J. L. Borrie & Associates - Attorneys At Law
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Representing individuals and businesses

in bankruptcy filings throughout the Inland Empire area of Southern California, including Riverside, San Bernardino, Orange County, Redlands, Colton, Lake Arrowhead, Running Springs, and Big Bear.


 Call Us Today: 951-686-6432 - For A Free Case Assessment

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Chapter 7 Bankruptcy
Chapter 11 Bankruptcy
Chapter 12 Bankruptcy
Chapter 13 Bankruptcy
Stopping Debt Collections
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     Motion Proceedings
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Attorney to Attorney

J.L. Borrie & Associates
4333 Orange Street, Suite 21
Riverside, CA 92501
(also in Running Springs and San Bernardino)

Phone: 951-686-6432
Fax: 877-686-6432
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Contact Us

J.L. Borrie & Associates
4333 Orange Street, Suite 21
Riverside, CA 92501
Map and directions
(also in Running Springs and San Bernardino)

Phone: 951-686-6432
  Fax:   877-686-6432

At J.L. Borrie & Associates, we offer a free conference of up to one hour with an experienced (a minimum of 20 years) bankruptcy, tax problem and debt resolution attorney (not a junior associate or paralegal) who will fully analyze your specific financial situation, and advise you as to your available options, likelihood of success, and the costs and procedures involved in each.

We represent individuals and businesses in bankruptcy filings throughout the Inland Empire area of Southern California, including Riverside, San Bernardino, Redlands, Colton, Lake Arrowhead, Running Springs, Big Bear, Rancho Cucamonga, Fontana, Highland, High Desert and Victorville.

Online Bankruptcy Intake Form

Start your FREE consultation online! After filling out the form below, we will have the basic information needed to provide you with an effective analysis of your situation and determine the type of bankruptcy best suited to your circumstances and whether or not bankruptcy is even the best option available for you during your FREE half hour office consultation.

Once we receive your online consultation information, a staff member of J. L. Borrie & Associates will contact you by telephone on the next business day to schedule a FREE half hour consultation for you with a qualified California bankruptcy attorney.

It is important to remember to answer all questions completely and honestly in order to give our bankruptcy lawyers the opportunity to provide you with the best guidance according to your individual needs. The more complete the information you provide to us, the more value we will be able to provide to you.

Clients with questions may contact us at: 951-686-6432.

All information on this form is private and strictly confidential.  Borrie & Associates will use this information only to assess your financial situation and will NOT sell or provide this information to any organizations.

Personal Info

First Name:

Last Name:

Marital Status:

If married, what is spouse's name

First Name:

Last Name:

If married, do you plan to file bankruptcy as an individual, or jointly with your spouse?

 How many people are in your household that you must support? (include yourself & your spouse):

Street Address:

City:

State:

Zip:



Home Phone:

Work Phone:

Cell Phone:

E-Mail:

Where did you hear about us?

  

What Kind of Debts do you have?
(list approximate amount)

Credit Cards

$  

Bounced Checks

$

Medical Bills

$

Payday Loans

$

Back Taxes

$

Student Loans

$

Repossession

$

Signature Loans (loans with no collateral)

$

Back Child Support

$

Other

How much debt do you have not counting vehicles or mortgages?  

$

How many creditors do you believe that you have?

If you have credit card debt, when was the last time you charged?

What is your monthly household net income (after taxes, take home income)?

(Include spouse's income even if you intend to file individually)

You    $       Spouse    $

Vehicles

Do you own any vehicles?     YES         NO

If you answered "YES" above complete the following information:

Vehicle 1

Year:

Make:

Model:

 

Fair Market Value:

Balance Owed:

Monthly Payment:
$ $ $

What are your intentions with this vehicle?

Vehicle 2

Year:

Make:

Model:

 

Fair Market Value:

Balance Owed:

Monthly Payment:
$ $ $

What are your intentions with this vehicle?

Vehicle 3

Year:

Make:

Model:

 

Fair Market Value:

Balance Owed:

Monthly Payment:
$ $ $

What are your intentions with this vehicle?

Real Estate

Do you own any real estate?     YES         NO

If you answered "YES" above complete the following information:

What are your intentions with this real estate?

Purchase Date:

Purchase Price:

Have you refinanced in the last two years?
YES        NO

How many mortgages do you have on your property?

How much is owed on each mortgage?    

First Mortgage:

Second Mortgage:

Third Mortgage:
$ $ $

What do you think you could sell the home for if you wanted to?  

$

Have you sold or transferred any real estate in the last four years?

YES NO

Other Assets

Describe any other assets you own that have significant value

Description

Approx. Value $

Description

Approx. Value $

Description

Approx. Value $

Taxes

What did you show for taxable income on your most recent tax return (AGI)?

$

Do you owe the IRS or state for back taxes?   

   YES         NO

Are there any years for which you have not filed state or federal income tax returns?    

YES         NO     

If yes, what years?

Did you get a tax refund last year?    

YES         NO     

If yes, how much?   $

Additional Information

Have you ever filed bankruptcy before?
YES         NO   

If yes, what year?


what chapter

In the last two years have you given or paid more than $500 to any friend or relative?
YES         NO

Does anyone owe you any money?
YES         NO

Amount:
$

Have creditors been calling you at home or work?
(Home)    YES      NO
(Work)    YES    NO

Have you been served with a summons in the last year?    
YES         NO

Have you been involved in a law suit in the last year? YES       NO

If you answered yes above, please give brief description of the law suit:

Are your wages being garnished?
YES         NO

Are you behind on your home and/or car payment?
YES         NO

Will you have trouble obtaining the address of any of your creditors?
YES         NO

What do you pay monthly for the following (approximately)?

Rent/Mortgage

$

Auto Payment/s

$

Telephone

$

Auto Insurance

$

Cable

$

Child Care

$

Water

$

Student Loans

$

Electric/Gas

$

Child Support

$

Groceries

$

Medical/Dental

$

Gas for Auto

$

Credit Card Payments

$

Household Maintenance

$

Clothes

$

Internet

$

Laundry

$

Recreation

$

Other

$

Is there any additional information that may be relevant to your case?

Are there any questions that you need an answer for right now?

Do you own a business?
YES       NO

If NO, then go to the bottom of the page and click "Submit."

THIS IS THE END OF THE SECTION FOR PERSONAL BANKRUPTCY.

If you checked "YES" to owning a business then please answer the questions below before clicking "Submit."

Business Information

Please provide the following business information:

Brief description of business:

Please provide the following business information:

Name

Company Type

Gross Business Income for Previous 12 Months:
$

Estimated Average Future Gross Income Each Month:
$

ESTIMATED FUTURE MONTHLY EXPENSES:

Net Employee Payroll (Other than Owner(s))

$

Repairs & Maintenance

$

Payroll Taxes

$

Vehicle Expenses

$

Unemployment Taxes

$

Travel & Entertainment

$

Worker's Compensation

$

Equipment Rental & Leases

$

Other Taxes

$

Legal, Accounting, Other Prof. Fees

$

Inventory Purchases (Including Raw MAterials)

$

Insurance

$

Purchase of Feed, Seed, Spray

$

Employee Benefits (e.g. pension, med, etc.)

$

Rent (not personal residence)

$

Payments Business will Continue to Make to Secured Creditors (e.g. vehicle, mortgage, etc.)

$

Utilities

$

Other

$

Office Expenses & Supplies

$

Other

$

Brief description of business assets:

Estimated Total Assets   $

Brief description of business debt:

Estimated Total Liabilities   $

Please click "Submit" below

You will be contacted on the following business day to schedule an appointment.

The use of the Internet for communications with the firm will not establish an attorney-client relationship and messages containing confidential or time-sensitive information should not be sent.

Individuals and Small Proprietorship Businesses:

  1. Email us. Be sure to include a short description of your particular problem in the comments section; OR
  2. Complete the online Bankruptcy Intake Form to give us detailed information necessary to better understand your overall financial circumstances; OR
  3. If you are fairly sure you will need to file a bankruptcy, download the Individual and Sole Proprietorship Questionnaire (pdf) which provides us the information required by the court for filing, which we will use as a worksheet during our conference. Complete and fax it to us, or bring it with you to the conference.

Corporations, Partnerships or Larger Individual Businesses:

  1. Email us. Be sure to include a short description of your particular problem in the comments section; OR
  2. If you are fairly sure you will need to file a bankruptcy, download the Corporate-Partnership Questionnaire (pdf) which provides us the information required by the court for filing, which we will use as a worksheet during our conference. Complete and fax it to us, or bring it with you to the conference.

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