‘Spouses Name OF fiting joint SHPSt Acie Goctuding Apt 1% State and Zip Cody Spouses (i fing Jointly): Work Phone Email Address: x,‘QUESTIONNAIRE Have you been a resident inthe State of Florida for wo @) years o more? (Please Cirle One) Yes No no, please tell ws how long you have been a resident here. Have you ever filed bankruptcy before? (Please Circle One) Yes No tyes, when and where? _ ‘What is your annual household income? What County to you reside? —— How many people reside in your household? a RESIDENCE Please check one ofthe following regarding your place of residence: Tam currently: Buying (have mortgage(s)) Renting/Leasing (have a landlord) Living with friends or family (ao formal rent) ‘Own my property (a0 mortgage) Mortgage Lenders: First Mortgages __Second Mortgage ‘Third Mortgage: ‘Are you current on your mortgage payment(s)? (Please Circle One) Yes No TENo, how many months aze you past due? _ |s your mortgage set up on an automatic withdrawal or transfer ftom your bank account? (Pease Circle One)Yes No Js he total size of the land your house is on less than 4 an acre? (Please Circle One) Yes No Aa PR any ter pices of real property (houses, land, buildings, time shares, burial poset) that your name is ether on the title or loan? (Please Circle One) Yes No If yes, please explain: ee ee MOTOR VEHICLE(S) For each motor vehicle and/or boat or traitrin your name, please complete the following Year Make Model Mileage Name of Lender (if uy) ee oe ee ‘Tf there are no vehicles in your name, what do you use for transportation? ee ‘Are you current with payments owed fr all vehicles? (Please Circle One) Yes No Ino, how many months are you delinquent? ‘Is your payment set up on an automatic withdrawal or tansfer from your bank account?(Please Circle One) Yes No At there any planes, motoreycles, boas, railers, ATV, RVs etc that your name i either on the ‘its, registration or loan? Is your mortgage set up on an automatic withdrawal or travafe fon ‘your bank account? (Please Circle One) Yes No Miscellaneous ‘Do you have any ownership or stock? (Please Circle One) Yes No Print if any, are the itsmediate pressures which caused you to consult with and attomey? (Please Check All That Apply) Foreclosure Repossession Lawsuit T= sitpoen Harassing Phone Cals Gnnishisat Stident Loans Loss of Drivers License Other (please explain) - ee ee ‘Are you expecting a tax refind? (Please Circle One) Yes No Ifyes, approximately how much? ee Do you owe any federal or local taxes for the past four (8) years? (Please Circle One) Yes No Ifyes, which and approximately how much? eeDo you have any ofthe following types of debt? * (Please Check All That Apply) Taxes Alimony, Child Support, Family Law Obligations Student Loans pata Remlies, Forfeiture, Criminal Restitution, Speeding/Parking Tekety? —® —— carey SSH" tiny, damage or death caused while under the infuence of rags or cabal? * Please be advised tha these types of debt are generally Non-Dischargeable, do cautieeebe tht for any secured debt where ther is collateral involved, you wil need Create fo make Your payment in fall and on tine or make arrangement wit CrRaltors what are acceptable to them. Faihure todo spouts you nt sag ‘of loosing the sanjearty Houses and vehicles not paid for, whether you file or barks eg subject to replevin by the ereditor, Dated:a eT - Coe Iyprd-b Leet ga mim, ~ bole "Sora Epo CELULAR a. ADVERTISING, SOURCE. RTOAGE AmoUT:S 2.) xo aor OYE “RO WARES Reo CTS - eACE: FINANCE co. (av : 4G r SD woe INCOME: $ De ro “Gn ns NEOUS INF Or tein ie ae mown pd ley a. pa hS SE7ie nrUNITED STATES BANKRUPTCY COURT CHAPTER? MIDDLE DISTRICT OF FLORIDA RETAINER AGREEMENT IRE: S080. Joteimabs ——————_—__Daebions). 2) hs above Debtors) has agreed to retain Paul L. Urch, Esq, a Attomey for representation ittomney inalved inthis Chapter 7 Bankruptey case. The Debtor(s) has agreed tocompenees te ‘tomy inthe sur of $1340.00 or $1380 joint fing before the filing of the bankruptey yetion si ae xatamey’s Fes cover the following services the inital consulation, lien wlephone Stanaett th Attorey afr the ital consultation, preparation of all applicable forms cock, salanee at the intialy-scheduled Meeting of Creditors, contcis with the Trust's oftcs wns related correspondence withthe Trustee, pron omer’ s Fee docs nat include the $335.0 cout fling fee which must be pad by the Debtor(s) prior tothe filing ofthe petition 2) dite Attomey must amend the petition ater filing, because the Debtors) has filed to rere nectomey with compet infomation, of because the Financial station athe Deo) has seams ee wil be an additional $38.00 fee and Postage and supplies for each amended kewl ot including any additional cour filing fees. 6) The Attorney has herein informed the Debtor(s) that inthe vast majority of cases no additional raaysaiee are required (eyond those listed in Paragraph 2) nthe proces of discharging cic groush bankruptcy However, the Debtors) acknowledges by signing below that he Auger es not ort) naka ther legal services are required inthe defense of an Adversary Proceeding, pecina gs2tbligatea to retain th Atomey fr such services. Likewise, he Debian) hey Speceally agrees thatthe tome shall not be obligated to provide any legal srvices in te dees of Frenne ay Proceeding apart from a further agreement between the Atlome and the Debtor) ete fees and services,9) Debtor hereby agrees that tis firm isnot a tax firm and debtor understands that there may be tax liability if bankruptey is filed. Debtor understands that itis advisable for thew te Gusut ovth their fax profession to asess any tax lability arising from bankruptcy, This ina does not guarantee the outcome of tax liability, 10) THE DEBTOR(S) HAS PAID THE ATTORNEY A “NONREFUNDABLE” RETAINER FEE OF $_.00, WHICH SHALL BE CREDITED TOWARD THE ATTORNEY'S FEE, 11) THE ATTORNEY'S FEE SHALL BE DEEMED FULLY EARNED UPON SOUPLETION OF THE BANKRUPTCY PETITION. THE DEBTOR(S) HEREBY AGREES RESIGNING BELOW TO PAY THE FULL ATTORNEY'S FEE SHOULD THEY, FOR ANY. REASON, DECIDE NOT TO FILE BANKRUPTCY AFTER THE PETITION IS COMPLETED, 412) THE BALANCE OF THE ATTORNEY'S FEE OF $1300.00 IS DUE AND PAYABLE WITHIN 180 (ONE HUNDRED AND EIGHTY) DAYS FROM THE SIGNING BY THE DEBTOR(S) OF THIS RETAINER AGREEMENT. 13) THERE SHALL BE A $20.00 CHARGE FOR ANY BOUNCED CHECK WRITTEN TO THE ATTORNEY BY THE DEBTOR). PHONE CALLS WILL BE RETURNED AS PROMPTLY AS POSSIBLI "ALL IS DESIRED IT IS IMPERATIVE THAT YOU LEAVE A MESs EA RETURN GI THE DEBTORGS) AND THE ATTORNEY HAVE READ THE FOREGOING AGREEMENT AND ACCEPTANCE OF THE TERMS AND CONDITIONS cm GAINED HEREIN IS EXPRESSLY ACKNOWLEDGED B THIS AGREEMENT. eo Ye iT, URICH, ESO, {S10 E, Colonial be Sue 204 Orlando, FL 32803 . Phone: 407) 896-5077 ex: 407 8963041 TOINTDEBTOR paren: 12 3 4Electronic Filing Instructions for. yo crea Tax Return Ir orto cos cee TakRatey @turbotax. ee SEEN Se ; palgnet «| Your federal tax return (Form 1040) shows that you have no balance Duel | due nor a refund due to you: 0 MOT mail a payment or expece on Refund | receive « refund from the Internal Revenue Sevvace, WhatYou | Your nlectronic Filing tnetructions (this form) Needto | Printed copy of your federal return Keep i i 2019 | Adjusted arose Income 5 -902.00 Federal | Taxable tncome 5 0:00 Tex | Totat tax 8 000 Return I Mo Refund or Amount Due $ 0.00 Summary |B tective Tax Rate 0.008 Page 1 of 1@iurbotax. wafcr sing TuskoTax this year! Te+s our goal to make ML sorenian, We just want to thank yor Your taxes easy and ackor Many happy returns trom TurboTax.E1040 tirinciviea Frings Cova mar Guar income Tax Retuit_|2O TQ [aun wse| emon-oamenennnne mea] Mi tro nowy 5) eat OE] Oat i GEE" Wyman stax eure amet smaas yacht Hoar tenor ease Heating actctuveryou pees Briana H Danie? 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For Piacy Act ond Paparwork Radon Ret Nal, Ss rateoione eras Tos BOO5 rafile by Mall Instructions for yous 2018 Federal Tax Retum | Important Yew txes ar not tished unklal eid stepe creme intuit, tefl ine oo ew ent anes turbotax tae nce, am a6 Orlando, §1. 32801) t | beet? fit fee fecorat tox sateen (rom 1040) shove np Haine aun ov sesame Duel ip Bebene Retind || Meas Yor Po yrs satace— oe otic seen clin hu apace | fan” ff PM printout. ‘Renenber to sign and dace eee ting, wat FL | 1 Mita your setusn to 1 Department of the Treasury || aaternal Revenue’ Service | 1 austin, "x 75301-0002 i | Deadline: Postmarked by Monday, april 25, 2019 I { RORS; ToRE state return may be due on a different date. please | review your state filing tnstsuceiocn, 1 {Don't forget correct postage on the envelope. i Neato" | $289, these instructions and a copy of your return for your savonds, Roop.” | HE P04 Gid act print one betare Closing sechonee” Sor JOU ECoe Keep | BeeisQ® and senect File cab, then seiect the Print aor htae genncay I category r | Adjusted cross tacome $38,953.00 I Taxable Income 5 0:00 | total tax 8 0.00 | Mo Refund of Anount oue 5 0:00 | Bteective tax Ree 0.008 r | the pagttilt file electronically. dust go beck to turbofan, sslece | Enter” tab then select the B-site catagory. 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