Bankruptcy Score Card Evaluation

COMPLETE THESE TEN QUICK QUESTIONS AND WE WILL TEXT AND EMAIL YOU YOUR BANKRUPTCY ELIGIBILITY SCORE.

One of the most common questions is “Should I go Bankrupt?”

This Quick Questionnaire will help you decide.

BANKRUPTCY SCORE CARD EVALUATION

COMPLETE THESE TEN QUESTIONS AND WE WILL TEXT YOU YOUR BANKRUPTCY ELIGIBILITY SCORE

I need Help deciding whether Bankruptcy is the right thing for me to do?

Yes

NAME *

What Debts do you have? (Choose those that apply)

Credit Cards

Personal Loans

Car Loan

Mortgage

Telephone Bills

Electricity Bills

Taxation Debt

Other types of debts

Total Value of your DEBTS (Include your mortgage if you have one)

$5000 to $11000

$11000 to $20000

$20000 to $50000

$50000 to $100000

Over $100000

Over $500000

STATE you live in

QUEENSLAND

NEW SOUTH WALES

ACT

VICTORIA

TASMANIA

SOUTH AUSTRALIA

WESTERN AUSTRALIA

What Assets Do You Have (Choose those that apply)

House

Investment Property

Vehicle

Boat / Jetski

Total Value of Your ASSETS (including your house if you own one))

No Assets $0

$5000 TO $11000

$11000 to $20000

$20000 to $50000

$50000 to $100000

Over $100000

Your ESTIMATED Income for this current financial year?

$5000 to $11000

$11000 to $20000

$20000 to $50000

$50000 to $70000

$70000 to $100000

IMPORTANT INFORMATION (Choose those that apply)

I am employed

I am Unemployed

I run my own business

I am a company Director

My Business has debts

I was born in Australia

I was NOT born in Australia

I have dependent Children

I am receiving telephone calls about my debts

My Stress is affecting my relationships with others

WHAT DO YOU WANT TO DO? (Choose those that apply)

Rid myself of my debts

Keep my house

Keep my investment property

Keep my Car

PHONE NUMBER *

EMAIL ADDRESS *

IS THERE ANYTHING ELSE YOU WISH TO TELL US ABOUT YOURSELF

First Name

Last Name

Phone/Mobile

What Debts do you have? (Choose those that apply)

Credit Cards

Personal Loans

Car Loan

Mortgage

Telephone Bills

Electricity Bills

Taxation Debt

Other types of debts

Total Value of your DEBTS (Include your mortgage if you have one)

$5000 to $11000

$11000 to $20000

$20000 to $50000

$50000 to $100000

Over $100000

Over $500000

State you live in

Queensland

New South Wales

ACT

Victoria

Tasmania

South Australia

Western Australia

What Assets Do You Have (Choose those that apply)

I have no major assets

House

Investment Property

Vehicle

Boat / Jetski

Total Value of Your ASSETS (including your house if you own one)

No Assets $0

$5000 TO $11000

$11000 to $20000

$20000 to $50000

$50000 to $100000

Over $100000

Your ESTIMATED Income for this current financial year?

$5000 to $11000

$11000 to $20000

$20000 to $50000

$50000 to $70000

$70000 to $100000

Important Information (Choose those that apply)

I am employed

I am Unemployed

I run my own business

I am a company Director

My Business has debts

I was born in Australia

I was NOT born in Australia

I have dependent Children

I am receiving telephone calls about my debts

My Stress is affecting my relationships with others

What do you want to do? (Choose those that apply)

Rid myself of my debts

Keep my house

Keep my investment property

Keep my Car

Is there anything else you wish to tell us about yourself?