Business Reorganization Client Information Form
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Business Reorganization Client Intake

Confidential Attorney-Client Communication

Business Reorganization Client Information Form

Please complete this form as thoroughly as possible. Your answers will help us determine the best path forward for your business.

YOUR BUSINESS

WHAT YOUR BUSINESS DOES

YOUR DEBTS AND CREDITORS

Please estimate amounts owed to:

Does Your Business Owe Money To:

CURRENT FINANCIAL SITUATION

Are You Current On:

Payroll to employees?
Payroll taxes?
Sales tax?
Rent?
Insurance?

ASSETS AND PROPERTY

Does Your Business Own: (Check all that apply)

Does Your Business Lease: (Check all that apply)

LEGAL MATTERS

Any Other Legal Issues? (Check all that apply)

OTHER BUSINESSES YOU OWN

If yes, please list:

YOUR IMMEDIATE CONCERNS

What Are Your Most Urgent Problems? (Check all that apply)

YOUR PROFESSIONAL TEAM

ANYTHING ELSE WE SHOULD KNOW?

Thank you for completing this form.

Please save this form as a PDF using the button below and email it to us along with:

  • Your last 3 years of business tax returns
  • Your most recent bank statements
  • A list of your major creditors
  • Your most recent financial statements (if available)