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Law Offices of David A. Kubat
3000 N.W. Market St.
Seattle, WA 98107
Phone: 866-654-8160

What type of bankruptcy is this?

Personal
Business

What type of debt do you have (check all that apply)?

Credit Cards
IRS
Student Loans
Past-Due Child Support
Mortgages
Auto Loans
Other

How much total debt do you have other than home & auto?

What is your annual household gross income?

Would you like to

Reorganize your debt
Liquidate your debt
Not sure

Have you obtained a Certificate of Debt Counseling?

Yes
No

If yes, When?

Please describe your financial situation:

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