Free Pro Se Questionnaire - Texas


File Size: 56.1 kB
Pages: 1
Date: May 26, 2006
File Format: PDF
State: Texas
Category: Bankruptcy
Author: Warren
Word Count: 124 Words, 800 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.txwb.uscourts.gov/pdf/prose_questionnaire.pdf

Download Pro Se Questionnaire ( 56.1 kB)


Preview Pro Se Questionnaire
UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TEXAS ___________________ DIVISION IN RE: CASE NO:

[Debtor Name] PRO SE FILING QUESTIONNAIRE (1) A. B. Did anyone assist you in completing your petition or schedules? If so, please provide their name, address and phone number, if available.

(2)

A.

If someone assisted you, have you paid or promised to pay that person a fee for assisting you in filing this petition or completing forms? If so, what amount did you pay or promise to pay?

B. (3)

Other than in Question #2, have you paid or promised to pay anyone a fee in connection with filing this bankruptcy petition?

I declare under penalty of perjury that the foregoing is true and correct.

________________________________ ________________________________ Signature of Pro Se Debtor(s)