1. What is your name?
2. What is your address?
3. What is your Social Security Number?
4. How long have you lived at your current address?
5. Are you employed?
6. How much money do you make?
7. Do you own any real estate?
8. Have you owned any real estate within the past 10 years?
9. Do you own a car?
10. Have you owned a car within the past 10 years?
11. Are you married?
12. Does your spouse work?
13. Do you have any children?
14. Do you pay child support for any child?
15. Do you receive child support for any child?
16. Do you have the right to sue anyone for personal injuries?
17. Are you currently being sued by anyone?
18. Has anyone died recently and left you any money?
19. When was the last time you used any credit card?
20. Over what period of time did you accumulate your credit card debts?
21. When was the last time you made a payment to any creditor?
22. Have you repaid any creditor more than $600 within the past three months?
23. Have you closed any bank account within the past 12 months?
24. Do you have a safe deposit box?














