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Get a FREE DEBT RELIEF CONSULTATION. Fill out the form below and hit the submit button (the attorney will then call you) or call the attorney directly at 708-408-4422.

*Full Name:

*Address:

*State:

*Zip Code:

*Home Phone:

*Mobile Phone:

*Email:

Additional Optional Information

Estimated Monthly Income:

Estimated Monthly Debt:

Estimated Total Monthly Expenses:

What Type of Income Do You Have:

Why Are You Considering Bankruptcy?

Repossession

Creditor Harassment

Garnishment

Illness/Disability

Lawsuits

Foreclosure

Loss of Income

Divorce

License Suspension

Which Bills Do You Have?

Credit Cards

Personal Loans

Child Support

Student Loans

Auto Loans

Income Taxes

Other

Medical Bills

Payday Loans

Do You Own Real Estate? If Yes, Are You Behind In These Payments?

No

Yes

If Yes, Are You Behind In These Payments

No

Yes

Do You Own An Automobile?

No

Yes

If Yes, Are You Behind In These Payments?

No

Yes

Do You Have Any Additional Assets Worth More Than $1,000?

No

Yes

Is there any thing else that we should know about your situation?

*The Law Offices of Ronald P. Strojny respects all of its clients personal information. Your personal information will not be redistributed or sold in any form.