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Client Questionaire

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Please Tell Us a Little About Yourself:

Name*
Do you have any dependents that live with you?*
Include elderly family members.
0 of 3000 max characters
Please tell us about situations that might require our immediate attention.
Please check all that apply.

Now let’s talk about your debts.

Please list the type of debts (for example: rent, repossessions, business debt) and the approximate amount you owe.
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Now let’s talk about things you own:

This includes your residence, rental properties, timeshares, burial plots.
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Let’s Talk About Income:

In order for me to be able to provide you with the most helpful consultation I can, it is important that I have an accurate figure for your income. You can attach the pay stub here, to an email at martin@nullhawaiidebtsolutions.com, or to a text to 468.7000.
Drop files here or
Max. file size: 256 MB.
    Do you or your spouse contribute to a 401K or other retirement plan?
    Are you or your spouse paying back a 401K or other retirement plan loan?
    0 of 3010 max characters

    Now let's talk about some of your monthly household expenses. Estimates are fine.

    Include amounts that you normally spend outside the home.
    Include subscriptions such as Netflix, Amazon Prime, Hulu.
    Please list any other monthly expenses not already listed, for example: storage fees, gym memberships, timeshare payments.
    If you have more than one extra expense, just press the + button at the end of the line.
    Type of Expense
    Amount
     

    A Few Final Matters

    Are you concerned about your credit rating?
    If you have ever been sued, please check off the type of lawsuit it was. Pick as many as necessary.
    Do you have a right to sue anyone?*
    Have you ever filed for bankruptcy before (required)?*
    Have you transferred anything worth over $5,000 in the last 2 years (for example: cars, real estate, one time cash transfers)?
    Please list the items and the approximate amount, if anything, you received for each one.
    Are you an owner, beneficiary, or trustee of a trust?