Chapter 13 Updates
First Name
Last Name
Phone
*
Email
*
1 - Have your address, phone number, email address, or other contact information changed in the last 30 days?
Yes
No
If yes, please provide the updated information.
2 - Has your job, income, or source of income changed in the last 30 days?This includes starting a new job, losing a job, reduced hours, overtime, bonuses, commissions, raises, or any new source of income.
Yes
No
If yes, please explain.
3 - Have your monthly household expenses changed in the last 30 days?
Yes
No
If yes, please explain what changed.
4 - Have you missed, been late on, or expect trouble making any Chapter 13 plan payment in the next 30 days?
Yes
No
If yes, please explain.
5 - If you make any direct payments outside the plan, including mortgage, car, or other secured debt payments, have you missed, been late on, or expect trouble making any of those payments in the last 30 days or next 30 days?
Yes
No
If yes, please explain.
6 - Since your bankruptcy case was filed, have you bought, financed, leased, traded, sold, transferred, or taken title to any real estate, vehicle, or other valuable property?
Yes
No
If yes, please explain what happened.
7 - Since your bankruptcy case was filed, have you taken on any new debt or signed for any loan, credit card, financing agreement, or payment plan?
Yes
No
If yes, please explain.
8 - Since your bankruptcy case was filed, have you received or become entitled to receive any lump sum money or property?This includes tax refunds, bonuses, settlement money, insurance proceeds, gifts, or other one-time payments.
Yes
No
If yes, please explain.
9 - Since your bankruptcy case was filed, has anyone passed away or have you become entitled to receive money or property from an inheritance, estate, trust, or beneficiary designation?
Yes
No
If yes, please explain.
10 - Since your bankruptcy case was filed, have you been involved in any automobile accident, personal injury matter, workers’ compensation claim, lawsuit, or insurance claim?
Yes
No
If yes, please explain what happened and when.
11 - Have any creditors, collection agencies, attorneys, or law firms contacted you in the last 30 days?This includes calls, letters, emails, text messages, billing statements, foreclosure notices, repossession notices, or lawsuit papers.
Yes
No
If yes, please explain who contacted you and what happened.
12 - Has your marital status or number of dependents changed since your last monthly check-in?
Yes
No
If yes, please explain.
13 - Has anything else changed financially or legally that you think we need to know about?
Yes
No
If yes, please explain.
14 - Have you had any trouble reaching our office or getting a response from our team in the last 30 days?
Yes
No
If yes, please explain.
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