Questionnaire- Assets

Fill out this form as it provides me with information about your Assets. Be as accurate as possible. Leaving assets of the bankruptcy schedules can be very serious. 

Name *
Name
Do you own or have an interest in stocks, bonds or interests in any businesses?
Do you own or have an interest in retirement or pension accounts even if you can not now get the funds? (IRA, ERISA,401(k), thrift savings accounts or profit or pension-sharing plans)
Do you own or have an interest in security deposits or prepaid accounts?
Do you own or have an interest in annuities, educational IRA.s, or trusts?
Do you own or have an interest in patents, copyrights, trademarks, licenses, or franchises?
Do you own or have an interest in an internet domain names or businesses (sole proprietorships, LLC, Joint venture, corporations ?
Are you entitled to any tax refunds?
Are you entitled to any support from anyone?
Does anyone owe you money for any reason?
Do you have a claim against anyone (even if you have not pursued it) for such things as automobile accidents, slip and fall accidents, employment discrimination claims or other claims of ANY nature?
IF YOU DO NOT DISCLOSE THESE SORTS OF CLAIMS YOU WILL LOOSE YOUR RIGHT TO PURSUE THEM!
Do you own or have an interest in life insurance policies?
Do you have an interest in any property due to someone having died (for instance, a living trust, life insurance, a will or inheritance or do you think you might be entitled to such property within the next 6 months?
Do you own or have an interest in any business assets?
Do you own or have an interest in any accounts receivables or commissions?
Do you own or have an interest in office equipment, office furnishings, machinery, fixtures or supplies used in business?
Do you own or have an interest in inventory, customer lists, mailing lists or any other business related property?
Do you own or have an interest in any farm or commercial fishing property?
Do you own or have an interest in any crops, farm or fishing supplies or any other farm or commercial fishing property?
Do you have possession of property belonging to someone else? I
Do you have any stock options even if they cannot be exercised now?