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New Clients

Questionnaire for New Debt Relief Clients

What to bring to your appointment.
  • Drivers License or State ID
  • Recent Credit Report (if available)
  • Bills/Collection letters
  • Vehicles / Car Loan Information
  • Real Estate and/or Mortgage Information
  • Proof of Insurance on your House
  • Tax Returns (2 years if available)
  • Recent Paystubs
  • Our Questionaire
Complete the Questionnaire to the best of your ability. This form will help prepare you for the initial consultation, and can help the attorney best determine the most appropriate form of debt relief. You may either complete the form online below or download it and bring it with you to your appointment.
Client Confidential Worksheet


Please list creditors below. Any additional creditors, please list on back.


Real Property: (i.e.: home or land)


Your Employer

Spouse Employer


We put in standard amounts the court allows for transportation, home maintenance, recreation and clothing. Please fill out to the best of your ability. Thank you.


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We are always thrilled to hear from our clients.
Feel free to contact us with any questions or comments!

MA bankruptcy lawyer Eric Kornblum graduated from State University of New York, Binghamton in 1989 and received his law degree in 1992 at Western New England College, School of Law. Since opening his own practice, Eric has been dedicated to helping his clients resolve their financial problems both in and out of court.
As a MA bankruptcy lawyer with over 25 years of experience in bankruptcy law and intimate knowledge of the Massachusetts legal system, Eric provides clients with expert guidance through Chapter 7, and Chapter 13 bankruptcy proceedings. He believes in aggressive, diligent and compassionate representation.

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