Bankruptcy Information Center

Bankruptcy Contact Form

Name

Email Address

Phone Number

Cellular or Pager

Address

City

State

Zip

Rent or Own

Rent or Mortgage per Month

Lender

Employment

Number and Street

City

State

Zip

Business Phone

Nature of Business

Credit Cards

Type	Account Number

Secured Debt

Type	Secured By

Unsecured Debt

Equipment/Tools of Trade

Type	Amount Still Owed	Lender

Have you ever filed for Bankruptcy before?
Yes No

If yes, please check the following that apply
Chapter 7
Chapter 11
Chapter 12
Chapter 13

Signature

Date

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

A high level of indebtedness among households could lead to increased household delinquencies More Bankruptcy information . . .

To avoid getting into financial problems in the future, you must understand your flow of income and expenses. More Bankruptcy FAQs . . .

Pels Anderson, LLC
4833 Rugby Avenue
Fourth Floor
Bethesda, MD 20814
Phone: (301) 986-5570
Fax: (301) 986-5571

Directions | Email

119 North Henry Street
Alexandria, VA 22314
Phone: (703) 684-1897
Fax: (703) 684-1898

Directions | Email

FirmSite® by FindLaw, a Thomson Reuters business.

The law office of Pels Anderson, LLC is located in Bethesda, Maryland. We represent clients in bankruptcy, personal injury, mobile home litigation, and business law from Maryland cities that include Rockville, Chevy Chase, Baltimore, Upper Marlboro, Oxon Hill, and New Carrollton, and from Maryland counties that include Montgomery County, Prince Georges County, Howard County, Frederick County, Baltimore County, and Anne Arundel County. We represent clients throughout the Washington, D.C. area, including Virginia cities that include Alexandria, Fairfax, Arlington, Leesburg, Manassas, Herndon, Vienna, Falls Church, and Woodbridge, and Virginia counties that include Prince William County, Loudoun County, Manassas County, and Herndon County.