Step 1 - Your Information

First Name

Last Name

Check this box if you are filing with your spouse

Spouse First Name

Spouse Last Name

Address

City

State

Postal Code

Phone

Check this box if you are working with an attorney

Attorney Code

This is an optional code provided by your attorney. If you do not have an attorney code, your attorney information will be collected on the next page.

Bankruptcy Case #

Bankruptcy District

* indicates mandatory fields