Refer Your Automatic Stay Or Discharge Injunction Violation
New Form
Referring Attorney Information
*
Name Of Bankruptcy Attorney
Email of Attorney
*
Phone No. Of Bankruptcy Attorney
Contact Information For Client(s)/Debtor(s)
(REMEMBER, IN ORDER TO PROPERLY INVESTIGATE THIS MATTER WE NEED TO BE ABLE TO CONTACT THE DEBTOR. IF YOU HAVE A PDF OR WORD FILE THAT CONTAINS ALL OF THE CONTACT INFORMATION AND WISH TO PROVIDE THIS INSTEAD, THERE WILL BE A PLACE FOR YOU TO UPLOAD THAT DOCUMENT NEAR THE BOTTOM OF THIS FORM.)
How Many Debtor(s)/Client(s)
Individual Bankruptcy
Joint Bankruptcy
Co-Debtor Issue (Skip To Co-Debtor Below)
Not Applicable
*
Name of First Client/Debtor
Home Phone No. of 1st Client/Debtor
Work Phone of 1st Client/Debtor
Cell Phone of 1st Client/Debtor
Email of 1st Client/Debtor
Name of Second Client/Debtor
Home Phone of 2nd Client/Debtor
Work Phone of 2nd Client/Debtor
Cell Phone of 2nd Client/Debtor
Email of 2nd Client/Debtor
Any Other Contact Sources or Info For Client(s)/Debtor(s)
Which Is The Best Number To Reach Client(s)/Debtor(s)
1st Client Home
1st Client Work
1st Client Cell
2nd Client Home
2nd Client Work
2nd Client Cell
Other No.
Mailing Address of Client(s)/Debtor(s)
City of Client(s)/Debtor(s)
State of Debtor(s)/Client(s)
*
DO WE HAVE PERMISSION TO CONTACT THE DEBTOR(S)/CLIENT(S) DIRECTLY BY TELEPHONE
Yes
Contact Attorney First
Information on Relevant or Underlying Bankruptcy Case
Bankruptcy Number
What is The Bankruptcy Chapter
7
11
12
13
Which Court Is/Was The Bankruptcy Filed
Eastern District of Texas
Western District of Texas
Northern District of Texas
Southern District of Texas
Status of the Bankruptcy Case
Pending (Not Up for Dismissal)
Pending (Up for Dismissal)
Discharged
Dismissed
Has Client(s)/Debtor(s) Filed Previous Bankruptcies Other Than The One Listed
Yes
No
If Previous Bankruptcies, Has The Automatic Stay Been Extended or Continued by the Court
Yes (Order Signed)
No (Motion Pending)
No (Court Denied Extension)
If It Is A Pending Chapter 11, 12 or 13 Has The Case Been Confirmed
Yes
No
Information On The Violation
(NOTICE TO THE VIOLATING PARTY OF THE BANKRUPTCY, ORDER OR INJUNCTION OF THE COURT IS VITALLY IMPORTANT TO PURSUING THESE MATTERS. MAKE SURE WE HAVE ALL INFORMATION NECESSARY)
*
What Creditor or Party Has Violated the Injunction or Order of the Court
The Creditor or Violating Party Has Been Provided Notice How (Check All Applicable)
Court
Trustee
Bankruptcy Attorney (Phone)
Bankruptcy Attorney (Fax)
Bankruptcy Attorney (Mail)
Bankruptcy Attorney (Email)
Bankruptcy Attorney (In Person)
Debtor(s) (Phone)
Debtor(s) (Fax)
Debtor(s) (Mail)
Debtor(s) (Email)
Debtor(s) (In Person)
Other
*
Briefly Explain The Violation Which Has Occured
If Money or Property Was Taken, Has It Been Returned
Yes
No
Other
Describe Money Or Property Taken (If Car Make & Model, If Money Amount)
If Property Was Returned Was It Damages or If Money Returned Were There Fees Or Losses - Explain
If The Property or Money Has Not Been Returned, What Steps Or Demands Have Been Made, Yet, To Get It Returned
If Property Is Still Missing, What Is The Urgency Of Getting It Returned
Emergency
Urgent
Inconvient
Needed But Not Urgent
Other
Information or Documents We Cannot Obtain or View on PACER/ECF (The Court's Computer)
ANY INFORMATION (SUCH AS PETITION, SCHEDULES, PROOFS OF CLAIM, MATRIX, PLANS THAT WE CAN VIEW ON THE COURT'S COMPUTER) WE DO NOT NEED FROM YOU. BUT ANY DOCUMENTS WE NEED TO SEE (SUCH AS LAWSUITS, LETTERS, NOTES, DEMANDS OR CONVERSATIONS, BANKRUPTCY PRO OR BEST CASE NOTES) WE MIGHT NEED CAN BE ATTACHED BELOW, FAXED TO ME AT (281) 681-1170 OR EMAILED TO ME AT CHUCK@CHUCKNEWTON.NET
Please Upload Any Documents Here
Additional Documents
Additional Documents
Additional Documents
Additional Documents
*
Indicates Response Required
Build forms with
FormSite.com