Evaluation Form

Please enter how much of each type of debt you have. If you don't know, then put your best guess. We can help you figure this out if necessary.

Student Loans*
Medical Bills*
Credit Cards & Personal Loans*
Overdrafts and Bank Fees*
Car Loans*
Mortgage*
Has A Creditor Sent You Legal Papers In The Email?*
Do You Live In Minnesota?*
Are You Married?*
Can We Contact You By Text Message?*

YesNo

You agree to receive automatic text messages at the phone number provided. You need not consent to this. Reply STOP to unsubscribe. Msg & data rates may apply.
How many people live with you?*
Do you own a business? If so what kind?*
Any additional important facts about your financial situation?*
Full Name*
E-mail Address*
Phone Number*
City*
Zip Code*
Have you ever been to any of our offices before?*
Please Note: We do not sell or transfer your contact information. You are not filing bankruptcy by filling out this form. We use this information to tell you if you would benefit from a bankruptcy or not. This evaluation is not legal advice and does not create an attorney/client relationship.
Do you agree to the above information?

Yes, I Agree
Should be Empty:

Minneapolis