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Check all that apply. These categories of debts are called "unsecured" debts. Do not check any of the above boxes to indicate debts that are secured by items of real or personal property--e.g. home mortgages and automobile loans. We will ask about those later.

For example: 2001 Toyota Camry with 168,000 miles.

For example: 2001 Toyota Camry with 168,000 miles.

For example: 2001 Toyota Camry with 168,000 miles.

Hairdresser, self-employed, etc.

Gross income is the total amount you receive each month before deducting taxes and insurance. If you are self-employed, please estimate your net monthly take home pay after business expenses.

If you have children under the age 18 but they do not live with you and you cannot claim them as dependents on your tax returns, do not include them in this question.

This field is optional. If you have a foreclosure scheduled or were just served with a lawsuit, these types of events can require swift action. Please alert us to any such events so that we can properly advise you.