instructions Responding to an Application Before you Begin: There is an important date in the Application

More information

What Does It Mean To File For Personal Bankruptcy?

What Does It Mean To File For Personal Bankruptcy? Thank you for contacting our office to ask about personal bankruptcy. The following are some answers to many of the questions people have about the process of bankruptcy. Bankruptcy is complex and the

More information

CITY OF FRASER BOARD OF REVIEW 2018 POVERTY EXEMPTION POLICY & GUIDELINES

CITY OF FRASER BOARD OF REVIEW 2018 POVERTY EXEMPTION POLICY & GUIDELINES CITY OF FRASER BOARD OF REVIEW 2018 POVERTY EXEMPTION POLICY & GUIDELINES The attached guidelines and application are to be used for 2018 only Section 211.7u(1) of the Michigan General Property Tax Act

More information

Rosemarie K. Fleischer Professional Corporation Personal Tax Questionnaire

Rosemarie K. Fleischer Professional Corporation Personal Tax Questionnaire Phone: (289) 291-2400 Rosemarie K. Fleischer Professional Corporation Fax: (289) 815-0623 2014 Personal Tax Questionnaire To help us prepare your tax returns, please complete this as required and return

More information

CHAPTER 7 QUESTIONNAIRE IMPORTANT PLEASE READ CAREFULLY

CHAPTER 7 QUESTIONNAIRE IMPORTANT PLEASE READ CAREFULLY CHAPTER 7 QUESTIONNAIRE IMPORTANT PLEASE READ CAREFULLY List of information required prior to being able to file your bankruptcy: Fees need to be paid in full before proceeding with the following steps.

More information

LEVY, LEVY AND NELSON

LEVY, LEVY AND NELSON LEVY, LEVY AND NELSON A PROFESSIONAL ACCOUNTANCY CORPORATION 23801 CALABASAS ROAD, SUITE 2012 CALABASAS, CA 91302 PHONE:(818)346-8034 FAX:(818)346-6409 EMAIL:APPOINTMENTS@LEVYNELSON.COM TAX RETURN YEAR

More information

, ) ) AFFIDAVIT OF FINANCIAL STANDING ) OF VS. ) (Name) ), ) Defendant. )

, ) ) AFFIDAVIT OF FINANCIAL STANDING ) OF VS. ) (Name) ), ) Defendant. ) STATE OF NORTH CAROLINA COUNTY OF IREDELL IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO.:, ) Plaintiff, ) AFFIDAVIT OF FINANCIAL STANDING ) OF VS. ) (Name) ), ) Defendant. ) The Affiant,

More information

State of Georgia., Plaintiff., Defendant AFFIDAVIT AND MOTION TO PROCEED IN FORMA PAUPERIS

State of Georgia., Plaintiff., Defendant AFFIDAVIT AND MOTION TO PROCEED IN FORMA PAUPERIS In the Superior Court of State of Georgia County, Georgia vs., Plaintiff, Defendant Civil Action File No. AFFIDAVIT AND MOTION TO PROCEED IN FORMA PAUPERIS I,, the undersigned, having been duly sworn,

More information

Financial Needs Analysis Questionnaire (the involvement of ALL decision makers are required for an accurate assessment) Date: Time:

Financial Needs Analysis Questionnaire (the involvement of ALL decision makers are required for an accurate assessment) Date: Time: Primary: D.O.B. Spouse / Partner: D.O.B. Address Primary s Cell phone: Home Phone: Spouse / Partner Cell phone: Primary s e-mail Spouse / Partner s e-mail Height Weight Any form of tobacco use? Height

More information

In the Superior Court of County, Georgia. ), Petitioner ) ) vs. ) Civil Action No. ), Respondent ) ) DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

In the Superior Court of County, Georgia. ), Petitioner ) ) vs. ) Civil Action No. ), Respondent ) ) DOMESTIC RELATIONS FINANCIAL AFFIDAVIT In the Superior Court of County, Georgia, Petitioner vs. Civil Action No., Respondent DOMESTIC RELATIONS FINANCIAL AFFIDAVIT 1. AFFIANT S NAME (your name: Age Spouse s Name: _ Age Date of Marriage: Date

More information

Collection Information Statement for Wage Earners and Self-Employed Individuals

Collection Information Statement for Wage Earners and Self-Employed Individuals Form 433A (OIC) (Rev. May 2012) Use this form if you are An individual who owes income tax on a Form 1040, U.S. Individual Income Tax Return An individual with a personal liability for Excise Tax An individual

More information

In the Superior Court of County, Georgia. 1. AFFIANT S NAME: Age. Spouse s Name:

In the Superior Court of County, Georgia. 1. AFFIANT S NAME: Age. Spouse s Name: In the Superior Court of County, Georgia, Plaintiff vs. Civil Action No., Defendant TIC FINANCIAL RELATIONS AFFIDAVIT FINANCIAL AFFIDAVIT 1. AFFIANT S NAME: Age Spouse s Name: Age Names and birth dates

More information

Atwood Tax Client Organizer Taxpayer Information

Atwood Tax Client Organizer Taxpayer Information Atwood Tax Client Organizer Taxpayer Information First Name: ( ) Initial: ( ) Last Name: ( ) Date of Birth: ( / / ) SSN: ( - - ) Occupation: ( ) Address: ( ) State: ( ) Zip: ( ) City: ( ) Daytime phone:

More information

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT. 1. AFFIANT S NAME: Age Spouse s Name: Dates of Marriage: Date of Separation:

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT. 1. AFFIANT S NAME: Age Spouse s Name: Dates of Marriage: Date of Separation: In the Superior Court of County, Georgia, Plaintiff vs. Civil Action No., Defendant DOMESTIC RELATIONS FINANCIAL AFFIDAVIT 1. AFFIANT S NAME: Age Spouse s Name: Age Dates of Marriage: Date of Separation:

More information

Expenses ACCOUNTING FEES EXPENSE ADVERTISING EXPENSE AUTOMOBILE EXPENSE

Expenses ACCOUNTING FEES EXPENSE ADVERTISING EXPENSE AUTOMOBILE EXPENSE Expenses The majority of Consultants will be using the Quick Method of paying HST/GST, so expenses should be entered into the manual including HST/GST. If you are using the Long Method for remitting HST/GST,

More information

P. J. FRANKLIN ATTORNEY AT LAW

P. J. FRANKLIN ATTORNEY AT LAW P. J. FRANKLIN ATTORNEY AT LAW 7322 S. W. FREEWAY STE. 700 HOUSTON, TX 77074 Telephone: (713) 414-3066 Fax: (713) 414-3067 E-Mail: pjf@pjfranklin.com Website:www.pjfranklin.com BANKRUPTCY QUESTIONAIRE

More information

Last name. First name. Occupation. Cell phone. address. Date of birth. State. Fax number. Social Security Number Relationship.

Last name. First name. Occupation. Cell phone.  address. Date of birth. State. Fax number. Social Security Number Relationship. 2013 TAX ORGANIZER Last name Taxpayer Information Last name Spouse Information First name First name Middle Initial Suffix Middle Initial Suffix Social security number Occupation Social security number

More information

THE MONEYSENSE COMPLETE FINANCIAL PLAN KIT WORKSHEET #1: PRIORITIZE YOUR GOALS

THE MONEYSENSE COMPLETE FINANCIAL PLAN KIT WORKSHEET #1: PRIORITIZE YOUR GOALS WORKSHEET #1: PRIORITIZE YOUR GOALS Please rate each financial goal based on how important it is to you (1 = not at all important; 5 = very important) NOT IMPORTANT VERY IMPORTANT Paying down mortgage

More information

1040 US Tax Organizer

1040 US Tax Organizer 1040 US Tax Organizer CLIENT INFORMATION First name and initial..... Last name............... Title/suffix............... Social security number... Occupation.............. Date of birth (m/d/y)......

More information

David E. Bolger, Attorney at Law

David E. Bolger, Attorney at Law WORKSHEET GUIDELINES David E. Bolger, Attorney at Law 506 Wilkesboro Blvd. Ste 230 Lenoir, NC 28645 Phone: 828-757-2800 Fax: 828-757-0502 Visit our website at www.davebolgerlaw.com Please print clearly

More information

JOYNER, KIRKHAM, KEEL & ROBERTSON, P.C INDIVIDUAL TAX ORGANIZER

JOYNER, KIRKHAM, KEEL & ROBERTSON, P.C INDIVIDUAL TAX ORGANIZER Please provide a copy of your 2017 federal and state tax returns, and complete pages 1 through 3. Other pages: complete only those sections that apply to you. Taxpayer Name SS# Occupation Birth Date Spouse

More information

This application is for ECE professionals working in a childcare facility. Please read through the entire application before you start.

This application is for ECE professionals working in a childcare facility. Please read through the entire application before you start. Personal Information: This application is for ECE professionals working in a childcare facility. Please read through the entire application before you start. Last Name Legal First Name Address City Province

More information