Bankruptcy Intake Form

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Personal Information Full Name

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Additional Bankruptcy Information Pending Bankruptcies? Brief description of where they were filed, case number and the date they were filed.

Prior Bankruptcy Within Last 6 years? Brief description of where they were filed, case number and the date they were filed.

Do You Rent or Lease Property? If you are leasing vehicles or renting to own furniture, appliances, or musical instruments, please list below:

Do you own real estate or are you in the process of purchasing real estate? Real Estate: List ALL real estate you are purchasing or own, including real estate rented to others below:

Is there a 2nd mortgage on any property? Please indicate name and balance here:

If property is owned jointly with spouse or someone else, please indicate name of other owner:

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Watson & Linder, LLC
625 S 2nd St, 2nd Floor
Springfield, IL 62704
Phone: 217-718-4926
Toll Free: 888-331-1037
Fax: 217-241-2089
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Based in Springfield, Illinois, we serve clients throughout Central Illinois, including Peoria, Decatur, Bloomington, Normal, Champaign, Urbana, Quincy, Lincoln, Jacksonville, Beardstown, Pekin, Petersburg, Carlinville, Hillsboro, Taylorville, Clinton, Sullivan, Shelbyville, Tuscola, Charleston, Mount Sterling and other communities in Sangamon County, Menard County, Morgan County, Macoupin County, Montgomery County, Christian County, Macon County, Peoria County, McLean County, Champaign County, Logan County, DeWitt County, Moultrie County, Shelby County, Douglas County, Coles County, Adams County, Brown County and Cass County.

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