New Jersey Bankruptcy Law Practice

Free Bankruptcy Assessment

The New Jersey bankruptcy law office of Lee M. Perlman, Esq. invites you to complete the following form so we can best assess your situation. We will promptly return your email as soon as we can. Thank you!

Step 1 of 4

  • Your Information



  • Credit Cards

  • NameNumberAmount 


  • Personal Loans

  • NameNumberAmount 


  • Medical Bills

  • NameNumberAmount 


  • Property - Home

  • Home ValueMtg. BalanceMtg. Payment 


  • Property - Vehicles

  • YearMakeModelValueBalancePaymentCurrent? 


  • Income

  • Net PayPay Frequency


  • Other Types of Income

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