Bankruptcy Client Questionnaire

Please answer every question as completely and honestly as you can. Your answers are used to prepare your bankruptcy petition and schedules, so list all of your income, property, and debts — including debts you plan to keep paying.

1 Fill in each section 2 Download the completed form 3 Send the file or a printout back to the office
0 of 0 key questions answered
1

About You

Use your full legal name — exactly as it appears on your photo ID.

Marital status
Chapter you are considering
Are you filing jointly with a spouse?
3

Address & Contact

Where you live now, and every address you have lived at in the last 3 years.

Do you rent or own this home?

Prior addresses — last 3 years

If you have lived anywhere else in the last 3 years, add each address below. If this is your only address in 3 years, leave this blank.

4

Household & Dependents

Everyone who lives with you, and anyone you support financially.

Do you pay or receive child support or alimony?

Dependents

5

Prior Bankruptcy Cases

Any bankruptcy case you (or your spouse) have filed before, and any case pending now.

Have you filed bankruptcy in the last 8 years?
Is any bankruptcy case pending right now for you, your spouse, or a business you own?
Are you facing a foreclosure, eviction, or repossession right now?
6

Employment & Income

Your current income from every source, plus your income for the last two years. List gross (before-tax) amounts.

Your job

Other monthly income

Add every other source: a second job, self-employment, rental income, Social Security, disability, pension, unemployment, SNAP/food stamps, help from family, or anything else. Add one row per source.

Income — last two years

7

Monthly Expenses

Your average monthly household expenses. Estimate honestly where amounts vary month to month.

8

Real Estate

Every house, condo, lot, or other real estate you own or co-own — including property outside Florida and property in someone else's name that you paid for.

Do you own any real estate?
9

Vehicles

Every car, truck, motorcycle, boat, or RV titled or leased in your name — including vehicles someone else drives or pays for.

10

Bank Accounts & Other Assets

All bank and money accounts, and anything else you own that has value.

Bank & money accounts

Other assets

Does anyone owe you money?
Do you have a personal injury, workers' comp, or other legal claim — even if no lawsuit has been filed?
Do you expect to inherit money or property, or receive a settlement, in the next year?
Do you own or co-own any business (LLC, corporation, self-employment)?
11

Your Debts

List every debt — even debts you want to keep, debts you dispute, and debts owed to family or friends. Leaving a debt off can mean it is not discharged.

Debts secured by property (mortgages and car loans are listed in Sections 8–9 — add any others here, such as furniture or appliance financing)

Taxes and other priority debts

Do you owe the IRS or any state taxes?
Have you filed all required tax returns for the last 4 years?
Do you owe back child support or alimony?

Credit cards, loans, and all other debts

Credit cards, personal loans, medical bills, payday loans, student loans, debts to family or friends, old utility/phone bills, judgments — everything. Add one row per debt. Tip: check your mail and a free credit report at annualcreditreport.com so nothing is missed.

12

Financial History

The court requires answers to each of these. Answer honestly — most “yes” answers are routine and simply need an explanation.

In the last year, have you been sued, or sued someone else?
In the last year, have your wages been garnished or your bank account levied/frozen by a creditor?
In the last year, has any property been repossessed, foreclosed on, or voluntarily returned to a lender?
In the last 2 years, have you sold, given away, or transferred any property (car, house, cash, or anything of value) to anyone?
In the last 90 days, have you paid any single creditor more than $600 in total?
In the last year, have you paid back, or given money or property to, any family member or friend?
In the last year, have you closed any bank or financial account?
Do you have, or have you had in the last year, a safe deposit box?
Are you holding any property or money that belongs to someone else (for example, a car titled in your name that is really theirs)?
Have you co-signed a loan for anyone, or is anyone a co-signer on any of your loans?
In the last year, have you had losses from fire, theft, a disaster, or gambling?
13

Documents to Gather

Your case cannot be prepared without these. Send copies with your completed questionnaire — photos or scans are fine. Keep your originals.

  • Tax returns — last 2 years. Federal returns with all schedules and W-2s/1099s.
  • Bank statements — last 6 months. All pages, for every account listed in Section 10.
  • Paycheck stubs — last 60 days. For you and your spouse, from every job.
  • Driver's license and Social Security card. For you and your spouse (if filing jointly).
  • Vehicle statement. Most recent loan/lease statement for each vehicle.
  • Vehicle registration. Current registration for each vehicle.
  • Proof of insurance. Auto insurance declarations page showing current coverage.
  • Mortgage statement (if you own a home) — most recent statement for each mortgage.
  • Recent bills and collection letters. Anything not on your credit report, plus any lawsuit papers you have received.
✓

Send It to the Office

When you are finished, submit this questionnaire directly to the law office. You can also download a copy for your own records, or to print and mail.

Nothing is sent until you press Submit. Your answers go by email to the law office at aubreyruddlaw2@gmail.com.