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Chapter 7
Chapter 13
About Greg
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Contact Greg
FAQs
Office Locations
- Seattle Office
- Federal Way Office

GREGORY J. JALBERT

4742 42nd Avenue SW #332

Seattle, WA 98116

(206) 218-4957

Bankruptcy Attorney

GREGORY J. JALBERT

Home
Chapter 7
Chapter 13
About Greg
Questionnaires
Contact Greg
FAQs
Office Locations
- Seattle Office
- Federal Way Office

Questionnaire-Income

Fill out this form as it provides me with information about your income.

Name *

First Name

Last Name

Names of Employers

Do you and/or spouse receive income from any of the following sources?

Work

Retirement

Social Security

Labor & Industries

Trust

Rent

Child Support

Ailmony

Maintanence

Property Settlement

Stocks/Bonds

Other?

How often are you paid?

Weekly

Every 2 weeks

Twice a month

Monthly

Other

How often is your spouse paid?

N/A

Weekly

Every 2 weeks

Twice a month

Monthly

Other

What is your gross income per pay period?

What is the gross income of your spouse?

What is your net income per pay period?

Do either you or your spouse make a VOLUNTARY contribution to a pension, 401(k) etc?

Yes

No

Not Sure

Option Two

Thank you!

I will be in touch within 24 hours

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