Confidential Case Assessment

Have you lived in Central Illinois for over 2 years?

Have you ever filed a bankruptcy before?

Has a collection lawsuit been threatened or filed against you?

Is there a pending foreclosure action or repossession?

Are your wages currently being deducted to pay a judgment?

Do you currently have an accident claim or workers’ comp case?

Are you going to inherit anything of value in the next 6 month?

Do you have any life insurance with cash surrender value?

Beside a spouse, do you have any co-signers on any of your debts?

Have you used a credit card for purchase of merchandise in the last 90 days?

Have you made a cash advance or balance transfer in the last 70 days?

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The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

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