Bankruptcy & Proposal Application Form

Bankruptcy & Proposal Application Form

Please enter your information in the form below. Your name and address must be entered exactly as they appear on your credit card statement to avoid any delay in the authorization process. If you are not paying with a credit card, this address will allow us to contact you if any issues arise with your order. Your personal information is safe with us. Read our Privacy Policy.






DEBTOR INFORMATION

Background Information







A1A 1A1
(555 555 5555)
(555 555 5555)
(January 1, 2010)
123 456 789







Month/Year
Month/Year
Month/Year
Month/Year









$

Add another

Employment Information of Debtor




Please provide the date your current employment began.



Add Another Job

$

Add








Add another business



(555 555 5555)
(555 555 5555)

$

Background Information of Spouse










A1A 1A1
(555 555 5555)
(555 555 5555)
(January 1, 2010)
123 456 789

Employment Information of Spouse






$

Add








%


(555 555 5555)
(555 555 5555)
$
Income Tax Information

Please ensure that you provide Rumanek & Company with a copy of your last income tax return.


Last Year Tax Return Filed *






























Amount Owing
$
$
Refund Received
$
$
Refund Expected
$
$





$


Month/Year
Month/Year
$

Add another

$
Month/Year
Month/Year

Add Another Residence

$
Month/Year
Month/Year

Add Another Residence

Prior Bankruptcy





Add Another Bankruptcy or Proposal
































































Add Another Bankruptcy or Proposal

Pertinent Information







$

Add another asset

Excess Creditor Payments







Seized Assets







Garnishment







Real Estate













A1A 1A1
Gifts in excess of $500







A1A 1A1

Add Another Gift

Future Assets





Assets – RRSP/Stocks/Vehicles/Other Assets
Cash
Cash on hand:
$
Cash on hand:
$
$
$
$






Life Insurance

Please provide a copy of all policies.








$

$

Add Another Life Insurance Policy

Proprietorship Details
$
RRSPs, RESPs, Canada Savings Bonds, etc.

Please provide documentation of all investments.







$
$

Add Another Investment

Residential Property




label class=”inlineLabel” for=”tfa_Country8″>Country
A1A 1A1
$
Name of MortgageePlease provide the nameAccount #Amount Owing
$

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Investment Property





$


A1A 1A1

Add Another Property

$

Add Another Mortgage

Motor Vehicles




$



Add Another Vehicle

Other

$

$

%

$

$

Add Another Item

Liabilities

$

Add Another Creditor

$

All credit cards must be turned over to the trustee.

$
$


Budget
Net Monthly Income
DebtorOther family members
Net Employment Income
$
$
Net Self Employment Income
$
$
Net Employment Insurance Benefits
$
$
Net Pension/Annuities
$
$
Net Social Assistance
$
$
Child Tax Credit
$
$
Universal Child Care Benefit
$
$
Net Spousal/Child Support
$
$
Rental Income
$
$
Family/Friend Financial Assistance
$
$
Other
$
$

$
Monthly Non-Discretionary Expenses
DebtorOther family members
Child Support Payments
$
$
Spousal Support Payments
$
$
Child Care
$
$
Medical Condition Expenses (provide details)
$
$
Fines/Penalities by the Court
$
$
Expenses as a Condition of Employment
$
$
Debts where stay has been lifted
$
$
Other Expenses
$
$

$
Monthly Discretionary Expenses for Family Unit
Housing Expenses
Rent/Mortgage
$
Heating/Gas/Oil
$
Property Tax/Condo Fees
$
Telephone
$
Cell Phone
$
Cable
$
Hydro
$
Water
$
Internet
$
Total Housing Expenses
$
Non-Recoverable Medical/Living Expenses
Food/Grocery
$
Grooming/Toiletries
$
Laundry/Dry Cleaning
$
Clothing
$
Other
$
Total Non-Recoverable Medical/Living Expenses
$
Transportation Expenses
Car Lease
$
Repair/Maintenance
$
Gas
$
Public Transportation
$
Total Public Transportation
$
Personal Expenses
Smoking
$
Alcohol
$
Restaurants – Dining/Lunches
$
Entertainment/Sports
$
Gifts/Charitable Donations
$
Allowances
$
Miscellaneous
$
Total Personal Expenses
$
Insurance Expenses
Vehicle
$
House
$
Furniture
$
Life
$
Total Insurance Expenses
$
Other Expenses

$

Add another item

$
Total Budget
$
After completing this form, please upload the following documents:

If possible, please upload all documents as one file using the upload tool below.

  • Proof of Legal Name (Passport, Landed Immigrant Papers, PR Card, Birth Certificate or Citizenship Card)
  • Proof of Spouse’s Legal Name (Passport, Landed Immigrant Papers,PR Card, Birth Certificate or Citizenship Card)
  • Current Pay Stub
  • I.E. Stub (Social Assistance Stub or Pension – if Direct Deposit, Copy or Current Bank Statement)
  • Spouse’s Current Pay Stub
  • Spouse’s I.E. Stub (Social Assistance Stub or Pension – if Direct Deposit, Copy or Current Bank Statement)
  • Copy of Last Years Income Tax Return & Notice of Assessment
  • Copy of Spouse’s Last Years Income Tax Return & Notice of Assessment (if Self Employed, Need Full Return)
  • Copy of Last Financial Statements for your Business
  • Copy of Spouse’s Last Financial Statements for Their Business
  • Prior Proposal/Bankruptcy Documents
  • Spouse’s Prior Proposal/Bankruptcy Documents
  • Sale of House, Condo, Land etc. in Last 5 Years (Lawyer’s Letter with Closing Documents and Trust Account if Cash Recieved from Sale, Details of How Funds Spent)
  • Sold Assets (RRSP’s/Cars) in Last Year (Sale Documents and Details of How Funds Spent)
  • Garnishment Documents or any other Court Papers
  • Bills/Statements from Creditors and Collection Companies
  • Life Insurance Policy
  • Stocks/RRSP Statement
  • House Appraisal and Mortgage Statement
  • Car Ownership and Security Documents
  • Child/Spousal Support – A Copy of any Agreement Whether You Pay or Recieve Support

  

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Will bankruptcy affect my citizenship?
No. Filing bankruptcy is not a crime. It is not considered failure in fulfilling your legal civic duties. It is a perfectly legal way to deal with overwhelming debt. It will not disrupt your citizenship process or put your bid for citizenship at risk, so long as you abide by all bankruptcy laws truthfully and honestly.Learn More

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