Richard J. Adams, P.A.

Bankruptcy

Foreclosure Defense

Mortgage Modification

Short Sale

Attorneys

Office Location

About Us

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Main Office at:
1165 W. 49 Street, Suite 107
Hialeah, Florida 33012

Coral Gables Office:
4000 Ponce De Leon Blvd.,
Suite 470
Coral Gables, Florida 33134

Broward Office:
12555 Orange Drive, 2nd Floor
Davie, Florida 33330

Fort Myers Office:
Beacon Executive Suites
8359 Beacon Blvd., Suite 102
Fort Myers, Florida 33907

Free Bankruptcy Evaluation

DEBTS
Name:
Address:
Phone:
Fax:
Email:
Best time to reach you:
Preferred appointment time:
Preferred appointment location:
Bankruptcy is for:
Check all of the following for which you owe money and estimate the total dollar amount owed for each debt.
Credit Cards:		$
Medical Bills:		$
Personal Loans:		$
Student Loans:		$
Vehicle Loans:		$
Judgments or Lawsuits:		$
Broken Lease Contracts:		$
Accident Claims Against You:		$
Owed Taxes:		$
REAL ESTATE AND HOME MORTGAGE
Check all of the following for which you OWE MONEY and estimate the total dollar amount owed for each debt.
Do you currently own a home:	Yes No
Market Value:
Payoff:
Months Behind:
ASSETS
Check all that apply to you and estimate their value.
Artworks:		$
Computers:		$
Furnitures:		$
Jewelry:		$
Vehicles or Boats:		$
Stocks:		$
INCOME
Check all that apply to you and estimate their value.
Gross Monthly Income:		$
Net Income:		$
Spouse Gross Income:		$
Spouse Net Income:		$
Rental Income:		$
Retirement or Pension:		$
Social Security or Disability:		$
EXPENSES
Check all that apply to you and estimate their value.
Mortgage or Rent:		$
Medical or Prescriptions:		$
Utilities:		$
Health Insurance or Dental:		$
Cable TV:		$
Telephone or Cellular:		$
Child Care:		$
Maintenance:		$
Children School Expenses:		$
Home Repairs:		$
Entertainment:		$
Food:		$
Hair Cuts or Toiletries:		$
Car Payments:		$
Pets:		$
Car Insurance:		$
Property Taxes or Insurance:		$
Gas or Car Maintenance or Toll:		$
ADDITIONAL INFORMATION
Any information we should know:

Main Telephone Number: 305.824.9800 Main Fax Number: 305.824.3868