Hawkins & Gordon, P.L.

Real Estate Holdings

If you own real estate, please complete this form. If you do not know what your real estate is worth, go to www.zillow.com or your county property appraiser's website for the answer. If you have mortgages, please review your most recent mortgage statement to supply the information requested below.
Home Value
Date Purchased
- Month - Day Year
First Mortgage Information
Mortgage Company
Mortgage Balance
Mortgage Payment
Delinquency Amount
Does your monthly payment include escrow?

Yes No
Second Mortgage Information
Mortgage Company
Mortgage Balance
Mortgage Payment
Delinquency Amount
Do you own any other real estate?

Yes No
If Yes, please include address, home value, mortgage company, mortgage balance, mortgage payment and delinquency amount information below.

Vehicles

Please complete this form if you own or lease a vehicle. If you do not know what your vehicle is worth, go to www.kbb.com to obtain a free appraisal. If your vehicle is financed or leased, please review your most recent statement to supply the information requested below.
Vehicle #1
Is this vehicle owned, leased, or financed?

Owned Leased Financed
Make
Model
Year
Mileage
Lender/Lessor
Monthly Payment
Delinquency Amount
Payoff Amount
Vehicle #2
Is this vehicle owned, leased, or financed?

Owned Leased Financed
Make
Model
Year
Mileage
Lender/Lessor
Monthly Payment
Delinquency Amount
Payoff Amount
Vehicle #3
Is this vehicle owned, leased, or financed?

Owned Leased Financed
Make
Model
Year
Mileage
Lender/Lessor
Monthly Payment
Delinquency Amount
Payoff Amount
If you have more than 3 vehicles, please provide the same information on these vehicles below.

Income

Please provide your current montly income from all sources; i.e. employment, self-employment, rental, investment, etc. Important: you must provide your gross income only, not the amount deposited into your bank accounts.
Your Income Before Taxes
Your Spouse's Income Before Taxes (even if not seeking debt relief)
Income from others living at yoru home
Alimony/Support/Soc Sec Income
If you expect your income to change within the next 6 months, please explain below.
Debts

Use this form to list the total amount of your debt, excluding mortgage debt. Please review your most recent statements to supply the infomration requested below.
IRS
Florida DOR
Real Estate Taxes
Credit Card Debt
Medical Debt
Student Loans
Other Debt

If you have specific concerns you would like us to address, please explain below.
By submitting this form, you agree to the following:

The information contained in this web site is provided as a service to the Internet community, and does not constitute legal advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this web site and its associated sites.

As legal advice must be tailored to the specific circumstances of each case, and laws are constantly changing, nothing provided herein should be used as a substitute for the advice of competent counsel.

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