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Starter Form		 Debtor/Creditor
Starter Form
Michael S. Fryar, Attorney At Law, 1300 N.E. Linden Avenue, Gresham, Oregon 97030
Telephone (503) 661-8608 ext. 104, FAX (503) 669-1612, Email michaelfryar@fryarlaw.com,  Website www.fryarlaw.com
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Print this Form, fill it out, and bring it with you.
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DEBTOR / CREDITOR STARTER FORM:  What to do about all those bills!!!? 

The information on this page will help us advise you about how to best deal with your creditors – debt consolidation, negotiation, bankruptcy Chapter 7 or 13.  Anything you tell us is confidential.  Most of the time, you will be able to keep your home and cars, etc., and pay the creditors which you choose to pay. 
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Your Monthly Budget: Your Assets
(Sale Value Only!):
Your monthly take-home: $ ........................... Checking / Savings $ ...............................
Spouse's take home: $ ........................... IRA / 402-K / Pension $ ...............................
Other Income: $ ........................... . .
Total:  $ ___________ Your Home: $ ...............................
Your Car: $ ...............................
Housing: $ ........................... Your Other Car: $ ...............................
Utilities: $............................ All Other Vehicles: $................................
Food: $............................ Household Goods: $ ...............................
Auto Gas / Oil / Repairs $............................ Sports Equipment: $ ...............................
Auto Payments $ ........................... Business: $ ...............................
Clothing: $ ........................... Money owed to you: $ ...............................
Medical Expense $ ........................... Anything else of value: $ ...............................
Insurances: $ ........................... Total:  $ _____________
Other: $ ...........................
Other: $ ...........................
Total:  $ ____________

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Yes/No Do you have? Your Debts:
............ Overdue taxes? Unsecured Debts:
............ Tax refunds coming?  Credit Cards: $.............................
............ Child / Spousal Support? Medical Expenses $ ............................
............ Student Loans? Personal Loans: $ ............................
............ Fines or penalties? Any other debt: $ ............................
............ NSF Checks? Total:  $  ____________
............ Expect an inheritance?
............ Recent credit purchases or balance transfers? Secured Debts:
............ Prior bankruptcy or debt consolidation? Home Loan(s): $ ............................
............ Foreclosure, repossession, garnishment? Your Auto Loan: $ ............................
Your Other Auto Loan: $ ............................
Boat / Sports Loan: $ ............................
Total:  $ ____________