We Understand That
Contingency-fee Law Firms
Have Unique Needstwtat

Law Firm Questions

Do you currently owe back taxes?

Partner Questions
2. Do you currently owe back taxes personally? *(Required)
3. Have you or an entity controlled by you ever filed bankruptcy? *(Required)
4. Has any creditor ever foreclosed on or repossessed any asset of yours and/or any entity controlled by you? *(Required)
5. Have you or any entity controlled by you settled a balance with any creditor for less than the full balance due? *(Required)
6. Have you ever been arrested or the subject of a criminal investigation? *(Required)
7. Have you ever been disciplined by or do you have a pending disciplinary action with a State Bar? *(Required)

The information collected on this application will only be used to respond to you about your request. We will not share your information with anyone outside of our organization.Financing with B.E. Blank & Co. will not appear on personal credit,nor will your application for financing impact your credit score.

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