Bankruptcy contract Bankruptcy Assistance Initiative AgreementPlease enable JavaScript in your browser to complete this form. - Step 1 of 5Your Full Name *FirstMiddleLastFull Name of Spouse (if applicable)FirstMiddleLastEmail1. PRF is a non-profit 501(c) (3) corporation, an entity organized and operating under the laws of the State of Alabama, that provides clerical services and document preparation for those desirous of filing for debt relief under the U.S. Bankruptcy Code. Do you understand? *Yes2. PRF is not a law firm. PRF nor any of its representatives are attorneys and may not practice law or give you legal advice, which may include the following: *whether to file a petition under the Bankruptcy Code (11 U.S.C. § 101 et seq.);whether filing a case under chapter 7, 11, 12, or 13 is appropriate;whether your debts will be eliminated or discharged in a case under the Bankruptcy Code;whether you will be able to keep your home, car, or other property after filing a case under the Bankruptcy Code; what tax consequences may arise because a case is filed under the Bankruptcy Code;whether any tax claims may be discharged;whether you may or should promise to repay debts to a creditor or enter into a reaffirmation agreement; orhow to characterize the nature of your interests in property or your debts.Please select each of the boxes to indicate you have read each statement.Next3. PRF will type your EMERGENCY bankruptcy skeletal petition and accompanying official forms, under your direction, for a simple flat fee of $____________. *$3003a. PRF will also provide a list of additional resources to aid in filing the EMERGENCY bankruptcy petition. One reason for filing an EMERGENCY bankruptcy petition is to try to stop an impending foreclosure. Enter the date your home/property is scheduled for foreclosure OR enter Not Applicable. *Next4. The EMERGENCY bankruptcy skeletal petition will consist of: (a) Voluntary Petition for Individuals Filing for Bankruptcy (Form 101); (b) List of Creditors; (c) Bankruptcy Petition Preparer’s Notice, Declaration and Signature (Form 119); (d) Your Statement About Your Social Security Number (Form 121); (e) Application for Individuals to Pay the Filing Fee in Installments (Form 103A), if applicable; (f) Application to Have the Chapter 7 Filing Fee Waived (Form 103B), if applicable; (g) Disclosure of Compensation of Bankruptcy Petition Preparer (Form 2800); (h) Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010); (i) Required Lists, Schedules, Statements, and Fees (Form 2000). Do you understand? *YesNo5. I/we are responsible for filing all other bankruptcy schedules and documents and the payment of all filing fees directly to the court. All documents shall be filed in accordance with the applicable timelines provided by the Bankruptcy Court. Do you understand? *YesNo6. PRF cannot charge fees that are greater than the maximum fee allowed according to the Supreme Court Rules under Section 2075 of Title 28, or the Judicial Conference of the U.S. guidelines. Do you understand? *YesNoNext7. I/we understand that by representing themselves, without an attorney, they are fully responsible for making their own legal choices, which includes acquiring the necessary legal information in an informed manner, either via legal books, or via the Internet. Do you understand? *YesNo8. I/we understand that any legal publication I (or we) utilizes for self-help bankruptcy services, will not be used as a substitute for legal counsel or construed as legal advice. Do you understand? *YesNo9. I/we understand that PRF will provide the address of the federal court houses where you can file your bankruptcy petition and accompanying forms. Do you understand? *YesNo10. PRF will also provide you with the Local Bar Association contact information, so that you may contact an attorney to complete the remaining schedules and documents. Do you understand? *YesNoNextYour Full Name *FirstMiddleLastFull Name of Spouse (if applicable)FirstMiddleLastI/we freely enter into this agreement and fully understands that I/we are responsible for hiring an attorney to represent me/us in the completion of my/our bankruptcy. Further, I/we agree that the initiation of this bankruptcy petition is of my/our own free will and accord and that I/we understand the consequences of filing bankruptcy could have on my/our credit. Upon completion of this form along with payment for services, PRF warrants that they will provide clerical preparation services and that PRF received $300 as the total fee for document preparation. PRF has not made any warranties or promises other than to accurately complete the forms outlined in Item 4 above at the direction and supervision of me and my spouse (if applicable).Processing FeePrice: $ 300.00Credit or Debit Card *CardName on CardCVV/CVC code *Zip Code *Provide the zip code associated with the billing address for this card.Your Signature *Clear SignatureSpouse's Signature (if applicable)Clear SignatureDate Signed and Submitted **** OFFICIAL USE ONLY ***PRF Teaching Ministry / Name and TitleSTATUS: Application Received / ProcessedSubmit
